| Code | Display | Definition |
| 007 | ALCOHOLISM/SUBSTANCE ABUSE INPATIENT | ALCOHOLISM/SUBSTANCE ABUSE INPATIENT |
| 010 | ALLERGY AND IMMUNOLOGY | ALLERGY AND IMMUNOLOGY |
| 011 | GENERAL HOSPITAL (ARTICLE 28) | GENERAL HOSPITAL (ARTICLE 28) |
| 017 | OMH PSYCH CTR/OASAS ASA INPATIENT | OMH PSYCH CTR/OASAS ASA INPATIENT |
| 018 | PRIVATE PSYCH & ASA INPATIENT | PRIVATE PSYCH & ASA INPATIENT |
| 020 | ANESTHESIOLOGY | ANESTHESIOLOGY |
| 030 | COLON AND RECTAL SURGERY | COLON AND RECTAL SURGERY |
| 033 | SLEEP MEDICINE | SLEEP MEDICINE |
| 040 | DERMATOLOGY | DERMATOLOGY |
| 041 | DERMATOPATHOLOGY | DERMATOPATHOLOGY |
| 050 | FAMILY PRACTICE | FAMILY PRACTICE |
| 055 | ADOLESCENT MEDICINE: FAMILY MEDICINE | ADOLESCENT MEDICINE: FAMILY MEDICINE |
| 056 | ADOLESCENT MEDICINE: PEDIATRICS | ADOLESCENT MEDICINE: PEDIATRICS |
| 057 | BEHAVIORAL PEDIATRICS | BEHAVIORAL PEDIATRICS |
| 058 | INTERNAL MEDICINE AND PEDIATRICS | INTERNAL MEDICINE AND PEDIATRICS |
| 059 | PEDIATRIC RHEUMATOLOGY | PEDIATRIC RHEUMATOLOGY |
| 060 | INTERNAL MEDICINE | INTERNAL MEDICINE |
| 061 | PEDIATRIC INFECTIOUS DISEASE | PEDIATRIC INFECTIOUS DISEASE |
| 062 | CARDIOVASCULAR DISEASE | CARDIOVASCULAR DISEASE |
| 063 | ENDOCRINOLOGY AND METABOLISM | ENDOCRINOLOGY AND METABOLISM |
| 064 | GASTROENTEROLOGY | GASTROENTEROLOGY |
| 065 | HEMATOLOGY - INTERNAL MED | HEMATOLOGY - INTERNAL MED |
| 066 | INFECTIOUS DISEASES | INFECTIOUS DISEASES |
| 067 | NEPHROLOGY | NEPHROLOGY |
| 068 | PULMONARY DISEASES | PULMONARY DISEASES |
| 069 | RHEUMATOLOGY | RHEUMATOLOGY |
| 070 | NEUROLOGICAL SURGERY | NEUROLOGICAL SURGERY |
| 071 | SPINAL CORD INJURY MEDICINE | SPINAL CORD INJURY MEDICINE |
| 072 | PEDIATRIC NEUROSURGERY | PEDIATRIC NEUROSURGERY |
| 073 | PEDIATRIC DERMATOLOGY | PEDIATRIC DERMATOLOGY |
| 074 | MEDICAL TOXICOLOGY | MEDICAL TOXICOLOGY |
| 075 | UNDERSEA & HYPERBARIC MEDICINE | UNDERSEA & HYPERBARIC MEDICINE |
| 076 | PEDIATRIC REHABILITATION | PEDIATRIC REHABILITATION |
| 080 | NUCLEAR MEDICINE | NUCLEAR MEDICINE |
| 081 | MEDICAL NUCLEAR PHYSICS | MEDICAL NUCLEAR PHYSICS |
| 083 | NEUROMUSCULAR MEDICINE | NEUROMUSCULAR MEDICINE |
| 084 | NEURORADIOLOGY | NEURORADIOLOGY |
| 085 | NEUROTOLOGY | NEUROTOLOGY |
| 089 | OBSTETRICS AND GYNECOLOGY | OBSTETRICS AND GYNECOLOGY |
| 092 | MATERNAL AND FETAL MEDICINE | MATERNAL AND FETAL MEDICINE |
| 093 | REPRODUCTIVE ENDOCRINOLOGY | REPRODUCTIVE ENDOCRINOLOGY |
| 095 | CERTIFIED DIABETES EDUCATOR | CERTIFIED DIABETES EDUCATOR |
| 100 | OPTHALMOLOGY | OPTHALMOLOGY |
| 101 | PEDIATRIC OPHTHALMOLOGY | PEDIATRIC OPHTHALMOLOGY |
| 102 | CERTIFIED ASTHMA EDUCATOR | CERTIFIED ASTHMA EDUCATOR |
| 110 | ORTHOPEDIC SURGERY | ORTHOPEDIC SURGERY |
| 111 | HAND SURGERY - ORTHOPEDIC SURGERY | HAND SURGERY - ORTHOPEDIC SURGERY |
| 112 | HAND SURGERY - PLASTIC SURGERY | HAND SURGERY - PLASTIC SURGERY |
| 113 | HAND SURGERY - SURGERY | HAND SURGERY - SURGERY |
| 114 | PLASTIC SURGERY WITH THE HEAD & NECK | PLASTIC SURGERY WITH THE HEAD & NECK |
| 120 | OTOLARYNGOLOGY | OTOLARYNGOLOGY |
| 121 | PEDIATRIC OTOLARYNGOLOGY | PEDIATRIC OTOLARYNGOLOGY |
| 127 | CLIA REGISTRATION/COMPLIANCE/ACCREDITATION | CLIA REGISTRATION/COMPLIANCE/ACCREDITATION |
| 128 | CLIA WAIVER | CLIA WAIVER |
| 129 | CLIA PHYSICIAN PERFORMED MICROSCOPY PROCEDURE | CLIA PHYSICIAN PERFORMED MICROSCOPY PROCEDURE |
| 130 | CLIA WAIVER/REGISTRATION | CLIA WAIVER/REGISTRATION |
| 131 | BLOOD BANKING | BLOOD BANKING |
| 135 | CLINICAL PATHOLOGY | CLINICAL PATHOLOGY |
| 136 | FORENSIC PATHOLOGY | FORENSIC PATHOLOGY |
| 137 | HEMATOLOGY - PSC PATH | HEMATOLOGY - PSC PATH |
| 138 | CHEMICAL PATHOLOGY | CHEMICAL PATHOLOGY |
| 139 | MEDICAL MICROBIOLOGY | MEDICAL MICROBIOLOGY |
| 140 | PATHOLOGY WITH MOLECULAR GENETIC SPEC | PATHOLOGY WITH MOLECULAR GENETIC SPEC |
| 141 | NEUROPATHOLOGY | NEUROPATHOLOGY |
| 142 | ANATOMIC PATHOLOGY | ANATOMIC PATHOLOGY |
| 143 | DERMATOPATHOLOGY - PSC PATH | DERMATOPATHOLOGY - PSC PATH |
| 144 | TRANSPLANT HEPATOLOGY | TRANSPLANT HEPATOLOGY |
| 145 | PEDIATRIC TRANSPLANT HEPATOLOGY | PEDIATRIC TRANSPLANT HEPATOLOGY |
