hcin 5

Download the database included on this Canvas tab and answer the following using Excel and Power BI:

1. Show the breakdown of hospital admissions by age, then by transportation method and by gender for all patients. What kind of a hospital is this?

2. Show the relationship between age and LOS (length of stay) for all emergency admissions. Is there a difference between males and females?

Perhaps the best way to show this is to use screenshots of your final graphs for each question. You can save them as either jpgs or pdfs.

Admit Source Admit Type Clinical Unit Diagnosis Primary
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER

Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Ambulance INPATIENT PSYCH
Clinic Referral Ambulance INPATIENT PSYCH
Clinic Referral Ambulance INPATIENT PSYCH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Ambulance SURG 4 UNIT
Clinic Referral Ambulance SURG 4 UNIT
Clinic Referral Ambulance SURG 4 UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Ambulance SURGERY CENTER
Clinic Referral Ambulance SURGERY CENTER
Clinic Referral Ambulance SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Ambulance SURG 4 UNIT
Clinic Referral Ambulance SURG 4 UNIT
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Outside Health Care Facility Ambulance INPATIENT PSYCH
Outside Health Care Facility Ambulance INPATIENT PSYCH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Admitted as transfer from another unitAmbulance INPATIENT PSYCH
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance INPATIENT PSYCH
Emergency Room Ambulance INPATIENT PSYCH
Emergency Room Ambulance INPATIENT PSYCH
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Court/Law Enforcement Self SURGERY CENTER
Court/Law Enforcement Self SURGERY CENTER
Court/Law Enforcement Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Admitted as transfer from another unitSelf INPATIENT PSYCH
Admitted as transfer from another unitSelf INPATIENT PSYCH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Outside Hospital Ambulance INPATIENT PSYCH
Outside Hospital Ambulance INPATIENT PSYCH
Outside Hospital Ambulance INPATIENT PSYCH
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR

Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER

Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Outside Hospital Self SURGERY CENTER
Outside Hospital Self SURGERY CENTER
Outside Hospital Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Physician Referral Ambulance INPATIENT PSYCH
Physician Referral Ambulance INPATIENT PSYCH
Physician Referral Ambulance INPATIENT PSYCH
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SCCA UNIT
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Self SCCA UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Admitted as transfer from another unitSelf REHAB UNIT
Admitted as transfer from another unitSelf REHAB UNIT
Admitted as transfer from another unitSelf REHAB UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SCCA UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Ambulance INPATIENT PSYCH
Physician Referral Ambulance INPATIENT PSYCH
Physician Referral Ambulance INPATIENT PSYCH
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Physician Referral Self SCCA UNIT
Clinic Referral Ambulance SCCA UNIT
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self MED 2G UNIT
Clinic Referral Self MED 2G UNIT
Clinic Referral Self MED 2G UNIT
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Outside Hospital Ambulance MED 1T UNIT STG II NEC ENTEROCOL NB
Outside Hospital Ambulance MED 1T UNIT STG II NEC ENTEROCOL NB
Outside Hospital Ambulance MED 1T UNIT STG II NEC ENTEROCOL NB
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Ambulance EMERGENCY

Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance SCCA UNIT
Physician Referral Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Outside Hospital Ambulance INPATIENT PSYCH
Outside Hospital Ambulance INPATIENT PSYCH
Outside Hospital Ambulance INPATIENT PSYCH
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Home Health Agency Ambulance EMERGENCY
Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS

Physician Referral Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Outside Hospital Self SURG 4 UNIT
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self
Transfer from Critical Access HospitalAmbulance REHAB UNIT
Transfer from Critical Access HospitalAmbulance REHAB UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS
Physician Referral Ambulance PICU COMMON TRUNCUS

Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Outside Hospital Ambulance MED 1T UNIT
Physician Referral Self
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SCCA UNIT
Physician Referral Self SCCA UNIT
Physician Referral Self SCCA UNIT
Physician Referral Ambulance EMERGENCY
Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU

Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self
Outside Health Care Facility Ambulance NICU
Outside Health Care Facility Ambulance NICU
Outside Health Care Facility Ambulance NICU
Outside Health Care Facility Ambulance NICU
Outside Health Care Facility Ambulance SCCA UNIT
Outside Health Care Facility Ambulance SCCA UNIT
Clinic Referral Ambulance MED 1T UNIT
Clinic Referral Ambulance MED 1T UNIT
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self
Physician Referral Ambulance INPATIENT PSYCH
Physician Referral Ambulance INPATIENT PSYCH
Admitted as transfer from another unitAmbulance REHAB UNIT
Admitted as transfer from another unitAmbulance REHAB UNIT
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance EMERGENCY
Ambulance EMERGENCY
Outside Hospital Ambulance INPATIENT PSYCH

Outside Hospital Ambulance INPATIENT PSYCH
Physician Referral Self
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self
Physician Referral Self
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Ambulance EMERGENCY
Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Outside Hospital Ambulance SCCA UNIT
Outside Hospital Ambulance SCCA UNIT
Outside Hospital Ambulance SCCA UNIT
Outside Hospital Ambulance SCCA UNIT
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Ambulance MED 1T UNIT
Physician Referral Ambulance MED 1T UNIT
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Ambulance PICU
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Admitted as transfer from another unitAmbulance INPATIENT PSYCH
Admitted as transfer from another unitAmbulance INPATIENT PSYCH
Physician Referral Ambulance MED 1T UNIT
Physician Referral Ambulance MED 1T UNIT
Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT
Physician Referral Ambulance SURG 4 UNIT

Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Physician Referral Ambulance MED 2G UNIT
Physician Referral Ambulance MED 2G UNIT
Physician Referral Ambulance MED 2G UNIT
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Admitted as transfer from another unitAmbulance INPATIENT PSYCH
Admitted as transfer from another unitAmbulance INPATIENT PSYCH
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance SURG 3 UNIT
Outside Hospital Ambulance SURG 3 UNIT
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Outside Hospital Ambulance MED 2G UNIT
Admitted as transfer from another unitSelf REHAB UNIT
Admitted as transfer from another unitSelf REHAB UNIT
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self SURG 4 UNIT
Physician Referral Self OUTPAT PROCEDURE CNTR

Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Outside Hospital Ambulance NICU
Outside Hospital Ambulance NICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Transfer from Critical Access HospitalAmbulance REHAB UNIT
Transfer from Critical Access HospitalAmbulance REHAB UNIT
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance SURG 3 UNIT
Physician Referral Ambulance EMERGENCY
Physician Referral Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY 2ND DEG BURN ARM NOS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY 2 DEG BURN FINGR W THUMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CALCULUS OF URETER
Clinic Referral Self SURGERY CENTER CALCULUS OF URETER
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG

Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY LIPOMA NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Emergency Room Ambulance MED 2T UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 2T UNIT PERITONSILLAR ABSCESS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance NICU RETINOPH PREMATR,STAGE 3
Physician Referral Ambulance NICU RETINOPH PREMATR,STAGE 3
Physician Referral Ambulance NICU RETINOPH PREMATR,STAGE 3

Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Clinic Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY DEFICIENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY GU INFECTION-ANTEPARTUM
Emergency Room Ambulance MED 2T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY 2ND DEG BURN THIGH
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX 1ST METACARP BASE-CLOSE
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER HODGKINS NOS UNSP XTRNODL/SOLID ORG
Clinic Referral Self SURGERY CENTER HODGKINS NOS UNSP XTRNODL/SOLID ORG
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE

Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CLAVICLE FX AT BIRTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX CLAVICL, ACROM END-CLOSE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CHRONIC SINUSITIS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT FX SHAFT FIB W TIB-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX SHAFT FIB W TIB-CLOSE
Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS

Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX OF EYELID
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HERPETIC WHITLOW
Emergency Room Ambulance EMERGENCY HERPETIC WHITLOW
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURG 3 UNIT FX ORBITAL FLOOR-CLOSED
Clinic Referral Self SURG 3 UNIT FX ORBITAL FLOOR-CLOSED
Clinic Referral Self SURG 3 UNIT FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE GASTRITIS W HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT ACUTE GASTRITIS W HEMORRHAGE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY NEONATAL THROMBOCYTOPEN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN MEDIAL COLLAT LIG
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY NWBRN GI HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTHER GENERAL SYMPTOMS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY GENERAL MEDICAL EXAM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EDEMA
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN NEC
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE

Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance SURG 3 UNIT FX FEMUR, MIDCERVIC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR, MIDCERVIC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR, MIDCERVIC-CLOSE
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY LUMBOSACRAL NEURITIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Clinic Referral Self SURGERY CENTER MOLLUSCUM CONTAGIOSUM
Clinic Referral Self SURGERY CENTER MOLLUSCUM CONTAGIOSUM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY MALFUN NEURO DEVICE/GRAF

Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY BLADDER DISORDER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Clinic Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Clinic Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS

Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Clinic Referral Self PICU FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self PICU FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self PICU FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT AFCARE FOL SURG OF SENSE ORGANS, NEC
Clinic Referral Self SURG 3 UNIT AFCARE FOL SURG OF SENSE ORGANS, NEC
Clinic Referral Self SURG 3 UNIT AFCARE FOL SURG OF SENSE ORGANS, NEC
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY CORNEAL DISORDR DUE TO CONTACT LENS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS

Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 3 UNIT SUBCONDYLAR FX MANDIB-CL
Clinic Referral Self SURG 3 UNIT SUBCONDYLAR FX MANDIB-CL
Clinic Referral Self SURG 3 UNIT SUBCONDYLAR FX MANDIB-CL
Clinic Referral Self SURGERY CENTER SYNDACTYL FING W FUSION
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT AC INFECT POLYNEURITIS
Emergency Room Ambulance MED 2T UNIT AC INFECT POLYNEURITIS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance SCCA UNIT THROMBOCYTOPENIA NOS
Emergency Room Ambulance SCCA UNIT THROMBOCYTOPENIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2T UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER FX METATARSAL-CLOSED
Clinic Referral Self SURGERY CENTER FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURGERY CENTER ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK DUE MILK PRODUCTS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY 2ND DEG BURN CHEST WALL
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2T UNIT PURPURA NOS
Emergency Room Ambulance MED 2T UNIT PURPURA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND ANT ABDOMEN-COMP
Emergency Room Ambulance EMERGENCY WHEEZING

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Outside Hospital Ambulance NICU HYDROPS FETALIS NO ISOIM
Outside Hospital Ambulance NICU HYDROPS FETALIS NO ISOIM
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Self PICU CEREBROVASCULAR ANOMALY
Physician Referral Self PICU CEREBROVASCULAR ANOMALY
Physician Referral Self PICU CEREBROVASCULAR ANOMALY
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER

Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2T UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance MED 2T UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Physician Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Physician Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Clinic Referral Ambulance MED 2G UNIT EXTERNAL OPHTHALMOPLEGIA
Clinic Referral Ambulance MED 2G UNIT EXTERNAL OPHTHALMOPLEGIA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT

Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NOS
Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER GLAUCOMA W SYSTEMIC SYND
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-ANKLE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Physician Referral Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER OSTEOPETROSIS
Clinic Referral Self SURGERY CENTER OSTEOPETROSIS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY CONGEN HEART ANOMALY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY POISONING-PARASYMPATHOLYTICS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND AUDITORY CANAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SCCA UNIT OSTEOMYELITIS NOS-UP/ARM
Emergency Room Ambulance SCCA UNIT OSTEOMYELITIS NOS-UP/ARM
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Physician Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA
Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC

Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS HUMERUS
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS HUMERUS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Physician Referral Self SURGERY CENTER TOOTH POSITION ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Ambulance SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER PSEUDOTUMOR CEREBRI
Physician Referral Self SURGERY CENTER PSEUDOTUMOR CEREBRI
Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC JAW ASYMMETRY/PROGNATHISM
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS
Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS

Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Ambulance MED 2G UNIT DERMATOMYCOSIS NOS
Clinic Referral Ambulance MED 2G UNIT DERMATOMYCOSIS NOS
Emergency Room Ambulance EMERGENCY BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER APHAKIA
Clinic Referral Self SURGERY CENTER APHAKIA
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Emergency Room Ambulance EMERGENCY POISONING ANTIRHEUMATICS NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS

Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-UNSPEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC

Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self MED 2G UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self MED 2G UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 2T UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Emergency Room Ambulance MED 2T UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Ambulance SURG 3 UNIT DIARRHEA NOS
Clinic Referral Ambulance SURG 3 UNIT DIARRHEA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED

Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED
Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION
Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION
Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION
Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION
Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION
Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION
Clinic Referral Self SURG 3 UNIT OLD DISRUPT ANT CRUCIATE
Clinic Referral Self SURG 3 UNIT OLD DISRUPT ANT CRUCIATE
Outside Hospital Ambulance SURG 3 UNIT ALLERGIC GASTROENTERITIS/COLITIS
Outside Hospital Ambulance SURG 3 UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK DUE MILK PRODUCTS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Ambulance SURG 3 UNIT DISORDER OF MENINGES NEC
Clinic Referral Ambulance SURG 3 UNIT DISORDER OF MENINGES NEC
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT

Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self SURG 3 UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Ambulance MED 2T UNIT CONVULSIONS NEC
Clinic Referral Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM
Emergency Room Ambulance EMERGENCY OPEN WOUND HAND W TENDON
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS

Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX ASTRAGALUS-CLOSED
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY LUMP OR MASS IN BREAST
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 4 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT DIARRHEA NOS
Clinic Referral Self SCCA UNIT DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC
Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC
Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC
Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC
Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA
Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA
Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA

Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT DUODENAL ULCER NOS
Emergency Room Ambulance MED 2G UNIT DUODENAL ULCER NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY
Clinic Referral Ambulance SURG 4 UNIT
Clinic Referral Ambulance SURG 4 UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURGERY CENTER
Emergency Room Ambulance SURGERY CENTER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY
Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY
Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY
Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC

Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SURG 4 UNIT
Emergency Room Ambulance SURG 4 UNIT
Emergency Room Ambulance SURG 4 UNIT
Emergency Room Ambulance SURG 4 UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Physician Referral Ambulance MED 2G UNIT
Physician Referral Ambulance MED 2G UNIT
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF NECK NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance EMERGENCY SCREENING-PULMONARY TB
Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance NICU COMMON TRUNCUS
Outside Hospital Ambulance NICU COMMON TRUNCUS
Outside Hospital Ambulance NICU COMMON TRUNCUS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURGERY CENTER INTERMIT ALTRN EXOTROPIA
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2T UNIT ANGIONEUROTIC EDEMA
Emergency Room Ambulance MED 2T UNIT ANGIONEUROTIC EDEMA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT POSTOPERATIVE SHOCK
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT POSTOPERATIVE SHOCK
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT POSTOPERATIVE SHOCK
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Physician Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Physician Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED

Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Emergency Room Ambulance MED 2G UNIT HEMOPHAGOCYTIC SYNDROMES
Emergency Room Ambulance MED 2G UNIT HEMOPHAGOCYTIC SYNDROMES
Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY HEMOPTYSIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS SITE NOS
Clinic Referral Self SURGERY CENTER INTERMIT ALTRN EXOTROPIA
Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS SITE NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 1T UNIT JOINT EFFUSION-MULT JTS
Emergency Room Ambulance MED 1T UNIT JOINT EFFUSION-MULT JTS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Outside Hospital Self MED 2G UNIT ABNORMAL GLUCOSE NEC
Outside Hospital Self MED 2G UNIT ABNORMAL GLUCOSE NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY 1ST DEG BURN ARM NOS
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY LYMPHANGITIS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR DRUM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Emergency Room Ambulance EMERGENCY ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER REFLUX ESOPHAGITIS
Clinic Referral Self SURGERY CENTER REFLUX ESOPHAGITIS
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT

Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self NICU BILAT INGUINAL HERNIA
Clinic Referral Self NICU BILAT INGUINAL HERNIA
Clinic Referral Self NICU BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER DISEASES OF LIPS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Clinic Referral Self SURGERY CENTER SYNDACTYLY, MULTIPLE/NOS
Clinic Referral Self SURGERY CENTER SYNDACTYLY, MULTIPLE/NOS
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Physician Referral Self MED 1T UNIT FAILURE TO THRIVE
Physician Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CRUSHING INJURY FINGER
Clinic Referral Self SURGERY CENTER CRUSHING INJURY FINGER
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT BACKACHE NOS
Emergency Room Ambulance MED 1T UNIT BACKACHE NOS
Clinic Referral Ambulance SURG 3 UNIT DISC DIS NEC/NOS-LUMBAR
Clinic Referral Ambulance SURG 3 UNIT DISC DIS NEC/NOS-LUMBAR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE

Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX LUMBAR VERTEBRA-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABRASION FINGER
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self PICU CLEFT PALATE NOS
Clinic Referral Self PICU CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED
Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Physician Referral Self SURGERY CENTER MALIG NEOPLASM PERITONEUM NEC
Physician Referral Self SURGERY CENTER MALIG NEOPLASM PERITONEUM NEC
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self REHAB UNIT PERONEAL MUSCLE ATROPHY
Clinic Referral Self REHAB UNIT PERONEAL MUSCLE ATROPHY
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS

Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CERVICALGIA
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS
Outside Hospital Self MED 2G UNIT URIN TRACT INFECTION NOS
Outside Hospital Self MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS

Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER INTERMIT ALTRN ESOTROPIA
Emergency Room Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST
Clinic Referral Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY TEETHING SYNDROME
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CUTANEOUS CANDIDIASIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS
Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS
Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS
Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS
Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS
Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON

Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Emergency Room Ambulance OBSERVATION UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance OBSERVATION UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY WHEEZING
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE
Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE
Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Physician Referral Self SURGERY CENTER EXOTROPIA NOS
Physician Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance SCCA UNIT TRANSFUSION REACTION NEC
Clinic Referral Ambulance SCCA UNIT TRANSFUSION REACTION NEC
Clinic Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Clinic Referral Ambulance MED 2T UNIT ACUTE PANCREATITIS
Clinic Referral Ambulance MED 2T UNIT ACUTE PANCREATITIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURGERY CENTER MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Self SURGERY CENTER END STAGE RENAL DISEASE

Physician Referral Self SURGERY CENTER END STAGE RENAL DISEASE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER MELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER MELENA, BLOOD IN STOOL
Clinic Referral Self SURG 3 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 3 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 3 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self OBSERVATION UNIT CORONARY ARTERY ANOMALY
Clinic Referral Self OBSERVATION UNIT CORONARY ARTERY ANOMALY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance SCCA UNIT PERICARDIAL DISEASE NOS
Clinic Referral Ambulance SCCA UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER REDUCTION DEFORM LEG NOS
Clinic Referral Self SURGERY CENTER REDUCTION DEFORM LEG NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS

Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTHER GENERAL SYMPTOMS
Emergency Room Ambulance EMERGENCY HEMATOMA AURICLE/PINNA
Clinic Referral Ambulance MED 2T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 2T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Ambulance SURG 3 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COMPLIC MED CARE NEC/NOS
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-FOREARM
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY GENERALIZED PAIN
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URETHRITIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Health Care Facility Self OBSERVATION UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self OBSERVATION UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self OBSERVATION UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2G UNIT EOSINOPHILIC GASTROENT
Clinic Referral Self MED 2G UNIT EOSINOPHILIC GASTROENT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Ambulance SURGERY CENTER FX ANGLE OF JAW-CLOSED
Clinic Referral Ambulance SURGERY CENTER FX ANGLE OF JAW-CLOSED
Clinic Referral Self SURGERY CENTER DUODENITIS W HEMORRHAGE
Clinic Referral Self SURGERY CENTER DUODENITIS W HEMORRHAGE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ILL-DEFINED EYE DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS

Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER FEEDING PROBLEM
Outside Health Care Facility Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Outside Health Care Facility Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY SPRAIN HIP AND THIGH NOS
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self REHAB UNIT GENU VARUM
Clinic Referral Self REHAB UNIT GENU VARUM
Clinic Referral Self REHAB UNIT GENU VARUM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance SURG 3 UNIT FLATUL/ERUCTAT/GAS PAIN
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT CHOLEDOCHLITH NOS W OBSTRUC
Emergency Room Ambulance MED 2G UNIT CHOLEDOCHLITH NOS W OBSTRUC
Emergency Room Ambulance MED 2G UNIT CHOLEDOCHLITH NOS W OBSTRUC
Emergency Room Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Emergency Room Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC

Emergency Room Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Emergency Room Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CLOSE SKULL FX NEC-BRF COMA
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER SENSRY HEARNG LOSS,BILAT
Clinic Referral Self SURGERY CENTER SENSRY HEARNG LOSS,BILAT
Outside Health Care Facility Ambulance MED 2G UNIT FEVER NOS
Outside Health Care Facility Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS
Emergency Room Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS
Clinic Referral Self MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Clinic Referral Self MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT

Emergency Room Ambulance EMERGENCY ORAL APHTHAE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance OBSERVATION UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance OBSERVATION UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ANAL OR RECTAL PAIN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER FX BIMALLEOLAR-CLOSED
Clinic Referral Self SURGERY CENTER FX BIMALLEOLAR-CLOSED
Clinic Referral Self OBSERVATION UNIT HEPATITIS NOS
Clinic Referral Self OBSERVATION UNIT HEPATITIS NOS
Clinic Referral Self OBSERVATION UNIT HEPATITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance OBSERVATION UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PLEURISY W/O EFFUS OR TB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY TONGUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY COMPLIC MED CARE NEC/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self PICU UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self PICU UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self PICU UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Clinic Referral Ambulance SCCA UNIT HYPOTENSION NOS
Clinic Referral Ambulance SCCA UNIT HYPOTENSION NOS
Clinic Referral Self MED 2G UNIT ASCITES NEC
Clinic Referral Self MED 2G UNIT ASCITES NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Clinic Referral Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SCCA UNIT ENC FOR IMMUNOTHERAPY FOR NEOPLASM
Clinic Referral Self SCCA UNIT ENC FOR IMMUNOTHERAPY FOR NEOPLASM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RUQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RUQ
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance REHAB UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance REHAB UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance REHAB UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY UNILAT ING HERNIA W GANG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SCCA UNIT FX LUMBAR VERTEBRA-CLOSE
Clinic Referral Self SCCA UNIT FX LUMBAR VERTEBRA-CLOSE
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self REHAB UNIT DENTOFACIAL ANOMALIES NEC
Clinic Referral Self REHAB UNIT DENTOFACIAL ANOMALIES NEC
Emergency Room Ambulance MED 2G UNIT ARTHROPATHY NEC-MULT
Emergency Room Ambulance MED 2G UNIT ARTHROPATHY NEC-MULT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2T UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2T UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Outside Hospital Ambulance NICU SEPTICEMIA (SEPSIS) OF NEWBORN
Outside Hospital Ambulance NICU SEPTICEMIA (SEPSIS) OF NEWBORN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS
Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS
Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS
Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY HEMATEMESIS
Clinic Referral Self SURG 3 UNIT LIPOMA NEC
Clinic Referral Self SURG 3 UNIT LIPOMA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT HERPES SIMPLEX NOS
Emergency Room Ambulance MED 1T UNIT HERPES SIMPLEX NOS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Clinic Referral Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Clinic Referral Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR
Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE DACRYOCYSTITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY FX SCAPULA NEC-CLOSED
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CHOLELITHIASIS NOS
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION

Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT HEADACHE
Emergency Room Ambulance MED 1T UNIT HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NEC
Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY URINARY CALCULUS NOS
Physician Referral Self MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Self MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ORAL APHTHAE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance MED 2T UNIT CHOLANGITIS
Emergency Room Ambulance MED 2T UNIT CHOLANGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CRUSHING INJURY TOE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Ambulance MED 2T UNIT BACTEREMIA NOS
Physician Referral Ambulance MED 2T UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER ULCERATIVE PROCTITIS
Clinic Referral Self SURGERY CENTER ULCERATIVE PROCTITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2T UNIT OTHER ENTEROVIRAL CNS DIS
Emergency Room Ambulance MED 2T UNIT OTHER ENTEROVIRAL CNS DIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER EOSINOPHILIC GASTROENT
Clinic Referral Self SURGERY CENTER EOSINOPHILIC GASTROENT
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Outside Hospital Self MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Self MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE

Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Transfer from Critical Access HospitalSelf SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Transfer from Critical Access HospitalSelf SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ECTROPION NOS
Clinic Referral Self SURGERY CENTER ECTROPION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CRUSHING INJURY TOE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY THRUSH

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PALSY OF CONJUGATE GAZE
Emergency Room Ambulance EMERGENCY TRANSIENT VISUAL LOSS
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DISORDERS OF THYROID NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self MED 1T UNIT HEMANGIOMA SKIN
Clinic Referral Self MED 1T UNIT HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER ACHALASIA AND CARDIOSPASM
Clinic Referral Self SURGERY CENTER ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance EMERGENCY APNEA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ANOMALIES EAR OSSICLES
Clinic Referral Self SURGERY CENTER ANOMALIES EAR OSSICLES
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES
Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ATTN REM NONSURG DRESSNG
Clinic Referral Ambulance MED 1T UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Ambulance MED 1T UNIT TRACHEOSTOMY COMPLICATION NEC
Emergency Room Ambulance SCCA UNIT THALASSEMIA NEC
Emergency Room Ambulance SCCA UNIT THALASSEMIA NEC
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Emergency Room Ambulance EMERGENCY SPONDYLOLISTHESIS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM
Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM
Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY JOINT PAIN-MULT JTS
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self SURGERY CENTER CHRONC GRAFT-VS-HOST DIS
Clinic Referral Self SURGERY CENTER CHRONC GRAFT-VS-HOST DIS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Outside Hospital Self MED 2G UNIT KLIPPEL-FEIL SYNDROME
Outside Hospital Self MED 2G UNIT KLIPPEL-FEIL SYNDROME
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER ANAPLASTIC LYMPH XTRNDL
Clinic Referral Self SURGERY CENTER ANAPLASTIC LYMPH XTRNDL
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC
Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC
Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC
Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC
Clinic Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Ambulance REHAB UNIT PERIAPICAL ABSCESS
Clinic Referral Ambulance REHAB UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Clinic Referral Self SURGERY CENTER FOREIGN BODY BRONCHUS
Clinic Referral Self SURGERY CENTER FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Self INTERPRETER SERVICES
Self INTERPRETER SERVICES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY POISONING-ANTIDEPRESSANT
Emergency Room Ambulance EMERGENCY POISONING-ANTIDEPRESSANT
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER OTHER URINARY INCONTINENCE
Clinic Referral Self SURGERY CENTER OTHER URINARY INCONTINENCE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS

Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES
Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES
Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY
Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY
Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY
Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT

Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRH W/O COMA
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRH W/O COMA
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self REHAB UNIT GENU VARUM
Clinic Referral Self REHAB UNIT GENU VARUM
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK

Emergency Room Ambulance MED 2G UNIT VIRAL ENCEPHALITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENCEPHALITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS
Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS
Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance SURG 3 UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 1T UNIT FX TIBIA NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT FX TIBIA NOS-CLOSED
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self OBSERVATION UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self OBSERVATION UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC
Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PROLAPSE URETHRAL MUCOSA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY SPRAIN THORACIC REGION
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance OBSERVATION UNIT CROUP
Emergency Room Ambulance OBSERVATION UNIT CROUP
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT TRANSFUSION REACTION NEC
Emergency Room Ambulance SURG 3 UNIT TRANSFUSION REACTION NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance OBSERVATION UNIT CROUP
Emergency Room Ambulance OBSERVATION UNIT CROUP
Emergency Room Ambulance OBSERVATION UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Clinic Referral Ambulance MED 1T UNIT HERPES SIMPLEX NOS
Clinic Referral Ambulance MED 1T UNIT HERPES SIMPLEX NOS
Emergency Room Ambulance MED 2G UNIT CHOLESTEATOMA NOS
Emergency Room Ambulance MED 2G UNIT CHOLESTEATOMA NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION
Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION
Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC

Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 2T UNIT BILAT INGUINAL HERNIA
Outside Hospital Ambulance MED 2T UNIT BILAT INGUINAL HERNIA
Clinic Referral Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS

Clinic Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self OBSERVATION UNIT CLEFT PALATE NOS
Clinic Referral Self OBSERVATION UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SCCA UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self SCCA UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT RITTER’S DISEASE
Emergency Room Ambulance MED 1T UNIT RITTER’S DISEASE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Clinic Referral Self SCCA UNIT NEPHRITIS NEC
Clinic Referral Self SCCA UNIT NEPHRITIS NEC
Clinic Referral Self SCCA UNIT NEPHRITIS NEC
Clinic Referral Self SCCA UNIT NEPHRITIS NEC
Clinic Referral Self SCCA UNIT NEPHRITIS NEC
Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SEXUAL PRECOCITY NEC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance NICU PRETERM NEC 2000-2499G
Outside Hospital Ambulance NICU PRETERM NEC 2000-2499G
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NEC
Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Outside Hospital Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER END STAGE RENAL DISEASE
Clinic Referral Self SURGERY CENTER END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY POISONING-CEPHALOSPORIN GROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT HYPOXEMIA

Emergency Room Ambulance MED 2G UNIT HYPOXEMIA
Emergency Room Ambulance MED 2G UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HYPERVENTILATION
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Emergency Room Ambulance EMERGENCY URINARY OBSTRUCTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY IMPETIGO
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Outside Hospital Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS
Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS
Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Ambulance SURG 3 UNIT HYPEROSMOLALITY
Clinic Referral Ambulance SURG 3 UNIT HYPEROSMOLALITY
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC

Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT NEUTROPENIA NOS
Clinic Referral Self SURG 3 UNIT NEUTROPENIA NOS
Physician Referral Ambulance MED 1T UNIT CHRONIC LIVER DIS NEC
Physician Referral Ambulance MED 1T UNIT CHRONIC LIVER DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOOT
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS
Clinic Referral Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM

Outside Hospital Ambulance PICU CONGENITAL INFEC NEC
Outside Hospital Ambulance PICU CONGENITAL INFEC NEC
Outside Hospital Ambulance PICU CONGENITAL INFEC NEC
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance MED 2T UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY POISONING-OPIATES NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CARDIAC ARREST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW

Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Physician Referral Ambulance MED 1T UNIT PANCREAT CYST/PSEUDOCYST
Physician Referral Ambulance MED 1T UNIT PANCREAT CYST/PSEUDOCYST
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2T UNIT CELLULITIS, TOE NOS
Emergency Room Ambulance MED 2T UNIT CELLULITIS, TOE NOS
Emergency Room Ambulance SURG 3 UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance SURG 3 UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER CATARACT NEC
Clinic Referral Self SURGERY CENTER CATARACT NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC

Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR
Clinic Referral Self SURGERY CENTER FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER EPIPHORA D/T INSUF DRAIN
Clinic Referral Self SURGERY CENTER EPIPHORA D/T INSUF DRAIN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Outside Hospital Ambulance SURG 4 UNIT DEHYDRATION
Outside Hospital Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK
Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK
Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK
Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK

Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT INFECTIVE MYOSITIS
Emergency Room Ambulance MED 1T UNIT INFECTIVE MYOSITIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT PANCYTOPENIA
Emergency Room Ambulance MED 2G UNIT PANCYTOPENIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS
Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI INTRACTABLE
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI INTRACTABLE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA

Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN
Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS
Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS
Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS
Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS
Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT MALIG NEO BRAIN STEM
Emergency Room Ambulance MED 2T UNIT MALIG NEO BRAIN STEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE
Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE

Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT ORAL APHTHAE
Emergency Room Ambulance MED 2G UNIT ORAL APHTHAE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOW VISION, 2 EYES NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance MED 1T UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance MED 1T UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self OBSERVATION UNIT ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OBSERVATION UNIT ESOPHAGITIS, UNSPECIFIED

Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SPASM OF MUSCLE
Clinic Referral Self SURGERY CENTER SPASM OF MUSCLE
Physician Referral Ambulance SURG 4 UNIT OBSERV NEWBN SUSP RESPIR CONDN
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Outside Health Care Facility Ambulance MED 1T UNIT CONSTIPATION NEC
Outside Health Care Facility Ambulance MED 1T UNIT CONSTIPATION NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN

Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER CHONDRODYSTROPHY
Clinic Referral Self SURGERY CENTER CHONDRODYSTROPHY
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC
Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC
Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC
Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOLUME DEPLETION NOS
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CEREBRAL CYSTS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC

Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA
Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA
Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Emergency Room Ambulance EMERGENCY CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Emergency Room Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS

Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC
Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC
Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS

Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC
Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS

Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER ENTERITIS OF INFECTION ORIG
Clinic Referral Self SURGERY CENTER ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self PICU ENCEPHALOCELE
Clinic Referral Self PICU ENCEPHALOCELE
Clinic Referral Self PICU ENCEPHALOCELE
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W MANIF NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Clinic Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS
Clinic Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS
Emergency Room Ambulance MED 2G UNIT SLEEP APNEA NOS
Emergency Room Ambulance MED 2G UNIT SLEEP APNEA NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC

Clinic Referral Self SURGERY CENTER PREAURICULAR CYST
Clinic Referral Self SURGERY CENTER PREAURICULAR CYST
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT INADEQUATE DEVELOPMENT NOS
Emergency Room Ambulance MED 2G UNIT INADEQUATE DEVELOPMENT NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEMOPTYSIS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self REHAB UNIT FLAT FOOT
Clinic Referral Self REHAB UNIT FLAT FOOT
Clinic Referral Self REHAB UNIT FLAT FOOT
Emergency Room Ambulance EMERGENCY ABRASION NEC
Clinic Referral Self SURGERY CENTER CH MYL LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER CH MYL LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM

Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC
Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC
Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance OBSERVATION UNIT ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance OBSERVATION UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY JOINT PAIN-HAND
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY JUV OSTEOCHONDROSIS LEG
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HYPERTENSION NOS
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance PICU HYPOXEMIA
Physician Referral Ambulance PICU HYPOXEMIA
Emergency Room Ambulance EMERGENCY AMPUTATION TOE
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance SCCA UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance SCCA UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED
Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED
Physician Referral Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Physician Referral Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC
Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC
Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC
Clinic Referral Self MED 1T UNIT ENCEPHALOCELE
Clinic Referral Self MED 1T UNIT ENCEPHALOCELE
Clinic Referral Self MED 1T UNIT ENCEPHALOCELE
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Physician Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT LIPOMA NEC
Clinic Referral Self SURG 3 UNIT LIPOMA NEC
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION
Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION
Clinic Referral Self REHAB UNIT MICROTIA
Clinic Referral Self REHAB UNIT MICROTIA
Clinic Referral Self REHAB UNIT MICROTIA
Clinic Referral Self MED 2G UNIT ANAL FISTULA
Clinic Referral Self MED 2G UNIT ANAL FISTULA
Clinic Referral Self MED 2G UNIT ANAL FISTULA
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX 1ST METACARP BASE-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Outside Hospital Ambulance MED 1T UNIT DIS AMINO-ACID METAB NEC
Outside Hospital Ambulance MED 1T UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance MED 1T UNIT ANOREXIA
Clinic Referral Ambulance MED 1T UNIT ANOREXIA
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST

Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Self SURGERY CENTER PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY BURN NOS HEAD-UNSPEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION
Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION
Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2G UNIT BEHCET’S SYNDROME
Emergency Room Ambulance MED 2G UNIT BEHCET’S SYNDROME
Emergency Room Ambulance INPATIENT PSYCH INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance INPATIENT PSYCH INFECTIOUS MONONUCLEOSIS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Clinic Referral Ambulance REHAB UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self REHAB UNIT MICROTIA
Clinic Referral Self REHAB UNIT MICROTIA
Clinic Referral Self REHAB UNIT MICROTIA
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS
Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS
Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS
Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS
Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance OBSERVATION UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance OBSERVATION UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY NJURIES TO SCALP NEC
Emergency Room Ambulance EMERGENCY PSYCHOPHYSIC VISUAL DIST
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BEHAVIORAL PROBLEMS NEC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA
Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA
Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Outside Health Care Facility Self SURG 4 UNIT INFECT D/T CENT VEN CATH
Outside Health Care Facility Self SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER
Outside Hospital Ambulance MED 2G UNIT CONSTIPATION NOS
Outside Hospital Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC

Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS
Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL MENINGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY BRAN-CHAIN AMIN-ACID DIS
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR
Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR
Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH
Physician Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Physician Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL

Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC
Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC
Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER HEMANGIOMA NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER GENU VARUM
Clinic Referral Self SURGERY CENTER GENU VARUM
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Clinic Referral Self SURGERY CENTER CLEFT LIP NOS
Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT
Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT

Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS
Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE
Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE
Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance MED 2T UNIT PYOGEN ARTHRITIS-L/LEG
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT

Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY OPEN WOUND FACE NOS-COMPL
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS

Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS
Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS
Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W COMA NOS
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VARICELLA CONTACT/ EXPOSURE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TRUNK NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA
Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA
Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self REHAB UNIT KELOID SCAR
Clinic Referral Self REHAB UNIT KELOID SCAR
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Ambulance MED 2G UNIT WHEEZING
Clinic Referral Ambulance MED 2G UNIT WHEEZING
Clinic Referral Ambulance MED 2G UNIT WHEEZING
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance OBSERVATION UNIT SPRAIN OF NECK
Emergency Room Ambulance OBSERVATION UNIT SPRAIN OF NECK
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance MED 2G UNIT DACRYOADENITIS NOS
Emergency Room Ambulance MED 2G UNIT DACRYOADENITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT MENINGITIS NOS
Clinic Referral Self SCCA UNIT MENINGITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance SCCA UNIT CHEST PAIN NOS
Clinic Referral Ambulance SCCA UNIT CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance MED 2T UNIT PANCREAS ANOMALIES
Emergency Room Ambulance MED 2T UNIT PANCREAS ANOMALIES
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Ambulance OBSERVATION UNIT CONSTIPATION NOS
Clinic Referral Ambulance OBSERVATION UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Physician Referral Ambulance MED 2G UNIT PULMONARY TB NOS-UNSPEC
Physician Referral Ambulance MED 2G UNIT PULMONARY TB NOS-UNSPEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 2G UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY EPISTAXIS
Outside Hospital Ambulance PICU SEPTICEMIA NOS
Outside Hospital Ambulance PICU SEPTICEMIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY HEAD AND NECK SYMPTOMS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OBSERV NEWBN UNSPEC SUSP CONDN
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance OBSERVATION UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT APNEA
Emergency Room Ambulance SURG 3 UNIT APNEA
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Transfer from Critical Access HospitalAmbulance PICU RESPIRATORY FAILURE OF NEWBORN
Transfer from Critical Access HospitalAmbulance PICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FX UPPER END FIBULA-CLOSE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CRANIAL NERVE DIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SURGERY CENTER MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA

Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance SURG 3 UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance SURG 4 UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance SURG 4 UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance SURG 4 UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance SURG 4 UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP

Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Ambulance SCCA UNIT THROMBOT MICROANGIOPATHY
Clinic Referral Ambulance SCCA UNIT THROMBOT MICROANGIOPATHY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS

Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Physician Referral Self SURGERY CENTER BENIGN NEO PERITONEUM
Physician Referral Self SURGERY CENTER BENIGN NEO PERITONEUM
Clinic Referral Self SURGERY CENTER COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURGERY CENTER COMPLIC-DIGESTIVE SYSTEM
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Outside Health Care Facility Ambulance MED 1T UNIT FAILURE TO THRIVE
Outside Health Care Facility Ambulance MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance MED 2T UNIT INFECTIVE MYOSITIS
Emergency Room Ambulance MED 2T UNIT INFECTIVE MYOSITIS
Emergency Room Ambulance MED 2T UNIT INFECTIVE MYOSITIS
Clinic Referral Self REHAB UNIT CEREBRAL PALSY NOS
Clinic Referral Self REHAB UNIT CEREBRAL PALSY NOS

Clinic Referral Self REHAB UNIT CEREBRAL PALSY NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT ORBITAL CELLULITIS
Emergency Room Ambulance REHAB UNIT ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Ambulance SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance PICU ACUTE NECROSIS OF LIVER

Emergency Room Ambulance PICU ACUTE NECROSIS OF LIVER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance EMERGENCY OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NOS
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE

Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Ambulance SCCA UNIT ACUTE PANCREATITIS
Clinic Referral Ambulance SCCA UNIT ACUTE PANCREATITIS
Clinic Referral Ambulance SCCA UNIT ACUTE PANCREATITIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL

Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT DIARRHEA NOS
Clinic Referral Self REHAB UNIT DIARRHEA NOS
Clinic Referral Self REHAB UNIT DIARRHEA NOS
Clinic Referral Self REHAB UNIT DIARRHEA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FX/CEREB LAC
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FX/CEREB LAC
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FX/CEREB LAC
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FX/CEREB LAC
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FX/CEREB LAC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT UMBILICAL HERNIA
Clinic Referral Self SURG 3 UNIT UMBILICAL HERNIA
Clinic Referral Self SURG 3 UNIT UMBILICAL HERNIA

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Emergency Room Ambulance REHAB UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance REHAB UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance REHAB UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance REHAB UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Outside Hospital Ambulance PICU RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance PICU RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURGERY CENTER BENIGN NEOPLASM LG BOWEL
Emergency Room Ambulance SURGERY CENTER BENIGN NEOPLASM LG BOWEL
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SCCA UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SCCA UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ATTEN TO COLOSTOMY
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Emergency Room Ambulance SCCA UNIT ANEMIA NOS
Emergency Room Ambulance SCCA UNIT ANEMIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2T UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2T UNIT JUV RHEUM ARTHRITIS NOS
Outside Health Care Facility Self MED 2G UNIT ABN FIND-STOOL CONTENTS-OCC BLOOD
Outside Health Care Facility Self MED 2G UNIT ABN FIND-STOOL CONTENTS-OCC BLOOD
Clinic Referral Self SURGERY CENTER OPEN WOUND HAND W TENDON
Clinic Referral Self SURGERY CENTER OPEN WOUND HAND W TENDON
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER INT HEMRRHOID W COMP NEC
Clinic Referral Self SURGERY CENTER INT HEMRRHOID W COMP NEC

Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2T UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self MED 2T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2T UNIT FAILURE TO THRIVE
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS

Clinic Referral Self SURGERY CENTER SYNOVITIS IN OTHER DIS
Clinic Referral Self SURGERY CENTER SYNOVITIS IN OTHER DIS
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HYPERPOTASSEMIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND FOOT-COMPL
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URETHRITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Outside Health Care Facility Ambulance MED 1T UNIT CELLULITIS OF ARM
Outside Health Care Facility Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY IMPACTED CERUMEN
Emergency Room Ambulance MED 2T UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2T UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2T UNIT PRIMARY APNEA OF NEWBORN
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Physician Referral Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Clinic Referral Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Clinic Referral Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TIS THORAX
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2G UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance MED 2G UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT HEADACHE
Physician Referral Ambulance MED 2G UNIT HEADACHE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER MECKEL’S DIVERTICULUM
Clinic Referral Self SURGERY CENTER MECKEL’S DIVERTICULUM
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS

Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance MED 2T UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance MED 2T UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY JOINT PAIN-UNSPEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Physician Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Health Care Facility Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Outside Health Care Facility Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INCONTINENCE OF FECES
Emergency Room Ambulance MED 2G UNIT INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN STEM
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN STEM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance MED 2T UNIT SALMONELLA SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT SALMONELLA SEPTICEMIA
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT GEN NONCONVUL EPI W/O MENTN INTRAC
Emergency Room Ambulance MED 1T UNIT GEN NONCONVUL EPI W/O MENTN INTRAC
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance SCCA UNIT RECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Physician Referral Self MED 2G UNIT CONSTIPATION NOS
Physician Referral Self MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OMPHALITIS OF NEWBORN
Emergency Room Ambulance EMERGENCY PELVIC FRACTURE NOS-CLOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Physician Referral Self SURGERY CENTER HYPERTROPIA
Physician Referral Self SURGERY CENTER HYPERTROPIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Outside Hospital Self MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURGERY CENTER PERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER PERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER BRAIN CONDITIONS NEC
Clinic Referral Self SURGERY CENTER BRAIN CONDITIONS NEC
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT ENTEROSTOMY COMPLICATION NOS
Emergency Room Ambulance MED 2G UNIT ENTEROSTOMY COMPLICATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY FLU W MANIFESTATION NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self MED 2G UNIT ABDOMINAL PAIN GENERALIZED
Clinic Referral Self MED 2G UNIT ABDOMINAL PAIN GENERALIZED
Clinic Referral Self MED 2G UNIT ABDOMINAL PAIN GENERALIZED
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC

Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG/ANKLE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Ambulance MED 2G UNIT STREP SORE THROAT
Physician Referral Ambulance MED 2G UNIT STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Ambulance SCCA UNIT FEVER NOS
Clinic Referral Ambulance SCCA UNIT FEVER NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance NICU PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance NICU PRIMARY APNEA OF NEWBORN
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED

Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT DERMATOPHYTOSIS OF FOOT
Emergency Room Ambulance MED 2G UNIT DERMATOPHYTOSIS OF FOOT
Emergency Room Ambulance MED 2G UNIT DERMATOPHYTOSIS OF FOOT
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-OPEN
Emergency Room Ambulance EMERGENCY OBESITY NOS
Emergency Room Ambulance PICU AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance PICU AC MYL LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Outside Hospital Ambulance MED 1T UNIT UNIL CLEFT PALAT/LIP-COM
Outside Hospital Ambulance MED 1T UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURG 4 UNIT HEPATITIS NOS
Clinic Referral Self SURG 4 UNIT HEPATITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS

Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY 1 DEG BURN FINGR W THUMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MICROSCOPIC HEMATURIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEMATOMA AURICLE/PINNA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY HEMATURIA NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP/LEG-INFECTION
Emergency Room Ambulance EMERGENCY PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Health Care Facility Ambulance SCCA UNIT TACHYCARDIA NOS
Outside Health Care Facility Ambulance SCCA UNIT TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Outside Health Care Facility Self SURG 3 UNIT SEC MALIG NEO NERVE NEC
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Emergency Room Ambulance SCCA UNIT HODG NODUL SCLERO HEAD
Emergency Room Ambulance SCCA UNIT HODG NODUL SCLERO HEAD
Emergency Room Ambulance SCCA UNIT HODG NODUL SCLERO HEAD
Emergency Room Ambulance SCCA UNIT HODG NODUL SCLERO HEAD
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER HYP KID NOS W CR KID V
Clinic Referral Self SURGERY CENTER HYP KID NOS W CR KID V
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA

Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURGERY CENTER OSTEOPETROSIS
Physician Referral Self SURGERY CENTER OSTEOPETROSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT CHOLANGITIS
Emergency Room Ambulance MED 2G UNIT CHOLANGITIS
Outside Health Care Facility Ambulance SCCA UNIT URIN TRACT INFECTION NOS
Outside Health Care Facility Ambulance SCCA UNIT URIN TRACT INFECTION NOS
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance PICU PAROX VENTRIC TACHYCARD
Emergency Room Ambulance PICU PAROX VENTRIC TACHYCARD
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER TOTAL PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER TOTAL PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF FOREHEAD

Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Physician Referral Self SURGERY CENTER BENIGN NEO RIBS/STERN/CLAV
Physician Referral Self SURGERY CENTER BENIGN NEO RIBS/STERN/CLAV
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEMICAL BURN PERIOCULAR
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance MED 1T UNIT MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Ambulance MED 1T UNIT MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Ambulance MED 1T UNIT MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Outside Hospital Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY TMJ DISORD ARTHRALGIA
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OSTEOMYELITIS NOS-L/LEG
Clinic Referral Self SURGERY CENTER OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 3 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance SURG 3 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance NICU PERINATAL CONDITION NEC
Outside Hospital Ambulance NICU PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CRACKED TOOTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY TOXIC EFFECT ETHYL ALCOHOL
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY STREP SORE THROAT

Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT EDEMA
Emergency Room Ambulance SURG 3 UNIT EDEMA
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SCCA UNIT NEOPLASM RELATED PAIN
Clinic Referral Self SCCA UNIT NEOPLASM RELATED PAIN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance SURG 3 UNIT SICKLE-CELL/HB-C DIS W CRISIS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURG 3 UNIT LUNG ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LUNG ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LUNG ANOMALY NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Outside Hospital Ambulance SURGERY CENTER EXT ASTHMA W STATUS ASTH
Outside Hospital Ambulance SURGERY CENTER EXT ASTHMA W STATUS ASTH
Outside Hospital Ambulance SURGERY CENTER EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance EMERGENCY CHALAZION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT FUSEL OIL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY NYSTAGMUS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Physician Referral Ambulance MED 2T UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance MED 2G UNIT HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Physician Referral Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Physician Referral Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance NICU SEPTICEMIA (SEPSIS) OF NEWBORN
Emergency Room Ambulance NICU SEPTICEMIA (SEPSIS) OF NEWBORN
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX SCAPULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FLU W MANIFESTATION NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISRUPT C-SECT-POSTPART
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY WHEEZING
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT BELL’S PALSY
Emergency Room Ambulance MED 2G UNIT BELL’S PALSY
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HEAD NEC
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT HIP AND THIGH INJURY NOS
Emergency Room Ambulance SURG 3 UNIT HIP AND THIGH INJURY NOS
Emergency Room Ambulance MED 1T UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance MED 1T UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance REHAB UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance REHAB UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Clinic Referral Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance MED 2G UNIT RITTER’S DISEASE
Emergency Room Ambulance MED 2G UNIT RITTER’S DISEASE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FINGER
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-UP/ARM
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN THIGH
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance SCCA UNIT HYPERTENSION NOS
Physician Referral Ambulance SCCA UNIT HYPERTENSION NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER INTESTINAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER INTESTINAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST

Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2T UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance MED 2T UNIT NEWBORN TRANSITORY TACHYPNEA
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER INTERMIT ALTRN ESOTROPIA
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA

Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance SURGERY CENTER
Clinic Referral Ambulance SURGERY CENTER
Clinic Referral Ambulance SURGERY CENTER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Outside Hospital Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Outside Hospital Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Outside Hospital Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Outside Hospital Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY FX TRIMALLEOLAR-CLOSED
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TISSUE LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Ambulance MED 2G UNIT INTERSTITIAL EMPHYSEMA
Clinic Referral Ambulance MED 2G UNIT INTERSTITIAL EMPHYSEMA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 4 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 4 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER ALT EXOTROPIA W V PATTRN
Clinic Referral Self SURGERY CENTER ALT EXOTROPIA W V PATTRN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self REHAB UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self REHAB UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self REHAB UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ORTHOSTATIC HYPOTENSION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CHOLELITHIASIS NOS

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT COMPLIC-URINARY TRACT
Clinic Referral Self REHAB UNIT COMPLIC-URINARY TRACT
Clinic Referral Self REHAB UNIT COMPLIC-URINARY TRACT
Clinic Referral Self REHAB UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self REHAB UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self REHAB UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER SPINAL STENOSIS-LUMBAR
Clinic Referral Self SURGERY CENTER SPINAL STENOSIS-LUMBAR
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Physician Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self MED 1T UNIT UNSPEC DENTAL CARIES
Clinic Referral Self MED 1T UNIT UNSPEC DENTAL CARIES
Clinic Referral Self MED 1T UNIT UNSPEC DENTAL CARIES
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE

Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance MED 2G UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance MED 2G UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Outside Hospital Ambulance PICU CONGENITAL PNEUMONIA
Outside Hospital Ambulance PICU CONGENITAL PNEUMONIA
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURGERY CENTER LATE AMPUTAT COMPLIC NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT

Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2T UNIT HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2T UNIT ASPIR POSTNATAL STOMACH CONT W RESP SYMP
Emergency Room Ambulance MED 2T UNIT ASPIR POSTNATAL STOMACH CONT W RESP SYMP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2T UNIT DERMATITIS NOS
Emergency Room Ambulance MED 2T UNIT DERMATITIS NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 3 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 3 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR

Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance SURG 3 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Ambulance SURG 3 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Ambulance SURG 3 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 4 UNIT RESPIRATORY SYNCYTIAL VIRUS
Emergency Room Ambulance SURG 4 UNIT RESPIRATORY SYNCYTIAL VIRUS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NEC

Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK OTHR SPEC FOOD
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM TONGUE
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM TONGUE
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM TONGUE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HYPERPOTASSEMIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Outside Hospital Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Outside Hospital Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2T UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self SCCA UNIT LYMPHOSARCOMA INGUIN
Clinic Referral Self SCCA UNIT LYMPHOSARCOMA INGUIN
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER GANGLION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER CONGENITAL HEART BLOCK
Clinic Referral Self SURGERY CENTER CONGENITAL HEART BLOCK
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER FOURTH NERVE PALSY
Clinic Referral Self SURG 3 UNIT LONGITUDIN DEFIC FIBULA
Clinic Referral Self SURG 3 UNIT LONGITUDIN DEFIC FIBULA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM

Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance NICU ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance NICU ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ATTN TO ARTIF OPEN NEC
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Outside Hospital Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SURGERY CENTER PTOSIS OF EYELID NOS
Clinic Referral Self SURGERY CENTER PTOSIS OF EYELID NOS
Emergency Room Ambulance EMERGENCY DISLOCAT STERNUM-CLOSED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED

Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-L/LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Transfer from Critical Access HospitalAmbulance MED 1T UNIT FX LARYNX/TRACHEA-CLOSED
Transfer from Critical Access HospitalAmbulance MED 1T UNIT FX LARYNX/TRACHEA-CLOSED
Transfer from Critical Access HospitalAmbulance MED 1T UNIT FX LARYNX/TRACHEA-CLOSED
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER GASTRODUODENAL DIS NEC
Clinic Referral Self SURGERY CENTER GASTRODUODENAL DIS NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Outside Hospital Ambulance MED 2T UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 2T UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 2T UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance MED 2G UNIT FEVER NOS

Clinic Referral Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER ESOPHAGEAL DISORDER OTHER
Clinic Referral Self SURGERY CENTER ESOPHAGEAL DISORDER OTHER
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOREARM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CLOSE SKULL BASE FRACTURE
Emergency Room Ambulance MED 1T UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 1T UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 1T UNIT ALLERGIC PURPURA
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX

Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Clinic Referral Self SCCA UNIT ASEPTIC NECROSIS HUMERUS
Clinic Referral Self SCCA UNIT ASEPTIC NECROSIS HUMERUS
Clinic Referral Self SCCA UNIT ASEPTIC NECROSIS HUMERUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Outside Health Care Facility Self SURGERY CENTER TETRALOGY OF FALLOT
Outside Health Care Facility Self SURGERY CENTER TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ABNORMAL FINDING-SKULL AND HEAD
Emergency Room Ambulance MED 1T UNIT ABNORMAL FINDING-SKULL AND HEAD
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE II UNCONTR UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE II UNCONTR UNCOMPL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY 3RD DEG BURN THIGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Physician Referral Self SURGERY CENTER THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF ARM
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DENTAL CARIES EXTENDING INTO PULP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Self SURG 4 UNIT NEPHRITIS NOS
Physician Referral Self SURG 4 UNIT NEPHRITIS NOS
Physician Referral Self SURG 4 UNIT NEPHRITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NOS
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2T UNIT SYNCOPE AND COLLAPSE
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE

Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM STOMACH
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM STOMACH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER DISEASE OF NAIL NOS
Clinic Referral Self SURGERY CENTER DISEASE OF NAIL NOS
Clinic Referral Self SURGERY CENTER DISEASE OF NAIL NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Emergency Room Ambulance EMERGENCY SALIVARY GLAND MUCOCELE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT CONGEN MITRAL INSUFFICIENCY
Clinic Referral Self SURG 4 UNIT CONGEN MITRAL INSUFFICIENCY
Clinic Referral Self SURG 4 UNIT CONGEN MITRAL INSUFFICIENCY
Emergency Room Ambulance MED 2G UNIT MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance MED 2G UNIT MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS

Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY URINARY CALCULUS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY THRUSH
Outside Hospital Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Outside Hospital Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Outside Hospital Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN UPPER ARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self REHAB UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self REHAB UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self REHAB UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self REHAB UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING ORGAN TRANSPLANT
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance MED 1T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 1T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Outside Health Care Facility Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Health Care Facility Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY INJURY TRUNK SITE NEC
Outside Health Care Facility Self SURG 3 UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Self SURG 3 UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Self SURG 3 UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Self SURG 3 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-MULT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Physician Referral Self PICU
Physician Referral Self PICU
Physician Referral Self PICU
Physician Referral Self PICU
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2T UNIT CYSTIC FIBROSIS W GI MANIFEST
Clinic Referral Self MED 2T UNIT CYSTIC FIBROSIS W GI MANIFEST
Clinic Referral Self MED 2T UNIT CYSTIC FIBROSIS W GI MANIFEST
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Outside Health Care Facility Self MED 2G UNIT FAILURE TO THRIVE
Outside Health Care Facility Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Clinic Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Clinic Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Clinic Referral Self SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY 2ND DEG BURN WRIST
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance MED 2G UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance MED 2G UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT OTHER JAW/CRANIAL ASYMMETRY
Clinic Referral Self SURG 3 UNIT OTHER JAW/CRANIAL ASYMMETRY
Emergency Room Ambulance EMERGENCY THROAT PAIN
Clinic Referral Ambulance MED 1T UNIT TUBEROUS SCLEROSIS
Clinic Referral Ambulance MED 1T UNIT TUBEROUS SCLEROSIS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance SURG 3 UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY NONTRAUMA HEMA SOFT TISS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Physician Referral Ambulance MED 2T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 2T UNIT FEEDING PROBLEM

Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HEAD NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Outside Hospital Ambulance PICU CLOSE SKULL FX NEC-DEEP COMA
Outside Hospital Ambulance PICU CLOSE SKULL FX NEC-DEEP COMA
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance MED 1T UNIT OTHR CONG MULTI SYSTEM SYND
Clinic Referral Ambulance MED 1T UNIT OTHR CONG MULTI SYSTEM SYND
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY TOOTH POSITION ANOMALY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PITYRIASIS ROSEA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Physician Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS

Physician Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Outside Health Care Facility Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Health Care Facility Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Outside Health Care Facility Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2G UNIT ECZEMA HERPETICUM
Emergency Room Ambulance MED 2G UNIT ECZEMA HERPETICUM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY WHEEZING
Physician Referral Self SURG 3 UNIT FAILURE TO THRIVE
Physician Referral Self SURG 3 UNIT FAILURE TO THRIVE
Physician Referral Self SURG 3 UNIT FAILURE TO THRIVE
Physician Referral Self SURG 3 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIA NOS
Outside Home Health Agency Ambulance MED 2T UNIT FAILURE TO THRIVE
Outside Home Health Agency Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOREARM
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HEAD NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST
Outside Hospital Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Outside Health Care Facility Ambulance MED 2T UNIT CEREBRAL HEM AT BIRTH
Outside Health Care Facility Ambulance MED 2T UNIT CEREBRAL HEM AT BIRTH
Outside Health Care Facility Ambulance MED 2T UNIT CEREBRAL HEM AT BIRTH
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS

Emergency Room Ambulance EMERGENCY FX UP TIBIA W FIBULA-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Ambulance SURGERY CENTER FOREIGN BODY IN NOSE
Physician Referral Ambulance SURGERY CENTER FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SCCA UNIT HEMOGLOBINOPATHIES NEC
Emergency Room Ambulance SCCA UNIT HEMOGLOBINOPATHIES NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT RENAL/PERIRENAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RENAL/PERIRENAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RENAL/PERIRENAL ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHRONIC SINUSITIS NOS
Emergency Room Ambulance EMERGENCY PLANTAR WART
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance SURG 4 UNIT SEPTICEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT SEPTICEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT SEPTICEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY PRIMARY TB NOS-UNSPEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Clinic Referral Ambulance SCCA UNIT CELLULITIS OF LEG
Clinic Referral Ambulance SCCA UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY MALIG NEOPL KIDNEY
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance EMERGENCY OLIGURIA AND ANURIA
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM RETROPERITONEUM
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM RETROPERITONEUM
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM RETROPERITONEUM
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM RETROPERITONEUM
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM RETROPERITONEUM
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX

Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF FOOT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF NERVOUS SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF NERVOUS SYST, NEC
Clinic Referral Self SURGERY CENTER ABNORMAL CLINICAL FINDING NEC
Clinic Referral Self SURGERY CENTER ABNORMAL CLINICAL FINDING NEC
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS

Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-COMPL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance MED 1T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 1T UNIT NEONATAL DEHYDRATION
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER STOMACH FUNCTION DIS NEC
Clinic Referral Self SURGERY CENTER STOMACH FUNCTION DIS NEC
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Physician Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Physician Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE

Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NEC
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NEC
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NEC
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NEC
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Outside Hospital Ambulance MED 1T UNIT CHOANAL ATRESIA
Outside Hospital Ambulance MED 1T UNIT CHOANAL ATRESIA
Outside Hospital Ambulance MED 1T UNIT CHOANAL ATRESIA
Clinic Referral Self SURG 3 UNIT MALIG NEO CEREB VENTRICLE
Clinic Referral Self SURG 3 UNIT MALIG NEO CEREB VENTRICLE
Clinic Referral Self SURG 3 UNIT MALIG NEO CEREB VENTRICLE
Clinic Referral Self SURG 3 UNIT MALIG NEO CEREB VENTRICLE
Emergency Room Ambulance EMERGENCY CONTUSION OF UPPER ARM
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY MYELITIS CAUSE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Outside Hospital Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT CONVULSIONS NEC

