Tag - standard
| HCPCS Codes | Description |
| L3455 | Heel, new leather, standard |
| L3460 | Heel, new rubber, standard |
| E1130 | Standard wheelchair, fixed full length arms, fixed or swing away detachable footrests |
| S0270 | Physician management of patient home care, standard monthly case rate (per 30 days) |
| L8300 | Truss, single with standard pad |