| 146 | ANATOMIC AND CLINICAL PATHOLOGY | ANATOMIC AND CLINICAL PATHOLOGY |
| 147 | PEDIATRIC PATHOLOGY | PEDIATRIC PATHOLOGY |
| 148 | RADIOISOTOPIC PATHOLOGY | RADIOISOTOPIC PATHOLOGY |
| 149 | PEDIATRIC EMERGENCY MEDICINE | PEDIATRIC EMERGENCY MEDICINE |
| 150 | PEDIATRICS | PEDIATRICS |
| 151 | PEDIATRIC CARDIOLOGY | PEDIATRIC CARDIOLOGY |
| 152 | PEDIATRIC HEMATOLOGY - ONCOLOGY | PEDIATRIC HEMATOLOGY - ONCOLOGY |
| 153 | PEDIATRIC SURGERY | PEDIATRIC SURGERY |
| 154 | PEDIATRIC NEPHROLOGY | PEDIATRIC NEPHROLOGY |
| 155 | PEDIATRIC NEONATAL - PERINATAL MEDICINE | PEDIATRIC NEONATAL - PERINATAL MEDICINE |
| 156 | PEDIATRIC ENDOCRINOLOGY | PEDIATRIC ENDOCRINOLOGY |
| 157 | PEDIATRIC PULMONOLOGY | PEDIATRIC PULMONOLOGY |
| 158 | PREFERRED PHYSICIANS AND CHILDREN PROG | PREFERRED PHYSICIANS AND CHILDREN PROG |
| 159 | MEDICAID OBSTETRICAL & MATERNAL SVC PROG | MEDICAID OBSTETRICAL & MATERNAL SVC PROG |
| 160 | PHYSICAL MEDICINE & REHABILITATION | PHYSICAL MEDICINE & REHABILITATION |
| 161 | PEDIATRIC CRITICAL CARE | PEDIATRIC CRITICAL CARE |
| 162 | OSTEOPATHIC MANIPULATIVE MEDICINE | OSTEOPATHIC MANIPULATIVE MEDICINE |
| 163 | PEDIATRIC GASTROENTOLOGY | PEDIATRIC GASTROENTOLOGY |
| 164 | CRITICAL CARE MED - ANESTHESIOLOGIST | CRITICAL CARE MED - ANESTHESIOLOGIST |
| 165 | CRITICAL CARE MEDICINE - INTERNAL | CRITICAL CARE MEDICINE - INTERNAL |
| 166 | CRITICAL CARE MEDICINE - OBSTETRICS | CRITICAL CARE MEDICINE - OBSTETRICS |
| 167 | CRITICAL CARE MEDICINE - SURGERY | CRITICAL CARE MEDICINE - SURGERY |
| 169 | MEDICAID OBSTERICAL & MATERNAL SERVICES PRGM (MOMS): HEALTH SUPPORTIVE SERVICES | MEDICAID OBSTERICAL & MATERNAL SERVICES PRGM (MOMS): HEALTH SUPPORTIVE SERVICES |
| 170 | PLASTIC SURGERY | PLASTIC SURGERY |
| 171 | CLINICAL MOLECULAR GENETICS | CLINICAL MOLECULAR GENETICS |
| 180 | CLINICAL BIOCHEMICAL GENETICS | CLINICAL BIOCHEMICAL GENETICS |
| 181 | AEROSPACE | AEROSPACE |
| 182 | GENERAL PREVENTIVE MEDICINE | GENERAL PREVENTIVE MEDICINE |
| 183 | OCCUPATIONAL MEDICINE | OCCUPATIONAL MEDICINE |
| 184 | PUBLIC HEALTH - PREVENTIVE MEDICINE | PUBLIC HEALTH - PREVENTIVE MEDICINE |
| 185 | AEROSPACE MEDICINE | AEROSPACE MEDICINE |
| 186 | T.B. DIRECTLY OBSERVED THERAPY/PHYSICIAN | T.B. DIRECTLY OBSERVED THERAPY/PHYSICIAN |
| 187 | MEDICAL GENETICS | MEDICAL GENETICS |
| 188 | CLINICAL GENETICS | CLINICAL GENETICS |
| 189 | MOLECULAR GENETIC PATHOLOGY | MOLECULAR GENETIC PATHOLOGY |
| 190 | PAIN MANAGEMENT-PSYCHIATRY & NEUROLOGY | PAIN MANAGEMENT-PSYCHIATRY & NEUROLOGY |
| 191 | CHILD PSYCHIATRY | CHILD PSYCHIATRY |
| 192 | PSYCHIATRY | PSYCHIATRY |
| 193 | CHILD NEUROLOGY | CHILD NEUROLOGY |
| 194 | NEUROLOGY | NEUROLOGY |
| 195 | PSYCHIATRY & NEUROLOGY | PSYCHIATRY & NEUROLOGY |
| 196 | CLOZAPINE CASE MANAGER - PSYCH | CLOZAPINE CASE MANAGER - PSYCH |
| 197 | GERIATRIC PSYCHIATRY | GERIATRIC PSYCHIATRY |
| 198 | ADDICTION PSYCHIATRY | ADDICTION PSYCHIATRY |
| 199 | NERODEVELOPMENTAL DISABILITIES | NERODEVELOPMENTAL DISABILITIES |
| 200 | RADIOLOGY | RADIOLOGY |
| 201 | DIAGNOSTIC RADIOLOGY | DIAGNOSTIC RADIOLOGY |
| 202 | DIAGNOSTIC ROENTGENOLOGY | DIAGNOSTIC ROENTGENOLOGY |
| 205 | THERAPEUTIC RADIOLOGY | THERAPEUTIC RADIOLOGY |
| 206 | RADIOLOGICAL PHYSICS | RADIOLOGICAL PHYSICS |
| 207 | THERAPEUTIC RADIOLOGICAL PHYSICS | THERAPEUTIC RADIOLOGICAL PHYSICS |
| 208 | DIAGNOSTIC RADIOLOGICAL PHYSICS | DIAGNOSTIC RADIOLOGICAL PHYSICS |
| 210 | GENERAL SURGERY | GENERAL SURGERY |
| 211 | HOSPITALIST | HOSPITALIST |
| 220 | THORACIC SURGERY | THORACIC SURGERY |
| 230 | UROLOGY | UROLOGY |
| 231 | PEDIATRIC UROLOGY | PEDIATRIC UROLOGY |
| 240 | VASCULAR NEUROLOGY | VASCULAR NEUROLOGY |
| 241 | ONCOLOGY | ONCOLOGY |
| 242 | GYNECOLOGIC ONCOLOGY | GYNECOLOGIC ONCOLOGY |
| 243 | VASCULAR MEDICINE | VASCULAR MEDICINE |
| 244 | RADIOLOGIST ONCOLOGY | RADIOLOGIST ONCOLOGY |
| 245 | PEDIATRIC RADIOLOGY | PEDIATRIC RADIOLOGY |
| 246 | VASCULAR&INTERVENTIONAL RADIOLOGY | VASCULAR&INTERVENTIONAL RADIOLOGY |
| 247 | MANAGED CARE - PHYSICIAN ENHANCED FEE | MANAGED CARE - PHYSICIAN ENHANCED FEE |
| 248 | MANAGED CARE - DENTAL ENHANCED FEE | MANAGED CARE - DENTAL ENHANCED FEE |