Emergency Room Ambulance SURG 4 UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT FEMORAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT FEMORAL HERNIA
Clinic Referral Self REHAB UNIT NEUROHYPOPHYSIS DIS NEC
Clinic Referral Self REHAB UNIT NEUROHYPOPHYSIS DIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance MED 2G UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance MED 2G UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER AORTIC VALVE DISORDER
Clinic Referral Self SURGERY CENTER AORTIC VALVE DISORDER
Clinic Referral Self SURGERY CENTER CARPAL TUNNEL SYNDROME
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER HALLUX VALGUS
Clinic Referral Self SURGERY CENTER HALLUX VALGUS
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Outside Hospital Ambulance MED 2G UNIT DERMATITIS NOS
Outside Hospital Ambulance MED 2G UNIT DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT UNC BEHAV NEO KIDNEY
Emergency Room Ambulance SURG 4 UNIT UNC BEHAV NEO KIDNEY
Emergency Room Ambulance SURG 4 UNIT UNC BEHAV NEO KIDNEY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance EMERGENCY ABD/PEL SWELL/MASS/LUMP PERIUMBIL
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING JOINT REPLACEMENT
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING JOINT REPLACEMENT
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY CHALAZION
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES ARM
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES ARM
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ATTEN TO TRACHEOSTOMY
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURGERY CENTER FLATUL/ERUCTAT/GAS PAIN
Clinic Referral Self SURGERY CENTER FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY URINARY HESITANCY
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2T UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance REHAB UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance REHAB UNIT FX SHAFT TIBIA-CLOSED
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Clinic Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER
Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER

Clinic Referral Self SURG 4 UNIT PANCREAS ANOMALIES
Clinic Referral Self SURG 4 UNIT PANCREAS ANOMALIES
Clinic Referral Self SURG 4 UNIT PANCREAS ANOMALIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT PULMONARY COLLAPSE
Emergency Room Ambulance MED 1T UNIT PULMONARY COLLAPSE
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER REG ENTERITIS, LG INTEST
Clinic Referral Self SURGERY CENTER REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Emergency Room Ambulance SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance EMERGENCY BRACHIAL PLEXUS INJURY
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE

Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Emergency Room Ambulance EMERGENCY BLEPHARITIS NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 1T UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 1T UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance PICU MIGRNE UNSP WO NTRC MGRN
Clinic Referral Ambulance PICU MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self MED 2G UNIT CELIAC DISEASE
Clinic Referral Self MED 2G UNIT CELIAC DISEASE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT DEHYDRATION

Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE MASTOIDITIS W/O COMPL
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Physician Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance PICU TOXIC EFFECT CAUSTIC ALKALI
Physician Referral Ambulance PICU TOXIC EFFECT CAUSTIC ALKALI
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS

Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM NEC
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM NEC
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Clinic Referral Ambulance MED 2T UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Ambulance MED 2T UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Ambulance MED 2T UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Ambulance MED 2T UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER NAUSEA ALONE
Clinic Referral Self SURGERY CENTER NAUSEA ALONE
Clinic Referral Self SURGERY CENTER RENAL COLIC
Clinic Referral Self SURGERY CENTER RENAL COLIC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG

Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER DISLOCATION EAR OSSICLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Outside Hospital Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self INPATIENT PSYCH CHR OSTEOMYELIT-HAND
Clinic Referral Self INPATIENT PSYCH CHR OSTEOMYELIT-HAND
Clinic Referral Self INPATIENT PSYCH CHR OSTEOMYELIT-HAND
Clinic Referral Self INPATIENT PSYCH CHR OSTEOMYELIT-HAND
Emergency Room Ambulance SCCA UNIT DIARRHEA NOS
Emergency Room Ambulance SCCA UNIT DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT ANAPHYLACTIC SHOCK FROM CRUSTACEAN
Emergency Room Ambulance MED 1T UNIT ANAPHYLACTIC SHOCK FROM CRUSTACEAN
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance MED 2T UNIT OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance MED 2T UNIT OTHER ALTERATION OF CONSCIOUSNESS
Physician Referral Self SURGERY CENTER HYPERPARATHYROIDISM NOS
Physician Referral Self SURGERY CENTER HYPERPARATHYROIDISM NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB

Emergency Room Ambulance REHAB UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Emergency Room Ambulance REHAB UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Emergency Room Ambulance REHAB UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Emergency Room Ambulance REHAB UNIT PATHOLOGIC FX FEMUR OTHER SPEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 1T UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance MED 1T UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance MED 2G UNIT MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS
Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS
Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Physician Referral Ambulance SURG 4 UNIT INFECT FOL INFUS/INJ/VAC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFANTILE SPASMS NOT INTRACTABLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self MED 2G UNIT CHRONIC LIVER DIS NEC

Clinic Referral Self MED 2G UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self MED 2G UNIT CHRONIC LIVER DIS NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 2G UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 2G UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Clinic Referral Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Clinic Referral Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Clinic Referral Self SURG 4 UNIT BENIGN NEOPLASM LG BOWEL
Clinic Referral Self SURG 4 UNIT BENIGN NEOPLASM LG BOWEL
Clinic Referral Self SURG 4 UNIT BENIGN NEOPLASM LG BOWEL
Clinic Referral Self SURG 4 UNIT BENIGN NEOPLASM LG BOWEL
Clinic Referral Ambulance MED 2G UNIT LIPIDOSES
Clinic Referral Ambulance MED 2G UNIT LIPIDOSES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2G UNIT OTHER ULCERATIVE COLITIS
Emergency Room Ambulance MED 2G UNIT OTHER ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Outside Hospital Ambulance NICU UNILAT INGUINAL HERNIA
Outside Hospital Ambulance NICU UNILAT INGUINAL HERNIA
Outside Hospital Ambulance NICU UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I UNCONTR UNCOMPL
Emergency Room Ambulance EMERGENCY ACIDOSIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SEBORRHEIC INFANTILE DERMATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER STOMACH FUNCTION DIS NEC
Clinic Referral Self SURGERY CENTER STOMACH FUNCTION DIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT NERVOUS SYSTEM ANOM NEC
Clinic Referral Self SURG 3 UNIT NERVOUS SYSTEM ANOM NEC
Clinic Referral Self SURG 3 UNIT NERVOUS SYSTEM ANOM NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL SOFT TISSUE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Clinic Referral Self SURG 3 UNIT BUNION
Clinic Referral Self SURG 3 UNIT BUNION
Clinic Referral Self SURG 3 UNIT BUNION
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Clinic Referral Self SURG 4 UNIT PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURG 4 UNIT PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA

Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance SURG 4 UNIT PAROX VENTRIC TACHYCARD
Emergency Room Ambulance SURG 4 UNIT PAROX VENTRIC TACHYCARD
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 3 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 3 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Ambulance SURG 3 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Clinic Referral Ambulance SURG 3 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance EMERGENCY URINARY OBSTRUCTION NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC

Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-PELVIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER NASAL SINUS POLYP NEC
Clinic Referral Self SURGERY CENTER NASAL SINUS POLYP NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-OPEN
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Admitted as transfer from another unitAmbulance REHAB UNIT CENTRAL NERV SYSTEM COMPLIC
Admitted as transfer from another unitAmbulance REHAB UNIT CENTRAL NERV SYSTEM COMPLIC
Admitted as transfer from another unitAmbulance REHAB UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance MED 2G UNIT HERPES SIMPLEX NOS
Emergency Room Ambulance MED 2G UNIT HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance REHAB UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance REHAB UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS

Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY SPRAIN THORACIC REGION
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT ACUTE INFECTION OF PINNA
Emergency Room Ambulance SURG 3 UNIT ACUTE INFECTION OF PINNA
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 2T UNIT PART EPIL W/O INTR EPIL
Physician Referral Ambulance MED 2T UNIT PART EPIL W/O INTR EPIL
Physician Referral Ambulance MED 2T UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC

Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self REHAB UNIT MALFUNC GU DEV/GRAFT NEC
Clinic Referral Self REHAB UNIT MALFUNC GU DEV/GRAFT NEC
Clinic Referral Self REHAB UNIT MALFUNC GU DEV/GRAFT NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 4 UNIT PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURG 4 UNIT PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURG 4 UNIT PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURG 4 UNIT PARTIAL ANOM PULM VEN CONNEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-SALICYLATES
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW

Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Ambulance REHAB UNIT HEMATOMA COMPLIC PROCEDURE
Clinic Referral Ambulance REHAB UNIT HEMATOMA COMPLIC PROCEDURE
Clinic Referral Ambulance REHAB UNIT HEMATOMA COMPLIC PROCEDURE
Clinic Referral Ambulance REHAB UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance EMERGENCY ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY GENERALIZED PAIN
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ENURESIS NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Emergency Room Ambulance EMERGENCY COLLES’ FRACTURE-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY CONTACT DERMATIT EYELID

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SEXUAL PRECOCITY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance SURG 3 UNIT OTITIS MEDIA NOS
Clinic Referral Ambulance SURG 3 UNIT OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NOS
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NOS
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance SURG 3 UNIT DISEASES OF APPENDIX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASES OF APPENDIX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASES OF APPENDIX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASES OF APPENDIX NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SURG 3 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 3 UNIT ANEMIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACQUIRED ABSENCE TEETH NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE NASOPHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT BENIGN NEO RIBS/STERN/CLAV
Clinic Referral Self SURG 3 UNIT BENIGN NEO RIBS/STERN/CLAV
Clinic Referral Self SURG 3 UNIT BENIGN NEO RIBS/STERN/CLAV
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP

Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT CONSTIPATION NEC
Emergency Room Ambulance SCCA UNIT CONSTIPATION NEC
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NECK-CLOSED
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ENTEROBIASIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SPRAIN HIP AND THIGH NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER ESOPH VARICES W/O BLEED
Clinic Referral Self SURGERY CENTER ESOPH VARICES W/O BLEED
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER STRIDOR
Clinic Referral Self SURGERY CENTER STRIDOR
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY DYSCHROMIA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OLD DISRUPT ANT CRUCIATE
Clinic Referral Self SURGERY CENTER OLD DISRUPT ANT CRUCIATE
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance SURG 3 UNIT ASPHYXIATION/STRANGULAT
Emergency Room Ambulance SURG 3 UNIT ASPHYXIATION/STRANGULAT
Emergency Room Ambulance SURG 3 UNIT ASPHYXIATION/STRANGULAT
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ANUS/RECTUM
Clinic Referral Self SURGERY CENTER CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self SURGERY CENTER CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ADV EFF MED/BIOL SUB NOS

Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Outside Hospital Ambulance MED 2G UNIT HEMANGIOMA NEC
Outside Hospital Ambulance MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY INFECTIOUS ENTERITIS NOS
Clinic Referral Ambulance SCCA UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance SCCA UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W MANIF NEC
Clinic Referral Self MED 1T UNIT DISLOC MULT CERV VERT-CLOSE
Clinic Referral Self MED 1T UNIT DISLOC MULT CERV VERT-CLOSE
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER EXTERNAL OPHTHALMOPLEGIA
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Outside Hospital Ambulance SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Outside Hospital Ambulance SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W GI MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W GI MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W GI MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W GI MANIFEST
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACQ NOSE DEFORMITY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CYSTITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY EDEMA
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY LUMBAGO
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS
Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT STRIDOR
Emergency Room Ambulance MED 1T UNIT STRIDOR
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER INTEST POSTOP NONABSORB
Clinic Referral Self SURGERY CENTER INTEST POSTOP NONABSORB
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA

Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2T UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Physician Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Physician Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Clinic Referral Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Clinic Referral Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Clinic Referral Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance MED 2G UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2G UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2G UNIT CLOSTRIDIUM DIFFICILE
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MASTOIDITIS NOS
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SCCA UNIT CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS

Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SURG 4 UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Emergency Room Ambulance SURG 4 UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Emergency Room Ambulance SURG 4 UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT SYNOVITIS NEC
Emergency Room Ambulance REHAB UNIT SYNOVITIS NEC
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Emergency Room Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS

Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance SCCA UNIT OTHER NONAUTOIMMUN HEMOLYT ANEMIA
Emergency Room Ambulance SCCA UNIT OTHER NONAUTOIMMUN HEMOLYT ANEMIA
Emergency Room Ambulance SCCA UNIT OTHER NONAUTOIMMUN HEMOLYT ANEMIA
Emergency Room Ambulance SCCA UNIT OTHER NONAUTOIMMUN HEMOLYT ANEMIA
Emergency Room Ambulance SCCA UNIT OTHER NONAUTOIMMUN HEMOLYT ANEMIA
Clinic Referral Self SURGERY CENTER FUNC DISORDERS INTESTINE NEC
Clinic Referral Self SURGERY CENTER FUNC DISORDERS INTESTINE NEC
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT SIALOLITHIASIS
Clinic Referral Self SURG 3 UNIT SIALOLITHIASIS
Clinic Referral Self SURG 3 UNIT SIALOLITHIASIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Outside Hospital Ambulance MED 1T UNIT BRAIN ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT BRAIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT DIARRHEA NOS
Emergency Room Ambulance REHAB UNIT DIARRHEA NOS
Clinic Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Clinic Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Clinic Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS FEMUR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance SURG 3 UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 3 UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER ARTHROPATHY NOS-HAND
Clinic Referral Self SURGERY CENTER ARTHROPATHY NOS-HAND
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER MALIG NEO CRANIAL NERVES
Clinic Referral Self SURGERY CENTER MALIG NEO CRANIAL NERVES

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ORTHOSTATIC HYPOTENSION
Emergency Room Ambulance EMERGENCY SPRAIN HIP AND THIGH NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURGERY CENTER MACRODACTYLIA OF TOES
Clinic Referral Self SURGERY CENTER MACRODACTYLIA OF TOES

Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN PHARYNX
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY SCABIES
Outside Hospital Ambulance MED 2G UNIT SEPTICEMIA NOS
Outside Hospital Ambulance MED 2G UNIT SEPTICEMIA NOS
Outside Hospital Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS

Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY COUGH
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT NEONATAL TACHYCARDIA
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT NEONATAL TACHYCARDIA
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT NEONATAL TACHYCARDIA
Emergency Room Ambulance SURG 4 UNIT HYPOTENSION NOS
Emergency Room Ambulance SURG 4 UNIT HYPOTENSION NOS
Emergency Room Ambulance SURG 4 UNIT HYPOTENSION NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Outside Hospital Ambulance SCCA UNIT ACQ HEMOLYTIC ANEMIA NOS
Outside Hospital Ambulance SCCA UNIT ACQ HEMOLYTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT HEREDITARY HEMOLYTIC ANEM NEC
Emergency Room Ambulance SCCA UNIT HEREDITARY HEMOLYTIC ANEM NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance REHAB UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance REHAB UNIT INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance SURG 4 UNIT DIZZINESS AND GIDDINESS
Emergency Room Ambulance SURG 4 UNIT DIZZINESS AND GIDDINESS
Clinic Referral Self SURG 3 UNIT CONGENITAL PES PLANUS
Clinic Referral Self SURG 3 UNIT CONGENITAL PES PLANUS

