| V2730 | Special base curve, glass or plastic, per lens |
| T5001 | Positioning seat for persons with special orthopedic needs |
| G0454 | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
| T2026 | Specialized childcare, waiver; per diem |
| T2027 | Specialized childcare, waiver; per 15 minutes |
| G0060 | Allergy/immunology mips specialty set |
| G4006 | Gastro-enterology mips specialty set |
| G4017 | Nutrition/dietician mips specialty set |
| G4018 | Obstetrics/gynecology mips specialty set |
| G4019 | Oncology/hematology mips specialty set |
| G4020 | Ophthalmology/optometry mips specialty set |
| G0061 | Anesthesiology mips specialty set |
| G0062 | Audiology mips specialty set |
| V2299 | Specialty bifocal (by report) |
| G0063 | Cardiology mips specialty set |
| G1007 | Clinical decision support mechanism aim specialty health, as defined by the medicare appropriate use criteria program |
| G4003 | Emergency medicine mips specialty set |
| G4004 | Endocrinology mips specialty set |
| G4005 | Family medicine mips specialty set |
| H2041 | Coordinated specialty care, team-based, for first episode psychosis, per encounter |
| H2040 | Coordinated specialty care, team-based, for first episode psychosis, per month |
| G4009 | Hospitalists mips specialty set |
| A4340 | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
| G4011 | Internal medicine mips specialty set |
| G0065 | Chiropractic medicine mips specialty set |
| V2786 | Specialty occupational multifocal lens, per lens |
| G4015 | Neurology mips specialty set |
| G4016 | Neurosurgical mips specialty set |
| G0064 | Certified nurse midwife mips specialty set |
| G4023 | Pathology mips specialty set |
| G4024 | Pediatrics mips specialty set |
| G4025 | Physical medicine mips specialty set |
| G4026 | Physical therapy/occupational therapy mips specialty set |
| G4027 | Plastic surgery mips specialty set |
| G4029 | Preventive medicine mips specialty set |
| G4013 | Mental/behavioral and psychiatry mips specialty set |
| G4030 | Pulmonology mips specialty set |
| G4032 | Rheumatology mips specialty set |
| G0066 | Clinical social work mips specialty set |
| A0434 | Specialty care transport (sct) |