| 249 | HIV PRIMARY CARE SERVICES | HIV PRIMARY CARE SERVICES |
| 250 | EMERGENCY MEDICINE | EMERGENCY MEDICINE |
| 252 | PRIMARY CARE INITIATIVE IN UNDERSERVED AREAS | PRIMARY CARE INITIATIVE IN UNDERSERVED AREAS |
| 253 | SPECIALSTS PRIMARY CARE INIT - UNDERSRVD AREA | SPECIALSTS PRIMARY CARE INIT - UNDERSRVD AREA |
| 254 | SPECIALISTS IN PHYSICIANS CASE MGMT PROGRAM | SPECIALISTS IN PHYSICIANS CASE MGMT PROGRAM |
| 270 | CHILD HEALTH ASSURANCE PROGRAM | CHILD HEALTH ASSURANCE PROGRAM |
| 280 | CHIROPRACTIC | CHIROPRACTIC |
| 281 | CLINICAL SOCIAL WORKER | CLINICAL SOCIAL WORKER |
| 282 | CERTIFIED DRUG & ALCOHOL COUNSELOR | CERTIFIED DRUG & ALCOHOL COUNSELOR |
| 283 | COUNSELOR | COUNSELOR |
| 290 | ACUPUNCTURIST | ACUPUNCTURIST |
| 300 | PHYSICAL THERAPY | PHYSICAL THERAPY |
| 301 | OCCUPATIONAL THERAPY | OCCUPATIONAL THERAPY |
| 302 | SPEECH THERAPY | SPEECH THERAPY |
| 303 | AIDS/HIV SERVICES | AIDS/HIV SERVICES |
| 304 | MEDICAL REHAB | MEDICAL REHAB |
| 305 | PEDIATRIC SPECIALTY - ALL EXCEPT PRIMARY CARE | PEDIATRIC SPECIALTY - ALL EXCEPT PRIMARY CARE |
| 306 | SCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM | SCHOOL SUPPORTIVE HEALTH SERVICES PROGRAM |
| 307 | DURABLE MEDICAL EQUIPMENT | DURABLE MEDICAL EQUIPMENT |
| 308 | HIV PRIMARY CARE SERVICES - CLINIC SPECIALTY | HIV PRIMARY CARE SERVICES - CLINIC SPECIALTY |
| 309 | MEDICALLY SUPERVISED SUBSTANCE ABUSE | MEDICALLY SUPERVISED SUBSTANCE ABUSE |
| 310 | OMH ADULT CLINIC (STATE OPR) | OMH ADULT CLINIC (STATE OPR) |
| 311 | OMH CHILD CLINIC(STATE OPR) | OMH CHILD CLINIC(STATE OPR) |
| 312 | OMH CONTINUING DAY TRTMT (STATE OPR) | OMH CONTINUING DAY TRTMT (STATE OPR) |
| 313 | OMH PARTIAL HOSPITALIZATION (STATE OPR) | OMH PARTIAL HOSPITALIZATION (STATE OPR) |
| 314 | OMH INTEN PSYCH REHAB TRTMT (STATE OPR) | OMH INTEN PSYCH REHAB TRTMT (STATE OPR) |
| 315 | OMH ADULT CLINIC | OMH ADULT CLINIC |
| 316 | OMH CHILD CLINIC | OMH CHILD CLINIC |
| 317 | OMH CONTINUING DAY TREATMENT | OMH CONTINUING DAY TREATMENT |
| 318 | OMH PARTIAL HOSPITALIZATION | OMH PARTIAL HOSPITALIZATION |
| 319 | OMH INTENSIVE PSYCH REHAB TREATMENT | OMH INTENSIVE PSYCH REHAB TREATMENT |
| 320 | CLOZAPINE CASE MANAGER - CLINIC | CLOZAPINE CASE MANAGER - CLINIC |
| 321 | COMPREHENSIVE SPECIALTY CLINIC SERVICES | COMPREHENSIVE SPECIALTY CLINIC SERVICES |
| 322 | OMH COMPREHENSIVE OUTPATIENT PROGRAM (COPS) CLINIC | OMH COMPREHENSIVE OUTPATIENT PROGRAM (COPS) CLINIC |
| 323 | OMH COMP OUTPAT PROG (COPS) CONTINUING DAY TRTMT | OMH COMP OUTPAT PROG (COPS) CONTINUING DAY TRTMT |
| 324 | PRE-SCHOOL SUPPORTIVE HEALTH CARE | PRE-SCHOOL SUPPORTIVE HEALTH CARE |
| 325 | EARLY INTERVENTION | EARLY INTERVENTION |
| 326 | OMH/CR ADULT (VOLUNTARY) | OMH/CR ADULT (VOLUNTARY) |
| 327 | OMH/CR CHILDREN (VOLUNTARY) | OMH/CR CHILDREN (VOLUNTARY) |
| 328 | OMH FAMILY BASED TREATMENT | OMH FAMILY BASED TREATMENT |
| 329 | OMH/CR ADULT (STATE OPR) | OMH/CR ADULT (STATE OPR) |
| 330 | OMH/CR CHILDREN (STATE OPR) | OMH/CR CHILDREN (STATE OPR) |
| 331 | OMH TEACHING FAMILY HOME | OMH TEACHING FAMILY HOME |
| 332 | OMR/DD CR (STATE OPR) | OMR/DD CR (STATE OPR) |
| 350 | PPCP ASSOCIATED DENTAL CLINIC - ORAL SURGERY | PPCP ASSOCIATED DENTAL CLINIC - ORAL SURGERY |
| 351 | PPCP ASSOCIATED DENTAL CLINIC - GENERAL DENTISTRY | PPCP ASSOCIATED DENTAL CLINIC - GENERAL DENTISTRY |
| 352 | PPCP ASSOCIATED COPS | PPCP ASSOCIATED COPS |
| 353 | PPCP ASSOCIATED OMH CLINICS | PPCP ASSOCIATED OMH CLINICS |
| 354 | PPCP ASSOCIATED PSYCHIATRY, GENERAL | PPCP ASSOCIATED PSYCHIATRY, GENERAL |
| 355 | AIDS DAY HEALTH CARE SERVICES | AIDS DAY HEALTH CARE SERVICES |
| 356 | HOME & COMMUNITY BASED SERVICE (HCBS) WAIVER | HOME & COMMUNITY BASED SERVICE (HCBS) WAIVER |
| 357 | OUTPATIENT CHEMICAL DEPENDENCE WITHDRAWL | OUTPATIENT CHEMICAL DEPENDENCE WITHDRAWL |
| 358 | TBI SERVICES | TBI SERVICES |
| 359 | RISPERDAL CONSTA ADMINISTRATION | RISPERDAL CONSTA ADMINISTRATION |
| 365 | MH RESIDENTIAL (NON-INPATIENT) | MH RESIDENTIAL (NON-INPATIENT) |
| 371 | CASE MANAGEMENT | CASE MANAGEMENT |