Clinic Referral Self SURG 3 UNIT CONGENITAL PES PLANUS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Outside Hospital Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Outside Hospital Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Ambulance PICU CH MGR WO ARA W NTR W ST
Clinic Referral Ambulance PICU CH MGR WO ARA W NTR W ST
Clinic Referral Self OBSERVATION UNIT HEPAT B NO COMA W/O HEPAT DELTA CHR
Clinic Referral Self OBSERVATION UNIT HEPAT B NO COMA W/O HEPAT DELTA CHR
Clinic Referral Self OBSERVATION UNIT HEPAT B NO COMA W/O HEPAT DELTA CHR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT DACRYOCYSTITIS NOS
Emergency Room Ambulance MED 2T UNIT DACRYOCYSTITIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Transfer from Critical Access HospitalAmbulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance MED 2G UNIT INTRAVENT HEMORRAGE UNSP GRADE
Outside Hospital Ambulance MED 2G UNIT INTRAVENT HEMORRAGE UNSP GRADE
Outside Hospital Ambulance MED 2G UNIT INTRAVENT HEMORRAGE UNSP GRADE
Physician Referral Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Physician Referral Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC

Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN MOUTH
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT CEREBELLAR ATAXIA NEC
Emergency Room Ambulance MED 2G UNIT CEREBELLAR ATAXIA NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HEAD NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Clinic Referral Ambulance SURG 3 UNIT JOINT PAIN-PELVIS

Clinic Referral Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Clinic Referral Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Clinic Referral Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX DISTAL ULNA-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SIMPL CHR CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER SIALOADENITIS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance PICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance PICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance PICU PATENT DUCTUS ARTERIOSUS

Clinic Referral Self SURG 4 UNIT ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURG 4 UNIT ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURG 4 UNIT ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURGERY CENTER FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Physician Referral Self SURG 4 UNIT OTHER APPENDICITIS
Physician Referral Self SURG 4 UNIT OTHER APPENDICITIS
Physician Referral Self SURG 4 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance SCCA UNIT
Emergency Room Ambulance SCCA UNIT

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Physician Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Clinic Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SCCA UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SCCA UNIT FEVER IN OTHER DISEASES
Clinic Referral Self MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Clinic Referral Self MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Clinic Referral Self SURGERY CENTER SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES WRIST/HAND
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES WRIST/HAND
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC

Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SURGERY CENTER OTHER INTEGUMENT ANOMALIES
Clinic Referral Self SURGERY CENTER OTHER INTEGUMENT ANOMALIES
Emergency Room Ambulance SURG 4 UNIT ACUTE MYOCARDITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE MYOCARDITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE MYOCARDITIS NOS
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY FOOD/VOMIT PNEUMONITIS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W MANIF NEC
Clinic Referral Self SURGERY CENTER MALIG NEO CEREBELLUM NOS
Clinic Referral Self SURGERY CENTER MALIG NEO CEREBELLUM NOS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2T UNIT FLU W MANIFESTATION NEC
Outside Hospital Ambulance MED 2T UNIT FLU W MANIFESTATION NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY GASTROSTOMY COMPLICATION NOS
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Outside Health Care Facility Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Health Care Facility Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURG 4 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURG 4 UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURG 4 UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SCCA UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA

Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE VASC INSUFF INTESTINE
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY MYCOBACTERIAL DIS NEC
Emergency Room Ambulance MED 2G UNIT DELAY CONJUGAT JAUND NOS
Emergency Room Ambulance MED 2G UNIT DELAY CONJUGAT JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS

Emergency Room Ambulance EMERGENCY STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY 2ND DEG BURN LIP
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIS MAGNESIUM METABOLISM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Outside Hospital Ambulance PICU EXTREME IMMATUR 500-749G
Outside Hospital Ambulance PICU EXTREME IMMATUR 500-749G
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SURG 3 UNIT EPISTAXIS
Emergency Room Ambulance SURG 3 UNIT EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF BUTTOCK

Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Emergency Room Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance REHAB UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 1T UNIT INFECTION OF GASTROSTOMY
Clinic Referral Ambulance MED 1T UNIT INFECTION OF GASTROSTOMY
Outside Hospital Ambulance SURG 3 UNIT HYPOTENSION NOS
Outside Hospital Ambulance SURG 3 UNIT HYPOTENSION NOS
Outside Hospital Ambulance SURG 3 UNIT HYPOTENSION NOS
Outside Hospital Ambulance SURG 3 UNIT HYPOTENSION NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Physician Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY SWALLOWED BLOOD SYNDROME
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS

Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FUNC DISORDERS INTESTINE NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN NOS
Emergency Room Ambulance EMERGENCY 1ST DEG BURN BACK
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM INTERNUM
Clinic Referral Self REHAB UNIT ARTHROPATHY NOS-PELVIS
Clinic Referral Self REHAB UNIT ARTHROPATHY NOS-PELVIS
Clinic Referral Self REHAB UNIT ARTHROPATHY NOS-PELVIS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 2G UNIT RESP SYNCYT VIRAL PNEUM
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS

Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2G UNIT DIS MAGNESIUM METABOLISM
Emergency Room Ambulance MED 2G UNIT DIS MAGNESIUM METABOLISM
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Outside Hospital Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Outside Hospital Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT CELLULITIS OF ARM
Emergency Room Ambulance REHAB UNIT CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA

Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT TOPICAL MED DERMATITIS
Emergency Room Ambulance SCCA UNIT TOPICAL MED DERMATITIS
Emergency Room Ambulance SCCA UNIT TOPICAL MED DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY 2ND DEG BURN ARM NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance SURG 3 UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance SURG 3 UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance SURG 3 UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Ambulance SURG 3 UNIT FX LATERAL MALLEOLUS-CLOSE
Clinic Referral Ambulance SURG 3 UNIT FX LATERAL MALLEOLUS-CLOSE
Clinic Referral Ambulance SURG 3 UNIT FX LATERAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK OTHR SPEC FOOD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY IRIDOCYCLITIS NOS
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIS PLASMA PROTEIN MET NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BEHCET’S SYNDROME
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SEXUAL PRECOCITY NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO TRACHEA
Clinic Referral Self SURGERY CENTER BENIGN NEO TRACHEA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance SCCA UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance SCCA UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION

Clinic Referral Self SURG 4 UNIT RESPIRATORY ANOMALY NEC
Clinic Referral Self SURG 4 UNIT RESPIRATORY ANOMALY NEC
Clinic Referral Self SURG 4 UNIT RESPIRATORY ANOMALY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT CONG HIP SUBLUX, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP SUBLUX, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP SUBLUX, UNILAT
Clinic Referral Self SURGERY CENTER ARRESTED DENTAL CARIES
Clinic Referral Self SURGERY CENTER ARRESTED DENTAL CARIES
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER ASCITES NEC
Clinic Referral Self SURGERY CENTER ASCITES NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY 2ND DEG BURN BACK
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY BLACK EYE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS

Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Outside Hospital Ambulance SCCA UNIT MYL SARCOMA WO ACHV RMSN
Outside Hospital Ambulance SCCA UNIT MYL SARCOMA WO ACHV RMSN
Outside Hospital Ambulance SCCA UNIT MYL SARCOMA WO ACHV RMSN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Outside Hospital Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Outside Hospital Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Outside Hospital Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Outside Hospital Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY FX UP RADIUS W ULNA-CLOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER LOWER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER LOWER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR

Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 3 UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURG 3 UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURG 3 UNIT TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Emergency Room Ambulance MED 2G UNIT SIALOADENITIS
Emergency Room Ambulance MED 2G UNIT SIALOADENITIS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance REHAB UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance REHAB UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance MED 2G UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER PALPITATIONS
Clinic Referral Self SURGERY CENTER PALPITATIONS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance REHAB UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Emergency Room Ambulance MED 2G UNIT INTESTINOVESICAL FISTULA
Emergency Room Ambulance MED 2G UNIT INTESTINOVESICAL FISTULA
Emergency Room Ambulance EMERGENCY CYSTIC FIBROS W/O ILEUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT HYPOTHRM-WO LOW ENV TMP
Emergency Room Ambulance REHAB UNIT HYPOTHRM-WO LOW ENV TMP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Emergency Room Ambulance MED 2T UNIT STREP SORE THROAT
Emergency Room Ambulance MED 2T UNIT STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER SOFT TISSUE DISORDER NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE DISORDER NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TIS THORAX
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Physician Referral Ambulance PICU CONGESTIVE HEART FAILURE NOS
Physician Referral Ambulance PICU CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT CROUP

Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER REG ENTERITIS, LG INTEST
Clinic Referral Self SURGERY CENTER REG ENTERITIS, LG INTEST
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT FX TIBIA NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT FX TIBIA NOS-CLOSED
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Physician Referral Ambulance MED 1T UNIT GRAND MAL STATUS
Physician Referral Ambulance MED 1T UNIT GRAND MAL STATUS
Physician Referral Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Outside Hospital Ambulance SURG 3 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 3 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 3 UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance SURG 3 UNIT DIS OF BILIARY TRACT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Physician Referral Ambulance MED 2G UNIT RESPIRATORY COMP NEC
Physician Referral Ambulance MED 2G UNIT RESPIRATORY COMP NEC
Physician Referral Ambulance MED 2G UNIT RESPIRATORY COMP NEC
Emergency Room Ambulance EMERGENCY LUMP OR MASS IN BREAST
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HEADACHE

Clinic Referral Self SURGERY CENTER PUPILLARY MEMBRANES
Clinic Referral Self SURGERY CENTER ASCITES NEC
Clinic Referral Self SURGERY CENTER ASCITES NEC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance SCCA UNIT SHLDR/UPPER ARM INJURY NOS
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Clinic Referral Self SURGERY CENTER VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self MED 1T UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Self MED 1T UNIT POLYART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Outside Health Care Facility Ambulance MED 1T UNIT LOWER LIMB ANOMALY NEC
Outside Health Care Facility Ambulance MED 1T UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURGERY CENTER STRIDOR
Clinic Referral Self SURGERY CENTER STRIDOR
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER APLASTIC ANEMIA NOS
Clinic Referral Self SURGERY CENTER APLASTIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MGR NOS WO NTRC W ST MGR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Emergency Room Ambulance MED 2G UNIT GEN CONVUL EPI INTRACTABLE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY BRONCHUS

Emergency Room Ambulance SURGERY CENTER FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE

Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Physician Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Physician Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Physician Referral Self SURG 4 UNIT MINIMAL CHANGE NEPHROSIS
Physician Referral Self SURG 4 UNIT MINIMAL CHANGE NEPHROSIS
Physician Referral Self SURG 4 UNIT MINIMAL CHANGE NEPHROSIS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Clinic Referral Self PICU SINOATRIAL NODE DYSFUNCT
Clinic Referral Self PICU SINOATRIAL NODE DYSFUNCT
Clinic Referral Self PICU SINOATRIAL NODE DYSFUNCT
Clinic Referral Self PICU SINOATRIAL NODE DYSFUNCT
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Physician Referral Self SURGERY CENTER CATARACT NOS
Physician Referral Self SURGERY CENTER CATARACT NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC

Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM STOMACH
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM STOMACH
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROS PELVIS
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROS PELVIS
Outside Hospital Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER APHAKIA
Clinic Referral Self SURGERY CENTER APHAKIA
Clinic Referral Self REHAB UNIT NONUNION OF FRACTURE
Clinic Referral Self REHAB UNIT NONUNION OF FRACTURE
Clinic Referral Self REHAB UNIT NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER LUMBAGO
Clinic Referral Self SURGERY CENTER LUMBAGO
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHALAZION

Clinic Referral Self SURGERY CENTER CHALAZION
Clinic Referral Self SURGERY CENTER MELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2T UNIT PERINATAL INFECTION NEC
Clinic Referral Self MED 2T UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2T UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2T UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance SURG 4 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC

Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Outside Health Care Facility Self SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY RADIATION GASTROENTERIT
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT URETHRAL STRICTURE NOS
Clinic Referral Self SURG 3 UNIT URETHRAL STRICTURE NOS
Clinic Referral Self SURG 3 UNIT URETHRAL STRICTURE NOS
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN

Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Physician Referral Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER MALIG NEO CEREB VENTRICLE
Clinic Referral Self SURGERY CENTER MALIG NEO CEREB VENTRICLE
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR ABDOM
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR ABDOM
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR ABDOM
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR ABDOM
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR ABDOM
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT SPLEEN INJURY NEC-CLOSED
Emergency Room Ambulance SURG 4 UNIT SPLEEN INJURY NEC-CLOSED
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS/ABSCESS MOUTH
Emergency Room Ambulance MED 1T UNIT CELLULITIS/ABSCESS MOUTH
Clinic Referral Ambulance PICU MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance PICU MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance PICU MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance PICU MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC

Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY VENTRICULAR FIBRILLATION
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FEMUR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance MED 2G UNIT PERITONEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERITONEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERITONEAL ABSCESS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Health Care Facility Ambulance SURG 3 UNIT PERINATAL CONDITION NEC
Outside Health Care Facility Ambulance SURG 3 UNIT PERINATAL CONDITION NEC
Outside Health Care Facility Ambulance SURG 3 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURGERY CENTER MALFUNC CARDIAC PACEMAKE
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PERIPH VASCULAR DIS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Physician Referral Ambulance MED 1T UNIT LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Physician Referral Self SURGERY CENTER ASCITES NEC
Physician Referral Self SURGERY CENTER ASCITES NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Health Care Facility Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Health Care Facility Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance SURG 3 UNIT CROUP
Emergency Room Ambulance SURG 3 UNIT CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC W/O COMA
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF HIP
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY CONTUSION OF UPPER ARM
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Outside Hospital Ambulance MED 1T UNIT ADENOVIRAL PNEUMONIA
Outside Hospital Ambulance MED 1T UNIT ADENOVIRAL PNEUMONIA
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE

Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT APLASTIC ANEMIA NOS
Clinic Referral Self SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Emergency Room Ambulance REHAB UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance REHAB UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance REHAB UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance REHAB UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FRACTURE PATELLA-CLOSED
Emergency Room Ambulance MED 1T UNIT PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT PAIN IN LIMB
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SCCA UNIT GENERALIZED PAIN
Clinic Referral Self SCCA UNIT GENERALIZED PAIN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Physician Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Physician Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Physician Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE

Emergency Room Ambulance SURG 4 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 4 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 4 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY LEUCOCORIA
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY 2ND DEG BURN CHEST WALL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SCCA UNIT HEREDITARY HEMOLYTIC ANEM NOS
Clinic Referral Self SCCA UNIT HEREDITARY HEMOLYTIC ANEM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN

Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self REHAB UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self REHAB UNIT DIFF CONNECT TIS DIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance MED 2T UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Physician Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self MED 2G UNIT DERMATITIS NOS
Clinic Referral Self MED 2G UNIT DERMATITIS NOS
Clinic Referral Self MED 2G UNIT DERMATITIS NOS
Clinic Referral Self MED 2G UNIT DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER VOMITING ALONE

Clinic Referral Self SURGERY CENTER VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SCCA UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURGERY CENTER UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SCCA UNIT MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SCCA UNIT MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SCCA UNIT MYL SARCOMA WO ACHV RMSN
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Health Care Facility Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Health Care Facility Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Emergency Room Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Emergency Room Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT ACUTE NONSUP OTITIS MED NOS
Emergency Room Ambulance MED 1T UNIT ACUTE NONSUP OTITIS MED NOS
Outside Health Care Facility Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE NEC
Outside Health Care Facility Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON

Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER CHALAZION
Clinic Referral Self SURGERY CENTER CHALAZION
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance SURG 3 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 3 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 3 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 3 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Outside Health Care Facility Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Health Care Facility Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2T UNIT HYPOCALCEM/HYPOMAGNES NWBRN
Outside Hospital Ambulance MED 2T UNIT HYPOCALCEM/HYPOMAGNES NWBRN
Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN
Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN
Emergency Room Ambulance SURG 3 UNIT ACUTE PANCREATITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance NICU EXTREME IMMATUR 500-749G
Outside Hospital Ambulance NICU EXTREME IMMATUR 500-749G
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF GROIN
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Outside Hospital Ambulance PICU SHOCK NOS
Outside Hospital Ambulance PICU SHOCK NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SCCA UNIT CONSTIPATION NOS
Emergency Room Ambulance SCCA UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK

Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I UNCONTR UNCOMPL
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BURN OF MOUTH AND PHARYNX
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NEC
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY ACUTE LARYNGITIS WO OBSTRUCTION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY THALASSEMIA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY JAW DISEASE NOS
Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance EMERGENCY ABSCESS OF EYELID
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURG 3 UNIT DERANGE ANT LAT MENISCUS
Clinic Referral Self SURG 3 UNIT DERANGE ANT LAT MENISCUS
Clinic Referral Self SURG 3 UNIT DERANGE ANT LAT MENISCUS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 4 UNIT ACUTE APPEND W PERITONITIS

Clinic Referral Self SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self SURGERY CENTER FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2T UNIT SIALOADENITIS
Emergency Room Ambulance MED 2T UNIT SIALOADENITIS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)
Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)

Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Outside Health Care Facility Ambulance MED 1T UNIT ARTHROPATHY NOS-MULT
Outside Health Care Facility Ambulance MED 1T UNIT ARTHROPATHY NOS-MULT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT RETENTION OF URINE UNSPEC
Emergency Room Ambulance SURG 4 UNIT RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY DERMAT D/T INT AGENT NEC
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE DACRYOCYSTITIS
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY VISUAL LOSS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC

Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES
Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance SURG 3 UNIT CROUP
Emergency Room Ambulance SURG 3 UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Health Care Facility Self SURG 4 UNIT CHOLANGITIS
Outside Health Care Facility Self SURG 4 UNIT CHOLANGITIS
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self MED 1T UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 1T UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 1T UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 1T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 1T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 1T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 1T UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Physician Referral Self PICU SPINAL VESSEL ANOMALY
Physician Referral Self PICU SPINAL VESSEL ANOMALY
Physician Referral Self PICU SPINAL VESSEL ANOMALY
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY THERAPUTIC DRUG MONITORING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN HIP AND THIGH NOS
Clinic Referral Self SURGERY CENTER CHR IRIDOCYCLITIS NOS
Clinic Referral Self SURGERY CENTER CHR IRIDOCYCLITIS NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY FOOT AND TOE
Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Physician Referral Ambulance MED 2G UNIT SWELLING IN HEAD AND NECK
Physician Referral Ambulance MED 2G UNIT SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2T UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA

Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY PART EPIL W/O INTR EPIL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC

Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Clinic Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT ANEMIA IN CHRONIC KIDNEY DISEASE
Emergency Room Ambulance SURG 4 UNIT ANEMIA IN CHRONIC KIDNEY DISEASE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE

Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURGERY CENTER NASAL POLYP NOS
Clinic Referral Self SURGERY CENTER NASAL POLYP NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Outside Hospital Ambulance PICU PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance PICU PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER HEMOPTYSIS
Clinic Referral Self SURGERY CENTER HEMOPTYSIS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Self SURG 4 UNIT ENDOCARD CUSHION DEF NOS
Outside Health Care Facility Self SURG 4 UNIT ENDOCARD CUSHION DEF NOS
Outside Health Care Facility Self SURG 4 UNIT ENDOCARD CUSHION DEF NOS
Outside Health Care Facility Self SURG 4 UNIT ENDOCARD CUSHION DEF NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF FACE
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Clinic Referral Self SURGERY CENTER GREAT VEIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Outside Health Care Facility Self MED 2G UNIT CHRONIC PANCREATITIS

Outside Health Care Facility Self MED 2G UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY ORAL APHTHAE
Emergency Room Ambulance MED 2T UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2T UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY PRIMARY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC
Emergency Room Ambulance PICU SECONDARY MALIG NEO NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND LIP-COMPLICAT
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT NEPHRITIS NEC
Clinic Referral Self SURG 3 UNIT NEPHRITIS NEC
Clinic Referral Self SURG 3 UNIT NEPHRITIS NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURGERY CENTER CONG HIP DISLOC, UNILAT
Clinic Referral Self SURGERY CENTER CONG HIP DISLOC, UNILAT
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC

Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Outside Hospital Ambulance PICU ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance PICU ENDOCARDIAL CUSHION DEF NEC
Physician Referral Self SURGERY CENTER ASCITES NEC
Physician Referral Self SURGERY CENTER ASCITES NEC
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT IRON DEF ANEMIA DIETARY
Emergency Room Ambulance MED 2G UNIT IRON DEF ANEMIA DIETARY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self MED 2G UNIT LIPIDOSES
Clinic Referral Self MED 2G UNIT LIPIDOSES
Clinic Referral Self MED 2G UNIT LIPIDOSES
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2T UNIT INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 4 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 4 UNIT FEMORAL EPIPHYSIOLYSIS

Clinic Referral Self SURGERY CENTER WEBBING OF NECK
Clinic Referral Self SURGERY CENTER WEBBING OF NECK
Clinic Referral Self SURGERY CENTER WEBBING OF NECK
Clinic Referral Self SURGERY CENTER WEBBING OF NECK
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance MED 2T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 2T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT JAW DISEASE NEC
Clinic Referral Self SURG 3 UNIT JAW DISEASE NEC
Clinic Referral Self SURG 3 UNIT JAW DISEASE NEC
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Outside Hospital Self SURG 4 UNIT PORTAL HYPERTENSION
Outside Hospital Self SURG 4 UNIT PORTAL HYPERTENSION
Outside Hospital Self SURG 4 UNIT PORTAL HYPERTENSION
Outside Hospital Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE

Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance PICU OTHER SEQUELA, CHR LIV DIS
Outside Hospital Ambulance PICU OTHER SEQUELA, CHR LIV DIS
Outside Hospital Ambulance PICU OTHER SEQUELA, CHR LIV DIS
Outside Hospital Ambulance PICU OTHER SEQUELA, CHR LIV DIS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Clinic Referral Self SURGERY CENTER MANDIBULAR HYPERPLASIA
Clinic Referral Self SURGERY CENTER MANDIBULAR HYPERPLASIA
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Ambulance SCCA UNIT COMPLIC BONE MARROW TRANSPL
Clinic Referral Ambulance SCCA UNIT COMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self REHAB UNIT MALIG NEOPLASM PELVIC GIRDLE
Clinic Referral Self REHAB UNIT MALIG NEOPLASM PELVIC GIRDLE
Clinic Referral Self REHAB UNIT MALIG NEOPLASM PELVIC GIRDLE
Clinic Referral Self SURG 3 UNIT BENIGN NEO PERITONEUM
Clinic Referral Self SURG 3 UNIT BENIGN NEO PERITONEUM
Clinic Referral Self SURG 3 UNIT BENIGN NEO PERITONEUM
Clinic Referral Self SURG 3 UNIT BENIGN NEO PERITONEUM
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO MOUTH NEC/NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO MOUTH NEC/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABSCESS OF EYELID
Emergency Room Ambulance SURG 3 UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance SURG 3 UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 2G UNIT VISUAL DISTURBANCES NEC
Emergency Room Ambulance MED 2G UNIT VISUAL DISTURBANCES NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY OSTEODYSTROPHY NEC
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Outside Hospital Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Outside Hospital Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Outside Hospital Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS

Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT CONG HIP DEFORMITY NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 2T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PRICKLY HEAT
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 1T UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance MED 1T UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance SURG 3 UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance MED 1T UNIT COMPLIC-DIGESTIVE SYSTEM

Emergency Room Ambulance MED 1T UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT SEC DM WO CMP NT ST UNCN
Emergency Room Ambulance MED 2G UNIT SEC DM WO CMP NT ST UNCN
Emergency Room Ambulance MED 2G UNIT SEC DM WO CMP NT ST UNCN
Emergency Room Ambulance EMERGENCY 1ST DEG BURN CHEST WALL
Emergency Room Ambulance EMERGENCY CONTRACT PELV NOS-UNSPEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Clinic Referral Self REHAB UNIT OTHER APPENDICITIS
Clinic Referral Self REHAB UNIT OTHER APPENDICITIS
Clinic Referral Self REHAB UNIT OTHER APPENDICITIS
Clinic Referral Self REHAB UNIT OTHER APPENDICITIS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT FEVER NOS
Clinic Referral Self SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ECZEMA HERPETICUM
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY CHRONIC RHINITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER AND ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance PICU CARDIAC ARREST
Physician Referral Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URETHRITIS NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT MECH COMPL-PERITONEAL DIALY CATHETR
Emergency Room Ambulance SURG 3 UNIT MECH COMPL-PERITONEAL DIALY CATHETR
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance MED 1T UNIT TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Outside Health Care Facility Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Outside Health Care Facility Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Clinic Referral Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY TINNITUS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 1T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 1T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 1T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM BREAST
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM BREAST
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX

Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Physician Referral Ambulance SURG 4 UNIT CHR PYELONEPHRITIS NOS
Physician Referral Ambulance SURG 4 UNIT CHR PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURGERY CENTER AFTERCARE FOLLOWING ORGAN TRANSPLANT
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER PATELLAR TENDINITIS
Clinic Referral Self SURGERY CENTER PATELLAR TENDINITIS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2T UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2T UNIT CONGENITAL INFEC NEC
Outside Hospital Ambulance MED 2T UNIT CONGENITAL INFEC NEC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC

Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Ambulance MED 1T UNIT COMBINED IMMUNITY DEFIC
Clinic Referral Ambulance MED 1T UNIT COMBINED IMMUNITY DEFIC
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Ambulance SURG 3 UNIT ALPHA-1-ANTITRYPSIN DEFICIENCY
Clinic Referral Ambulance SURG 3 UNIT ALPHA-1-ANTITRYPSIN DEFICIENCY
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HEARTBURN
Clinic Referral Self SURGERY CENTER HEARTBURN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance SURG 4 UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance SURG 4 UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance SURG 4 UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance SURG 4 UNIT RESP SYNCYT VIRAL PNEUM
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Outside Hospital Ambulance MED 2G UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 2G UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOREARM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CYST OF BONE NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM

Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER SPRAIN RADIOCARPAL
Clinic Referral Self SURGERY CENTER SPRAIN RADIOCARPAL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self MED 1T UNIT VRNT MGRN WO NTR MGR NEC
Clinic Referral Self MED 1T UNIT VRNT MGRN WO NTR MGR NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED

Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Ambulance SCCA UNIT PSEUDOMONAS SEPTICEMIA
Clinic Referral Ambulance SCCA UNIT PSEUDOMONAS SEPTICEMIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER FX METACARPAL NOS-CLOSED
Clinic Referral Self SURGERY CENTER FX METACARPAL NOS-CLOSED
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Emergency Room Ambulance MED 1T UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 1T UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 1T UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 1T UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Clinic Referral Self SURG 3 UNIT ACUTE ETHMOIDAL SINUSITIS
Clinic Referral Self SURG 3 UNIT ACUTE ETHMOIDAL SINUSITIS
Clinic Referral Self SURG 3 UNIT ACUTE ETHMOIDAL SINUSITIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance PICU HEART FAILURE NOS

Emergency Room Ambulance PICU HEART FAILURE NOS
Emergency Room Ambulance PICU HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY BURN NOS HAND-UNSPEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY
Outside Hospital Ambulance MED 2G UNIT PART EPIL W/O INTR EPIL
Outside Hospital Ambulance MED 2G UNIT PART EPIL W/O INTR EPIL
Outside Hospital Ambulance MED 2G UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NYSTAGMUS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP

Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY MONTEGGIA’S FX-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY COMPLIC MED CARE NEC/NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY GI NOS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2T UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance MED 2T UNIT NEONAT JAUND PRETERM DEL
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Ambulance SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED

Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance SURG 4 UNIT CHR PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT CHR PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS
Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 2T UNIT PARALYTIC ILEUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TEETHING SYNDROME
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Health Care Facility Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Outside Health Care Facility Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Outside Health Care Facility Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Outside Health Care Facility Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NOS

Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NOS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance SURG 3 UNIT REG ENTERITIS, SM INTEST
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN ELBOW
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT JAUNDICE NOS
Emergency Room Ambulance MED 1T UNIT JAUNDICE NOS
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Clinic Referral Self SURG 3 UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE II W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN NOS
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self REHAB UNIT
Clinic Referral Self REHAB UNIT
Clinic Referral Self REHAB UNIT
Clinic Referral Self REHAB UNIT
Clinic Referral Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OBSERVATION UNIT PORTAL HYPERTENSION
Clinic Referral Self OBSERVATION UNIT PORTAL HYPERTENSION
Clinic Referral Self OBSERVATION UNIT PORTAL HYPERTENSION
Clinic Referral Self OBSERVATION UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Outside Health Care Facility Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Outside Health Care Facility Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Outside Health Care Facility Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance SURG 4 UNIT GRAND MAL STATUS
Outside Hospital Ambulance SURG 4 UNIT GRAND MAL STATUS
Outside Hospital Ambulance SURG 4 UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Ambulance MED 2T UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Ambulance MED 2T UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Physician Referral Self SCCA UNIT SECOND MALIG NEO PLEURA
Physician Referral Self SCCA UNIT SECOND MALIG NEO PLEURA
Physician Referral Self SCCA UNIT SECOND MALIG NEO PLEURA
Emergency Room Ambulance EMERGENCY HEADACHE
Physician Referral Self REHAB UNIT BENIGN NEOPLASM KIDNEY
Physician Referral Self REHAB UNIT BENIGN NEOPLASM KIDNEY
Physician Referral Self REHAB UNIT BENIGN NEOPLASM KIDNEY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance MED 1T UNIT SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY VERTICAL DISPLACEMENT TEETH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA
Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF DIGEST SYST, NEC

Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF DIGEST SYST, NEC
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self REHAB UNIT CHRONIC LYMPHADENITIS
Clinic Referral Self REHAB UNIT CHRONIC LYMPHADENITIS
Clinic Referral Self REHAB UNIT CHRONIC LYMPHADENITIS
Clinic Referral Self REHAB UNIT CHRONIC LYMPHADENITIS
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BENIGN NEO PELVIC GIRDLE
Clinic Referral Self SURG 3 UNIT BENIGN NEO PELVIC GIRDLE
Clinic Referral Self SURG 3 UNIT BENIGN NEO PELVIC GIRDLE
Clinic Referral Self SURG 3 UNIT CONGEN SINGLE RENAL CYST
Clinic Referral Self SURG 3 UNIT CONGEN SINGLE RENAL CYST
Clinic Referral Self SURG 3 UNIT CONGEN SINGLE RENAL CYST
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2T UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance MED 2T UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self MED 1T UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self MED 1T UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self MED 1T UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self MED 1T UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN GENERALIZED
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER SYSTEMIC LUPUS ERYTHEMATOSUS

Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self REHAB UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self REHAB UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Outside Hospital Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Outside Hospital Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Outside Hospital Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Self SCCA UNIT ADULT FAILURE TO THRIVE
Clinic Referral Self SCCA UNIT ADULT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Physician Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY IMPETIGO

