100ML 0.9% NACL MINI BAG

50ML 0.9% NACL MINI BAG

ACUP MASSAGE THERAPY

ACUP MASSAGE THERAPY

ACUP TX 1 OR >1 NDL W/W/O STIM

AFFINITY 1.5X1.5 SQCM

AFFINITY 2.5X2.5 SQCM

APLIGRAF 44 SQCM-PER SQCM

DIABETES EDUCATION GROUP 30 MN

DIABETES EDUCATION IND 30 MIN

EPICORD PER SQ CM 2 X 3

EPICORD PER SQ CM 3 X 5 CM

F TELEHEALTH ORIG SITE FAC FEE

F TELEHEALTH ORIG SITE FAC FEE

FAC HBOT O2 PER 30MIN MCR OP

MCR ACUP TX ESTIM 15 MIN

NUSHIELD 1.6 CM DISC

NUSHIELD 2X3 SQ CM

OBS/TELE/ISO >24 HRS./HOUR

OBS/TELE/ISO 1ST HOUR

OBS/TELE/ISO 2-24HRS./HOUR

OBSERVATION >24 HRS/HOUR

OBSERVATION 1ST HOUR

OBSERVATION 2-24 HRS/HOUR

OBSERVATION DIRECT ADMISSION