| 375 | MH OUTPATIENT (NON-RESIDENTIAL) | MH OUTPATIENT (NON-RESIDENTIAL) |
| 376 | MENTAL HEALTH PRACTITIONER | MENTAL HEALTH PRACTITIONER |
| 400 | MICROBIOLOGY | MICROBIOLOGY |
| 401 | FQ OUT-OF-STATE (NON-CMMA) | FQ OUT-OF-STATE (NON-CMMA) |
| 402 | FQ PRIMARY | FQ PRIMARY |
| 403 | FQ SECONDARY | FQ SECONDARY |
| 404 | FQ AUTHORIZED | FQ AUTHORIZED |
| 410 | BACTERIOLOGY | BACTERIOLOGY |
| 411 | BACTERIOLOGY - GENERAL | BACTERIOLOGY - GENERAL |
| 412 | BACTERIOLOGY - LIMITED | BACTERIOLOGY - LIMITED |
| 413 | BACTERIOLOGY - AEROBES ONLY | BACTERIOLOGY - AEROBES ONLY |
| 414 | BACTERIOLOGY - NEISSERIA GONORRHOEAE SCREENG | BACTERIOLOGY - NEISSERIA GONORRHOEAE SCREENG |
| 415 | BACTEROLOGY - GC SMEARS ONLY | BACTEROLOGY - GC SMEARS ONLY |
| 416 | BACTERIOLOGY-RESTRICTED (DENTAL) | BACTERIOLOGY-RESTRICTED (DENTAL) |
| 419 | MYCOBACTERIOLOGY - SMEARS AND CULTURE | MYCOBACTERIOLOGY - SMEARS AND CULTURE |
| 420 | MYCOBACTERIOLOGY - GENERAL | MYCOBACTERIOLOGY - GENERAL |
| 421 | MYCOBACTERIOLOGY - LIMITED | MYCOBACTERIOLOGY - LIMITED |
| 422 | MYCOBACTERIOLOGY - SMEARS ONLY | MYCOBACTERIOLOGY - SMEARS ONLY |
| 423 | DIAGNOSTIC IMMUNOLOGY - COMPREHENSIVE | DIAGNOSTIC IMMUNOLOGY - COMPREHENSIVE |
| 424 | DIAGNOSTIC IMMUNOLOGY - OTHER | DIAGNOSTIC IMMUNOLOGY - OTHER |
| 427 | DIAGNOSTIC IMMUNOLOGY - GENERAL/LIMITED | DIAGNOSTIC IMMUNOLOGY - GENERAL/LIMITED |
| 429 | DIAGNOSTIC IMMUNOLOGY - SPECIAL | DIAGNOSTIC IMMUNOLOGY - SPECIAL |
| 430 | HUMAN IMMUNODEFICIENCY VIRUS - RESTRICTED A | HUMAN IMMUNODEFICIENCY VIRUS - RESTRICTED A |
| 431 | HUMAN IMMUNODEFICIENCY VIRUS - RESTRICTED B | HUMAN IMMUNODEFICIENCY VIRUS - RESTRICTED B |
| 432 | HUMAN IMMUNODEFICIENCY VIRUS - COMPREHENSIVE | HUMAN IMMUNODEFICIENCY VIRUS - COMPREHENSIVE |
| 433 | SEROLOGY - ROUTINE | SEROLOGY - ROUTINE |
| 434 | SEROLOGY - LIMITED | SEROLOGY - LIMITED |
| 435 | CELLULAR IMMUNOLOGY - LIMITED I | CELLULAR IMMUNOLOGY - LIMITED I |
| 436 | CELLULAR IMMUNOLOGY - LIMITED II | CELLULAR IMMUNOLOGY - LIMITED II |
| 437 | SEROLGY - OTHER | SEROLGY - OTHER |
| 438 | CELLULAR IMMUNOLOGY - GENERAL | CELLULAR IMMUNOLOGY - GENERAL |
| 439 | CELLULAR IMMUNOLOGY - LIMITED III | CELLULAR IMMUNOLOGY - LIMITED III |
| 440 | VIROLOGY - GENERAL I OR GENERAL II | VIROLOGY - GENERAL I OR GENERAL II |
| 441 | VIROLOGY - LIMITED | VIROLOGY - LIMITED |
| 442 | VIROLOGY - RESTRICTED | VIROLOGY - RESTRICTED |
| 450 | MYCOLOGY - GENERAL | MYCOLOGY - GENERAL |
| 451 | MYCOLOGY - LIMITED(YEAST ONLY) | MYCOLOGY - LIMITED(YEAST ONLY) |
| 460 | PARASITOLOGY | PARASITOLOGY |
| 461 | PARASITOLOGY - STOOL | PARASITOLOGY - STOOL |
| 462 | PARASITOLOGY - OTHER | PARASITOLOGY - OTHER |
| 463 | PARASITOLOGY - BLOOD | PARASITOLOGY - BLOOD |
| 470 | URINE PREGNANCY TESTING | URINE PREGNANCY TESTING |
| 480 | HEMATOLOGY | HEMATOLOGY |
| 481 | HEMATOLOGY - COMPREHENSIVE | HEMATOLOGY - COMPREHENSIVE |
| 482 | HEMATOLOGY - GENERAL | HEMATOLOGY - GENERAL |
| 483 | HEMATOLOGY - COAGULATION ONLY | HEMATOLOGY - COAGULATION ONLY |
| 484 | HEMATOLOGY - LIMITED | HEMATOLOGY - LIMITED |
| 485 | HEMATOLOGY - OTHER | HEMATOLOGY - OTHER |
| 486 | CYTOHEMATOLOGY - LIMITED/DIAGNOSTIC | CYTOHEMATOLOGY - LIMITED/DIAGNOSTIC |
| 490 | IMMUNOHEMATOLOGY | IMMUNOHEMATOLOGY |
| 491 | BLOOD SERVICES - DIAGNOSTIC IMMUNOHEMATOLOGY | BLOOD SERVICES - DIAGNOSTIC IMMUNOHEMATOLOGY |
| 492 | IMMUNOHEMATOLOGY SPC 492 | IMMUNOHEMATOLOGY SPC 492 |
| 493 | IMMUNOHEMATOLOGY SPC 493 | IMMUNOHEMATOLOGY SPC 493 |
| 510 | CLINICAL CHEMISTRY - GENERAL | CLINICAL CHEMISTRY - GENERAL |
| 511 | CLINICAL CHEMISTRY - LIMITED | CLINICAL CHEMISTRY - LIMITED |
| 512 | TOXICOLOGY - ERYTHROCYTE PROTOPORPHYRIN-HEMAT | TOXICOLOGY - ERYTHROCYTE PROTOPORPHYRIN-HEMAT |
| 513 | TOXICOLOGY - ERYTHROCYTE PROTOPORHYRIN-EXTRCT | TOXICOLOGY - ERYTHROCYTE PROTOPORHYRIN-EXTRCT |
| 514 | TOXICOLOGY - DRUG ANALYSIS-QUAL (OR FORENSIC) | TOXICOLOGY - DRUG ANALYSIS-QUAL (OR FORENSIC) |
| 515 | TOXICOLOGY - BLOOD LEAD | TOXICOLOGY - BLOOD LEAD |
| 516 | ENDOCRINOLOGY | ENDOCRINOLOGY |
| 517 | CHEMLIMIT | CHEMLIMIT |
| 518 | QUALITATIVE TOXICOLOGY - REHABILITATION PROGS | QUALITATIVE TOXICOLOGY - REHABILITATION PROGS |
| 519 | CHEM RESERV | CHEM RESERV |
| 520 | CHEM ALL | CHEM ALL |
| 521 | BLOOD PH AND GASES | BLOOD PH AND GASES |
| 522 | CHEM IMD | CHEM IMD |
| 523 | THERAPEUTIC SUBSTANCE MONITORING/QUAN TOXICOL | THERAPEUTIC SUBSTANCE MONITORING/QUAN TOXICOL |
| 524 | URINALYSIS | URINALYSIS |
| 530 | PATHOLOGY SPC 530 | PATHOLOGY SPC 530 |
| 531 | HISTOPATHOLOGY - GENERAL/ORAL/DERMATOPATHALGY | HISTOPATHOLOGY - GENERAL/ORAL/DERMATOPATHALGY |
| 532 | PATHOLOGY SPC 532 | PATHOLOGY SPC 532 |
| 533 | PATHOLOGY SPC 533 | PATHOLOGY SPC 533 |
| 540 | CYTOPATHOLOGY | CYTOPATHOLOGY |
| 550 | ONCOFETAL ANTIGEN - GENERAL | ONCOFETAL ANTIGEN - GENERAL |
| 551 | ONCOFETAL ANTIGEN - LIMITED | ONCOFETAL ANTIGEN - LIMITED |
| 552 | ONCOFETAL ANTIGEN - GENERAL, SERA ONLY | ONCOFETAL ANTIGEN - GENERAL, SERA ONLY |
| 553 | ONCOFETAL ANTIGEN - GENL, AMNIOTIC FLUID ONLY | ONCOFETAL ANTIGEN - GENL, AMNIOTIC FLUID ONLY |
| 560 | GENETIC TESTING | GENETIC TESTING |
| 561 | BLOOD TRANSFUSION COLLECTION | BLOOD TRANSFUSION COLLECTION |
| 562 | BLOOD TRANSFUSION | BLOOD TRANSFUSION |
| 570 | MISCELLANEOUS | MISCELLANEOUS |
| 571 | CYTOGENETICS - GENERAL | CYTOGENETICS - GENERAL |
| 572 | CYTOGENETICS - LIMITED | CYTOGENETICS - LIMITED |
| 573 | CYTOGENETICS - HEMATOLOGICAL DISORDERS | CYTOGENETICS - HEMATOLOGICAL DISORDERS |
| 574 | MISCELLANEOUS HIS | MISCELLANEOUS HIS |
| 575 | MISCELLANEOUS LIMITED HIS | MISCELLANEOUS LIMITED HIS |
| 576 | MISCELLANEOUS MISCELLANEOUS | MISCELLANEOUS MISCELLANEOUS |
| 579 | NURSE: MEDICALLY FRAGILE CHILDREN | NURSE: MEDICALLY FRAGILE CHILDREN |
| 580 | HISTOCOMPATIBILITY - LIMITED | HISTOCOMPATIBILITY - LIMITED |
| 585 | MISCELLANEOUS CLINIC CHEM | MISCELLANEOUS CLINIC CHEM |
| 590 | MISCELLANEOUS SPECIALTY TEST | MISCELLANEOUS SPECIALTY TEST |
| 599 | LABORATORY | LABORATORY |
| 600 | SPORTS MEDICINE - EMERGENCY | SPORTS MEDICINE - EMERGENCY |
| 601 | SPORTS MEDICINE - FAMILY MEDICINE | SPORTS MEDICINE - FAMILY MEDICINE |
| 602 | SPORTS MEDICINE - INTERNAL | SPORTS MEDICINE - INTERNAL |
| 603 | SPORTS MEDICINE - PEDIATRICS | SPORTS MEDICINE - PEDIATRICS |
| 604 | SPORTS MEDICINE - ORTHOPEDIC | SPORTS MEDICINE - ORTHOPEDIC |
| 615 | PERSONAL EMERGENCY RESPONSE SYSTEM | PERSONAL EMERGENCY RESPONSE SYSTEM |
| 616 | MENTAL HEALTH INPATIENT | MENTAL HEALTH INPATIENT |
| 620 | GERIATRICS - FAMILY MEDICINE | GERIATRICS - FAMILY MEDICINE |
| 621 | GERIATRICS - INTERNAL | GERIATRICS - INTERNAL |
| 630 | PAIN MANAGEMENT | PAIN MANAGEMENT |
| 640 | AUDIOLOGIST | AUDIOLOGIST |
| 650 | GENERAL VASCULARY SURGERY | GENERAL VASCULARY SURGERY |
| 651 | CARDIO-THORACIC | CARDIO-THORACIC |
| 652 | INTERVENTION CARDIOLOGY | INTERVENTION CARDIOLOGY |
| 653 | CLINICAL CARDIAC ELECTROPHYSIOLOGY | CLINICAL CARDIAC ELECTROPHYSIOLOGY |
| 655 | AIDS SKILLED NURSING FACILITY | AIDS SKILLED NURSING FACILITY |
| 656 | HEAD INJURY/TBI INJURY SNF | HEAD INJURY/TBI INJURY SNF |
| 657 | BEHAVIORAL HEALTH INTERVENTION SKILLED NURSING FACILITY (NEURO) | BEHAVIORAL HEALTH INTERVENTION SKILLED NURSING FACILITY (NEURO) |
| 658 | PEDIATRIC SKILLED NURSING FACILITY | PEDIATRIC SKILLED NURSING FACILITY |
| 659 | VENT SKILLED NURSING FACILITY | VENT SKILLED NURSING FACILITY |
| 660 | INSTITUTIONAL LTC | INSTITUTIONAL LTC |
| 661 | SOCIAL AND ENVIRONMENTAL SUPPORTS | SOCIAL AND ENVIRONMENTAL SUPPORTS |
| 662 | SOCIAL DAY CARE | SOCIAL DAY CARE |
| 663 | NURSING HOME CARE SHORT TERM REHAB | NURSING HOME CARE SHORT TERM REHAB |
| 664 | ADULT DAY HEALTH CARE | ADULT DAY HEALTH CARE |
| 665 | NON INSTITUTIONAL LTC | NON INSTITUTIONAL LTC |
| 666 | ASSISTED LIVING PROGRAM | ASSISTED LIVING PROGRAM |
| 667 | HOME DELIVERED MEALS/CONGREGATE MEALS | HOME DELIVERED MEALS/CONGREGATE MEALS |
| 668 | HOME CARE - HOME HEALTH AIDE | HOME CARE - HOME HEALTH AIDE |
| 669 | HOSPICE CARE | HOSPICE CARE |
| 670 | AMBULANCE | AMBULANCE |
| 671 | OTHER TRANSPORTATION (NON-EMERGENT) | OTHER TRANSPORTATION (NON-EMERGENT) |
| 672 | PARALEVEL1 PARAPROFESSIONAL SERVICES: LEVEL 1 HMMAKER/HOUSKP | PARALEVEL1 PARAPROFESSIONAL SERVICES: LEVEL 1 HMMAKER/HOUSKP |
| 673 | PARALEVEL2 PARAPROFESSIONAL SERVICES: LEVEL 2 PERSONAL CARE | PARALEVEL2 PARAPROFESSIONAL SERVICES: LEVEL 2 PERSONAL CARE |
| 674 | RESPIRATORY THERAPY | RESPIRATORY THERAPY |
| 675 | CONSUMER DIRECTED PERSONAL CARE: LEVEL 1 | CONSUMER DIRECTED PERSONAL CARE: LEVEL 1 |
| 676 | CONSUMER DIRECTED PERSONAL CARE: LEVEL 2 | CONSUMER DIRECTED PERSONAL CARE: LEVEL 2 |
| 680 | NURSING | NURSING |
| 711 | PRESCRIPTION FOOTWEAR | PRESCRIPTION FOOTWEAR |
| 714 | LOW VISION SPECIALIST | LOW VISION SPECIALIST |
| 715 | OPTICIAN/CONTACT LENS PRIVILGE | OPTICIAN/CONTACT LENS PRIVILGE |
| 716 | OPTOMETRIST/DIAGNOSTIC PHARMEUTICALS | OPTOMETRIST/DIAGNOSTIC PHARMEUTICALS |
| 730 | INBORN METABOLIC DISEASE CENTER | INBORN METABOLIC DISEASE CENTER |
| 738 | PORTABLE X-RAY COMPANIES | PORTABLE X-RAY COMPANIES |
| 739 | INDEPENDENT PHYSIOLOGICAL LABS | INDEPENDENT PHYSIOLOGICAL LABS |
| 740 | REGIONAL PERINATAL TRANSPORTATION PROV | REGIONAL PERINATAL TRANSPORTATION PROV |
| 741 | TRANSPLANT SURGERY | TRANSPLANT SURGERY |
| 749 | ASA GENERAL OUTPATIENT | ASA GENERAL OUTPATIENT |
| 750 | METHADONE MAINTENANCE (PHYSICIAN) | METHADONE MAINTENANCE (PHYSICIAN) |
| 751 | METHADONE MAINTENANCE PREFERRED PROV | METHADONE MAINTENANCE PREFERRED PROV |
| 754 | ASA MEDICALLY MONITORED WITHDRAWAL | ASA MEDICALLY MONITORED WITHDRAWAL |
| 760 | PHARMACY | PHARMACY |
| 762 | HOME CARE SERVICES AGENCY LIMITED LICENSE | HOME CARE SERVICES AGENCY LIMITED LICENSE |
| 775 | ALL SPECIALITIES | ALL SPECIALITIES |
| 776 | GENERAL PRACTICE ONLY - NO SPEC | GENERAL PRACTICE ONLY - NO SPEC |
| 777 | ALL PHYSICIAN | ALL PHYSICIAN |
| 778 | PODIATRIST | PODIATRIST |
| 779 | NURSE PRAC | NURSE PRAC |
| 780 | CLINICAL PSYCHLG | CLINICAL PSYCHLG |
| 781 | CERT SOCIAL WKRS | CERT SOCIAL WKRS |
| 782 | NURSE MIDWIVES | NURSE MIDWIVES |
| 790 | RESPITE | RESPITE |
| 791 | S/HMO (ELDERPLAN) | S/HMO (ELDERPLAN) |
| 798 | LONG TERM HOME HEALTH | LONG TERM HOME HEALTH |
| 799 | NO SPECIALTY REQUIRED | NO SPECIALTY REQUIRED |
| 800 | GENERAL DENTIST | GENERAL DENTIST |
| 801 | ORTHODONTURE | ORTHODONTURE |
| 802 | ENDODONTIST | ENDODONTIST |
| 803 | ORAL PATHOLOGIST | ORAL PATHOLOGIST |
| 804 | PEDODONTIST | PEDODONTIST |
| 805 | PROSTHODONTIST | PROSTHODONTIST |
| 806 | PERIODONTIST | PERIODONTIST |
| 807 | PUBLIC HEALTH | PUBLIC HEALTH |
| 808 | ORAL SURGEON | ORAL SURGEON |
| 809 | DENTAL ANESTHESIOLOGIST | DENTAL ANESTHESIOLOGIST |
| 810 | PARENTERAL CONSCIOUS SEDATION | PARENTERAL CONSCIOUS SEDATION |
| 811 | MAXILLOFACIAL SURGERY | MAXILLOFACIAL SURGERY |
| 815 | DENTIST - FAMILY | DENTIST - FAMILY |
| 816 | ASSERTIVE COMMUNITY TREATMENT | ASSERTIVE COMMUNITY TREATMENT |
| 817 | ASSISTIVE TECHNOLOGY | ASSISTIVE TECHNOLOGY |
| 818 | COMMUNITY INTEGRATION COUNSELING | COMMUNITY INTEGRATION COUNSELING |
| 819 | COMMUNITY TRANSITIONAL SERVICE PROVIDER | COMMUNITY TRANSITIONAL SERVICE PROVIDER |
| 820 | ENVIRONMENTAL MODIFICATIONS SERVICES | ENVIRONMENTAL MODIFICATIONS SERVICES |
| 821 | FREESTANDING BIRTH CENTER | FREESTANDING BIRTH CENTER |
| 822 | INDEPENDENT LIVING SKILLS TRAINING PROVIDER | INDEPENDENT LIVING SKILLS TRAINING PROVIDER |
| 823 | URGENT CARE | URGENT CARE |
| 824 | MOBILE MENTAL HEALTH TREATMENT PROVIDER | MOBILE MENTAL HEALTH TREATMENT PROVIDER |
| 825 | MOVING ASSISTANCE PROVIDER | MOVING ASSISTANCE PROVIDER |
| 826 | PALLIATIVE CARE PROVIDER | PALLIATIVE CARE PROVIDER |
| 827 | PEER DELIVERED SERVICES | PEER DELIVERED SERVICES |
| 828 | PEER MENTORING PROVIDER | PEER MENTORING PROVIDER |
| 829 | PERSONALIZED RECOVERY ORIENTED SERVICES | PERSONALIZED RECOVERY ORIENTED SERVICES |
| 830 | POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS | POSITIVE BEHAVIORAL INTERVENTIONS AND SUPPORTS |
| 831 | SOCIAL DAY CARE TRANSPORTATION | SOCIAL DAY CARE TRANSPORTATION |
| 832 | STRUCTURED DAY PROGRAM | STRUCTURED DAY PROGRAM |
| 833 | TELEHEALTH | TELEHEALTH |
| 834 | HOME AND COMMUNITY SUPPORT SERVICES | HOME AND COMMUNITY SUPPORT SERVICES |
| 835 | HCBS PROVIDER TRAVEL | HCBS PROVIDER TRAVEL |
| 836 | HCBS PSYCHOSOCIAL REHAB | HCBS PSYCHOSOCIAL REHAB |
| 837 | HCBS PEER SUPPORT | HCBS PEER SUPPORT |
| 838 | OMH OTHER LICENSED PRACTITIONERS | OMH OTHER LICENSED PRACTITIONERS |
| 839 | HCBS COMMUNITY PSYCHIATRIC SUPPORTS AND TREATMENT | HCBS COMMUNITY PSYCHIATRIC SUPPORTS AND TREATMENT |
| 851 | OTHER VISION CARE | OTHER VISION CARE |
| 852 | PCCM ENHANCEMENT | PCCM ENHANCEMENT |
| 853 | PCCM QUALITY ENHANCEMENT | PCCM QUALITY ENHANCEMENT |
| 854 | HABILITATION SUPPORT SERVICES | HABILITATION SUPPORT SERVICES |
| 855 | FAMILY SUPPORT AND TRAINING | FAMILY SUPPORT AND TRAINING |
| 856 | SHORT-TERM CRISIS RESPITE | SHORT-TERM CRISIS RESPITE |
| 857 | INTENSIVE CRISIS RESPITE | INTENSIVE CRISIS RESPITE |
| 858 | PRE-VOCATIONAL SERVICES | PRE-VOCATIONAL SERVICES |
| 859 | TRANSITIONAL EMPLOYMENT | TRANSITIONAL EMPLOYMENT |
| 860 | INTENSIVE SUPPORTIVE EMPLOYMENT | INTENSIVE SUPPORTIVE EMPLOYMENT |
| 861 | ONGOING SUPPORTED EMPLOYMENT | ONGOING SUPPORTED EMPLOYMENT |
| 862 | EDUCATION SUPPORT SERVICES | EDUCATION SUPPORT SERVICES |
| 899 | HOSPITAL INPATIENT | HOSPITAL INPATIENT |
| 900 | HMO CO-PAYMENT | HMO CO-PAYMENT |
| 901 | EMERGENCY ROOM | EMERGENCY ROOM |
| 902 | ENDOCRINE | ENDOCRINE |
| 903 | DIABETES | DIABETES |
| 904 | OBSTETRICS | OBSTETRICS |
| 905 | GYNECOLOGY | GYNECOLOGY |
| 906 | FAMILY PLANNING | FAMILY PLANNING |
| 907 | ABORTION | ABORTION |
| 908 | CHILD HEALTH ASSURANCE PROGRAM (CHAP) | CHILD HEALTH ASSURANCE PROGRAM (CHAP) |
| 909 | NUTRITION | NUTRITION |
| 910 | ORAL SURGERY - CLINIC SPECIALTY | ORAL SURGERY - CLINIC SPECIALTY |
| 911 | GENERAL DENTISTRY - CLINIC SPECIALTY | GENERAL DENTISTRY - CLINIC SPECIALTY |
| 912 | ORTHODONTICS | ORTHODONTICS |
| 913 | HEMODIALYSIS | HEMODIALYSIS |
| 914 | GENERAL MEDICINE - CLINIC SPECIALTY | GENERAL MEDICINE - CLINIC SPECIALTY |
| 915 | ALLERGY | ALLERGY |
| 916 | ARTHRITIS | ARTHRITIS |
| 917 | RHEUMATOLOGY - CLINIC SPECIALTY | RHEUMATOLOGY - CLINIC SPECIALTY |
| 918 | PODIATRIST CENTER | PODIATRIST CENTER |
| 919 | EYE/VISION CENTER | EYE/VISION CENTER |
| 920 | PHYSICAL THERAPY - CLINIC SPECIALTY | PHYSICAL THERAPY - CLINIC SPECIALTY |
| 921 | SPEECH THERAPY- CLINIC SPECIALTY | SPEECH THERAPY- CLINIC SPECIALTY |
| 922 | METHADONE MAINTENANCE TREATMENT PROGRAM | METHADONE MAINTENANCE TREATMENT PROGRAM |
| 923 | OCCUPATIONAL THERAPY- CLINIC SPECIALTY | OCCUPATIONAL THERAPY- CLINIC SPECIALTY |
| 924 | REHABILITATION MEDICINE- CLINIC SPECIALTY | REHABILITATION MEDICINE- CLINIC SPECIALTY |
| 925 | HYPERTENSION - CLINIC SPECIALTY | HYPERTENSION - CLINIC SPECIALTY |
| 926 | HEMATOLOGY- CLINIC SPECIALTY | HEMATOLOGY- CLINIC SPECIALTY |
| 927 | CARDIOLOGY | CARDIOLOGY |
| 928 | CARDIOVASCULAR- CLINIC SPECIALTY | CARDIOVASCULAR- CLINIC SPECIALTY |
| 929 | PULMONARY-CLINIC SPECIALTY | PULMONARY-CLINIC SPECIALTY |
| 930 | GASTROENTEROLOGY - CLINIC SPECIALTY | GASTROENTEROLOGY - CLINIC SPECIALTY |
| 931 | NEUROLOGY- CLINIC SPECIALTY | NEUROLOGY- CLINIC SPECIALTY |
| 932 | NEUROSURGERY- CLINIC SPECIALTY | NEUROSURGERY- CLINIC SPECIALTY |
| 933 | CANCER DETECTION | CANCER DETECTION |
| 934 | ONCOLOGY - THERAPY (RADIATION OR CHEMO) | ONCOLOGY - THERAPY (RADIATION OR CHEMO) |
| 935 | EAR, NOSE & THROAT- CLINIC SPECIALTY | EAR, NOSE & THROAT- CLINIC SPECIALTY |
| 936 | PEDIATRIC GENERAL MEDICINE- CLINIC SPECIALTY | PEDIATRIC GENERAL MEDICINE- CLINIC SPECIALTY |
| 937 | PEDIATRIC ALLERGY- CLINIC SPECIALTY | PEDIATRIC ALLERGY- CLINIC SPECIALTY |
| 938 | PEDIATRIC NEUROLOGY- CLINIC SPECIALTY | PEDIATRIC NEUROLOGY- CLINIC SPECIALTY |
| 939 | PEDIATRIC HEMATOLOGY- CLINIC SPECIALTY | PEDIATRIC HEMATOLOGY- CLINIC SPECIALTY |
| 940 | PEDIATRIC CARDIAC - CLINIC SPECIALTY | PEDIATRIC CARDIAC - CLINIC SPECIALTY |
| 941 | PEDIATRIC RENAL- CLINIC SPECIALTY | PEDIATRIC RENAL- CLINIC SPECIALTY |
| 942 | PEDIATRIC PULMONARY- CLINIC SPECIALTY | PEDIATRIC PULMONARY- CLINIC SPECIALTY |
| 943 | PEDIATRIC ORTHOPEDIC- CLINIC SPECIALTY | PEDIATRIC ORTHOPEDIC- CLINIC SPECIALTY |
| 944 | PEDIATRIC ENDOCRINE - CLINIC SPECIALTY | PEDIATRIC ENDOCRINE - CLINIC SPECIALTY |
| 945 | PSYCHIATRY - INDIVIDUAL | PSYCHIATRY - INDIVIDUAL |
| 946 | PSYCHIATRY - GROUP | PSYCHIATRY - GROUP |
| 947 | PSYCHIATRY - HALF DAY CARE | PSYCHIATRY - HALF DAY CARE |
| 948 | PSYCHIATRY - FULL DAY CARE | PSYCHIATRY - FULL DAY CARE |
| 949 | ALCOHOLISM TREATMENT PROGRAM | ALCOHOLISM TREATMENT PROGRAM |
| 950 | ORTHOPEDIC- CLINIC SPECIALTY | ORTHOPEDIC- CLINIC SPECIALTY |
| 951 | SURGICAL, MINOR | SURGICAL, MINOR |
| 952 | SURGICAL, GENERAL | SURGICAL, GENERAL |
| 953 | UROLOGY - CLINIC SPECIALTY | UROLOGY - CLINIC SPECIALTY |
| 954 | NEPHROLOGY - CLINIC SPECIALTY | NEPHROLOGY - CLINIC SPECIALTY |
| 955 | GENITO-URINARY- CLINIC SPECIALTY | GENITO-URINARY- CLINIC SPECIALTY |
| 956 | DERMATOLOGY - CLINIC SPECIALTY | DERMATOLOGY - CLINIC SPECIALTY |
| 957 | CONTRACT CARRIER | CONTRACT CARRIER |
| 958 | OPTHALMOLOGY - CLINIC SPECIALTY | OPTHALMOLOGY - CLINIC SPECIALTY |
| 959 | OUTPAT CHEM DEPENDENCY PROG FOR YOUTH | OUTPAT CHEM DEPENDENCY PROG FOR YOUTH |
| 960 | PEDIATRIC DERMATOLOGY - CLINIC SPECIALTY | PEDIATRIC DERMATOLOGY - CLINIC SPECIALTY |
| 961 | PEDIATRIC DIABETES- CLINIC SPECIALTY | PEDIATRIC DIABETES- CLINIC SPECIALTY |
| 962 | PEDIATRIC SURGERY - CLINIC SPECIALTY | PEDIATRIC SURGERY - CLINIC SPECIALTY |
| 963 | CHILD PSYCHIATRY - CLINIC SPECIALTY | CHILD PSYCHIATRY - CLINIC SPECIALTY |
| 964 | PSYCHIATRY-GENERAL- CLINIC SPECIALTY | PSYCHIATRY-GENERAL- CLINIC SPECIALTY |
| 965 | TUBERCULOSIS- CLINIC SPECIALTY | TUBERCULOSIS- CLINIC SPECIALTY |
| 966 | INFECTIOUS DISEASES - CLINIC SPECIALTY | INFECTIOUS DISEASES - CLINIC SPECIALTY |
| 967 | SPEECH & HEARING- CLINIC SPECIALTY | SPEECH & HEARING- CLINIC SPECIALTY |
| 968 | AMPUTEE CENTER | AMPUTEE CENTER |
| 969 | HOSP DME/ORTHOTIC/PROSTH APPLNC VENDOR | HOSP DME/ORTHOTIC/PROSTH APPLNC VENDOR |
| 970 | NURSING HOME HOSPITAL DAYCARE (NO CLAIM) | NURSING HOME HOSPITAL DAYCARE (NO CLAIM) |
| 971 | MH CLINIC TREATMENT (STATE OPR) | MH CLINIC TREATMENT (STATE OPR) |
| 972 | MH DAY TREATMENT (STATE OPR) | MH DAY TREATMENT (STATE OPR) |
| 973 | MH CONTINUING TREATMENT (STATE OPR) | MH CONTINUING TREATMENT (STATE OPR) |
| 974 | MENTAL HEALTH CLINIC TREATMENT | MENTAL HEALTH CLINIC TREATMENT |
| 975 | MENTAL HEALTH DAY TREATMENT | MENTAL HEALTH DAY TREATMENT |
| 976 | MENTAL HEALTH CONTINUING TREATMENT | MENTAL HEALTH CONTINUING TREATMENT |
| 977 | MR/DD CLINIC TREATMENT (STATE OPR) | MR/DD CLINIC TREATMENT (STATE OPR) |
| 978 | PREFERRED PRIMARY CARE CLINIC | PREFERRED PRIMARY CARE CLINIC |
| 979 | MR/DD CLINIC TREATMENT | MR/DD CLINIC TREATMENT |
| 980 | T.B. DIRECTLY OBSERVED THERAPY/CLINIC | T.B. DIRECTLY OBSERVED THERAPY/CLINIC |
| 981 | DIAG AND RESEARCH CLINIC MR (STATE OPR) | DIAG AND RESEARCH CLINIC MR (STATE OPR) |
| 982 | APNEA CENTER | APNEA CENTER |
| 983 | SPECIALTY CLINIC - MENTAL RETARDATION | SPECIALTY CLINIC - MENTAL RETARDATION |
| 984 | ALCOHOLISM CLINIC TREATMENT (STATE OPR) | ALCOHOLISM CLINIC TREATMENT (STATE OPR) |
| 985 | ALCOHOLISM DAY REHAB (STATE OPR) | ALCOHOLISM DAY REHAB (STATE OPR) |
| 986 | ALCOHOLISM CLINIC TREATMENT | ALCOHOLISM CLINIC TREATMENT |
| 987 | ALCOHOLISM DAY REHABILIATION | ALCOHOLISM DAY REHABILIATION |
| 988 | COMPREHENSIVE ALCOHOLISM CARE | COMPREHENSIVE ALCOHOLISM CARE |
| 989 | MEDICALLY SUPERVISED WITHDRAWAL-OUTPATIENT | MEDICALLY SUPERVISED WITHDRAWAL-OUTPATIENT |
| 990 | COMP PHYSICAL EXAM (SCHOOL HEALTH PROJ) | COMP PHYSICAL EXAM (SCHOOL HEALTH PROJ) |
| 991 | ROUTINE VISIT (SCHOOL HEALTH PROJECT) | ROUTINE VISIT (SCHOOL HEALTH PROJECT) |
| 992 | OMH COMPREHENSIVE PSYCHIATRIC EMERGENCY PROG | OMH COMPREHENSIVE PSYCHIATRIC EMERGENCY PROG |
| 993 | HOSP-BASED/FREESTANDING AMBULAT SURGERY | HOSP-BASED/FREESTANDING AMBULAT SURGERY |
| 994 | BLOOD PRODUCTS (ORDERED AMBULATORY) | BLOOD PRODUCTS (ORDERED AMBULATORY) |
| 995 | GENETIC COUNSELING (ORDERED AMBULATORY) | GENETIC COUNSELING (ORDERED AMBULATORY) |
| 996 | HEARING SERVICES (ORDERED AMBULATORY) | HEARING SERVICES (ORDERED AMBULATORY) |
| 997 | OPERATING ROOM (ORDERED AMBULATORY) | OPERATING ROOM (ORDERED AMBULATORY) |
| 998 | RADIOLOGY (ORDERED AMBULATORY) | RADIOLOGY (ORDERED AMBULATORY) |
| 999 | OTHER | OTHER |