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT UNILA
Physician Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT UNILA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self MED 2G UNIT OTHER APPENDICITIS
Clinic Referral Self MED 2G UNIT OTHER APPENDICITIS
Clinic Referral Self MED 2G UNIT OTHER APPENDICITIS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 1T UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Physician Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self MED 2G UNIT HYPOTENSION NOS
Clinic Referral Self MED 2G UNIT HYPOTENSION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Physician Referral Self SURGERY CENTER ARTERIAL DISEASE NEC
Physician Referral Self SURGERY CENTER ARTERIAL DISEASE NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CHRONIC SINUSITIS NEC
Emergency Room Ambulance MED 2G UNIT CHRONIC SINUSITIS NEC
Emergency Room Ambulance EMERGENCY PERIODONTAL DISEASE NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance MED 2T UNIT OTHER ULCERATIVE COLITIS
Emergency Room Ambulance MED 2T UNIT OTHER ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY MALARIA NOS
Emergency Room Ambulance EMERGENCY BRAIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTOSCLER-OVAL WND NONOBL
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT FEVER NOS
Clinic Referral Self SCCA UNIT FEVER NOS
Clinic Referral Self SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABNORMAL CLINICAL FINDING NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED

Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTHR CONG MULTI SYSTEM SYND
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT MONTEGGIA’S FX-CLOSED
Clinic Referral Self REHAB UNIT MONTEGGIA’S FX-CLOSED
Clinic Referral Self REHAB UNIT MONTEGGIA’S FX-CLOSED
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY BURN NOS LEG-UNSPEC
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT CHRONIC SINUSITIS NOS
Emergency Room Ambulance MED 2G UNIT CHRONIC SINUSITIS NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance SURG 4 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Outside Health Care Facility Self SURG 4 UNIT COARCTATION OF AORTA

Outside Health Care Facility Self SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Clinic Referral Self SURGERY CENTER UNC BEHAV NEO INTESTINE
Clinic Referral Self SURGERY CENTER UNC BEHAV NEO INTESTINE
Emergency Room Ambulance EMERGENCY DERMATITIS FACTITIA
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER PATH RESORPTION TEETH, INTERNAL
Clinic Referral Self SURGERY CENTER PATH RESORPTION TEETH, INTERNAL
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER LOCAL SKIN INFECTION NOS
Clinic Referral Self SURGERY CENTER LOCAL SKIN INFECTION NOS
Clinic Referral Ambulance SURGERY CENTER INFLAMMATION OF JAW
Clinic Referral Ambulance SURGERY CENTER INFLAMMATION OF JAW
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC

Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT NERV ROOT/PLEXUS DIS NEC
Clinic Referral Self REHAB UNIT NERV ROOT/PLEXUS DIS NEC
Clinic Referral Self REHAB UNIT NERV ROOT/PLEXUS DIS NEC
Emergency Room Ambulance MED 2G UNIT CEREBRAL THROMB CEREBRAL INFARCT
Emergency Room Ambulance MED 2G UNIT CEREBRAL THROMB CEREBRAL INFARCT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURGERY CENTER CONGENITAL PULMON VALV ATRESIA
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER CONSTITUTION RBC APLASIA
Clinic Referral Self SURGERY CENTER CONSTITUTION RBC APLASIA
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Physician Referral Self SCCA UNIT PERITONEAL ABSCESS
Physician Referral Self SCCA UNIT PERITONEAL ABSCESS
Physician Referral Self SCCA UNIT PERITONEAL ABSCESS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY POISONING-CNS STIMULANTS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURG 4 UNIT PANCYTOPENIA
Clinic Referral Self SURG 4 UNIT PANCYTOPENIA
Clinic Referral Self SURG 4 UNIT PANCYTOPENIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Outside Hospital Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Outside Hospital Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Outside Hospital Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Outside Hospital Ambulance MED 2T UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CARDIAC ARREST
Outside Hospital Ambulance MED 2T UNIT TOXIC EFFECT ETHYL ALCOHOL
Outside Hospital Ambulance MED 2T UNIT TOXIC EFFECT ETHYL ALCOHOL
Outside Hospital Ambulance MED 2T UNIT TOXIC EFFECT ETHYL ALCOHOL
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT BLINDNESS NOS, BOTH EYES
Emergency Room Ambulance MED 2G UNIT BLINDNESS NOS, BOTH EYES
Outside Hospital Ambulance SURG 4 UNIT HYPOXEMIA
Outside Hospital Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COMMUNIC DIS CONTACT NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 4 UNIT UMBILICAL HERNIA
Clinic Referral Self SURG 4 UNIT UMBILICAL HERNIA
Clinic Referral Self SURG 4 UNIT UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK UNSPEC FOOD
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK UNSPEC FOOD
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC

Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self SURG 3 UNIT CEREBROVASCULAR ANOMALY
Clinic Referral Self SURG 3 UNIT CEREBROVASCULAR ANOMALY
Clinic Referral Self SURG 3 UNIT CEREBROVASCULAR ANOMALY
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT GLOSSITIS
Emergency Room Ambulance MED 1T UNIT GLOSSITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 2T UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2T UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH

Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Emergency Room Ambulance REHAB UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance REHAB UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY TOXIC EFFECT SOAP/DETERGENT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN KNEE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY ERYSIPELAS
Clinic Referral Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY LACRIMAL MUCOCELE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 4 UNIT UNILAT ING HERNIA W OBST

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT LARYNGEAL SPASM
Emergency Room Ambulance MED 2G UNIT LARYNGEAL SPASM
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance SURG 4 UNIT THERAPUTIC DRUG MONITORING
Emergency Room Ambulance SURG 4 UNIT THERAPUTIC DRUG MONITORING
Emergency Room Ambulance SURG 4 UNIT THERAPUTIC DRUG MONITORING
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Emergency Room Ambulance EMERGENCY BONE/SKIN NEOPLASM NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS

Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Outside Hospital Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Emergency Room Ambulance EMERGENCY INJURY NERVE PELV/LEG NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY URETHRAL FISTULA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Admitted as transfer from another unitSelf SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Admitted as transfer from another unitSelf SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY 2ND DEG BURN BACK
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance MED 2T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER INTERMIT ALTRN ESOTROPIA
Clinic Referral Self SURGERY CENTER INTERMIT ALTRN ESOTROPIA
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY PULMONARY COLLAPSE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS

Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance MED 2G UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SCCA UNIT STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SCCA UNIT STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY BURN NOS HAND-MULTIPLE
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Ambulance PICU CHRONIC PAIN NEC
Physician Referral Ambulance PICU CHRONIC PAIN NEC
Emergency Room Ambulance MED 2T UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance MED 2T UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY BONE/SKIN NEOPLASM NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SCCA UNIT HYPOTENSION NOS
Emergency Room Ambulance SCCA UNIT HYPOTENSION NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance REHAB UNIT VIRAL ENCEPHALITIS NEC
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance SURG 3 UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 1T UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 1T UNIT CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PATHOLOGIC FX ANKLE NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPONDYLOS NOS W/O MYELOP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTH SYMPTM URINARY SYSTM
Emergency Room Ambulance EMERGENCY CONTUSION SCAPUL REGION
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEADACHE

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRAVSTN VESICANT CHEMO
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CANDIDAL ESOPHAGITIS
Clinic Referral Self SURGERY CENTER CANDIDAL ESOPHAGITIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHITIS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHITIS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Clinic Referral Self SURGERY CENTER DIARRHEA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY COUGH
Outside Health Care Facility Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Health Care Facility Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT TEAR MENISCUS NEC-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MENISCUS NEC-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MENISCUS NEC-CURRENT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN

Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL POLYP
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY THROAT PAIN
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SCCA UNIT HYPOTENSION NOS
Clinic Referral Self SCCA UNIT HYPOTENSION NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance REHAB UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance REHAB UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURG 4 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 4 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 4 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 4 UNIT COMPLIC-URINARY TRACT

Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance MED 2G UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PARAPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 2G UNIT BACTEREMIA NOS
Clinic Referral Self MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Clinic Referral Self MED 2T UNIT HYPOXEMIA
Clinic Referral Self MED 2T UNIT HYPOXEMIA
Clinic Referral Self MED 2T UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 1T UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2G UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self MED 2G UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY ABRASION FINGER
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SOMAT DYS HEAD REGION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OSTEOGENESIS IMPERFECTA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE URI MULT SITES NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 1T UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 1T UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 1T UNIT UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY DRUG DERMATITIS NOS
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT CLOSTRIDIUM DIFFICILE
Clinic Referral Self SCCA UNIT CLOSTRIDIUM DIFFICILE

Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL BASE FRACTURE
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL BASE FRACTURE
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL BASE FRACTURE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Physician Referral Self SURGERY CENTER ASCITES NEC
Physician Referral Self SURGERY CENTER ASCITES NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Outside Health Care Facility Ambulance MED 2G UNIT APLASTIC ANEMIA NOS
Outside Health Care Facility Ambulance MED 2G UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Clinic Referral Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY AUTONOMIC NERVE DIS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Health Care Facility Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG

Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance MED 2G UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER ESOPHAGITIS OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 4 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY WHEEZING
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIATES NEC
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIATES NEC
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIATES NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Outside Hospital Ambulance SURG 4 UNIT CHOLECYSTITIS NOS
Outside Hospital Ambulance SURG 4 UNIT CHOLECYSTITIS NOS
Outside Hospital Ambulance SURG 4 UNIT CHOLECYSTITIS NOS
Outside Hospital Ambulance SURG 4 UNIT CHOLECYSTITIS NOS
Clinic Referral Self SURG 3 UNIT LONGITUD DEFIC RADIUS

Clinic Referral Self SURG 3 UNIT LONGITUD DEFIC RADIUS
Clinic Referral Self SURG 3 UNIT LONGITUD DEFIC RADIUS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self PICU BILAT CLFT PALAT/LIP-COM
Clinic Referral Self PICU BILAT CLFT PALAT/LIP-COM
Clinic Referral Self PICU BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY PITYRIASIS ROSEA
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC

Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 4 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 4 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Physician Referral Self SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Physician Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Physician Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY POISONING-ANALGES/ANTIPYR NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance MED 1T UNIT AGENESIS OF LUNG
Emergency Room Ambulance MED 1T UNIT AGENESIS OF LUNG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE

Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER DYSKINESIA OF ESOPHAGUS
Clinic Referral Self SURGERY CENTER DYSKINESIA OF ESOPHAGUS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance NICU CROUP
Emergency Room Ambulance NICU CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY OPEN WOUND JAW-COMPLICAT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TIS ABDOMEN
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-ANTIALLRG/ANTIEMET
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE II-UNCOMPL
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance SURG 4 UNIT HEMOPTYSIS
Emergency Room Ambulance SURG 4 UNIT HEMOPTYSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Physician Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Physician Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY IRON DEFIC ANEMIA NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PHARYNGITIS
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA NOS
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA NOS
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS

Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Emergency Room Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Ambulance SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Ambulance SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY RADIOLOGICAL EXAM NEC
Emergency Room Ambulance MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FOOT
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FOOT
Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC FOOT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE

Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY GU INFECTION IN PREG-UNSPEC
Emergency Room Ambulance PICU SEPTICEMIA NOS
Emergency Room Ambulance PICU SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY PERIPH VASCULAR DIS NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Physician Referral Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Physician Referral Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF PHARYNX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Physician Referral Self SCCA UNIT RENAL AND URETERAL DIS NOS
Physician Referral Self SCCA UNIT RENAL AND URETERAL DIS NOS
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS UNI
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS UNI
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM LG BOWEL
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM LG BOWEL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX

Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance MED 1T UNIT CHRONIC PANCREATITIS
Emergency Room Ambulance MED 1T UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SCCA UNIT ANEMIA-OTHER CHRONIC DIS
Emergency Room Ambulance SCCA UNIT ANEMIA-OTHER CHRONIC DIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SURG 3 UNIT FLU W MANIFESTATION NEC
Emergency Room Ambulance SURG 3 UNIT FLU W MANIFESTATION NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance NICU RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance NICU RESPIRATORY DISTRESS SYN
Emergency Room Ambulance MED 2G UNIT BEHCET’S SYNDROME
Emergency Room Ambulance MED 2G UNIT BEHCET’S SYNDROME

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance SURG 3 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSED SKULL VLT FX W/O COMA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY IMPETIGO
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 1T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance REHAB UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance REHAB UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Physician Referral Ambulance MED 1T UNIT DERMATITIS NOS
Physician Referral Ambulance MED 1T UNIT DERMATITIS NOS
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Outside Hospital Ambulance SCCA UNIT SYNCOPE AND COLLAPSE
Outside Hospital Ambulance SCCA UNIT SYNCOPE AND COLLAPSE
Outside Hospital Ambulance SCCA UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Outside Hospital Ambulance PICU RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance PICU RESPIRATORY DISTRESS SYN
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Physician Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Physician Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Physician Referral Self SURG 4 UNIT RENAL ARTERY ATHEROSCLEROSIS
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT URETHRAL FISTULA
Clinic Referral Self SURG 3 UNIT URETHRAL FISTULA
Clinic Referral Self SURG 3 UNIT URETHRAL FISTULA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Clinic Referral Self SURGERY CENTER PRIM PULM HYPERTENSION
Clinic Referral Self SURGERY CENTER PRIM PULM HYPERTENSION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Ambulance SURG 4 UNIT HERPES ZOSTER NOS
Clinic Referral Ambulance SURG 4 UNIT HERPES ZOSTER NOS
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC

Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Clinic Referral Self REHAB UNIT ANOMALY OF SPINE NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance MED 2T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance EMERGENCY LUMBOSACRAL SPONDYLOSIS
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY POLYPHAGIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Physician Referral Ambulance SURGERY CENTER OLD FOREIGN BODY, EYELID
Physician Referral Ambulance SURGERY CENTER OLD FOREIGN BODY, EYELID
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY POST-TRAUMA HEADACHE NOS
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance MED 1T UNIT SWELLING IN HEAD AND NECK
Emergency Room Ambulance MED 1T UNIT SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Physician Referral Ambulance PICU DIS IRON METABOLISM
Clinic Referral Self PICU CEREBRAL CYSTS
Clinic Referral Self PICU CEREBRAL CYSTS
Clinic Referral Self PICU CEREBRAL CYSTS

Clinic Referral Self SURG 3 UNIT HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT HEARING LOSS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY COMPLIC MED CARE NEC/NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BDY FOOT/TOE-INFEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance MED 2G UNIT 2ND DEG BURN ANKLE
Emergency Room Ambulance MED 2G UNIT 2ND DEG BURN ANKLE
Emergency Room Ambulance MED 2G UNIT 2ND DEG BURN ANKLE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY BURN NOS CHEST WALL
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY VACCINE FOR RABIES
Clinic Referral Self SURG 3 UNIT OTHER SPEC JAW SIZE ANOMALY
Clinic Referral Self SURG 3 UNIT OTHER SPEC JAW SIZE ANOMALY
Clinic Referral Self SURG 3 UNIT OTHER SPEC JAW SIZE ANOMALY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACCOMMODATIVE ESOTROPIA
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT RETENTION OF URINE OTHER SPECIFIED
Emergency Room Ambulance MED 2T UNIT RETENTION OF URINE OTHER SPECIFIED
Physician Referral Ambulance MED 2T UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance SURG 4 UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance SURG 4 UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance SURG 4 UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY HYPOTHRM-WO LOW ENV TMP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY RETENTION OF URINE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URINARY TRACT DIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY KERATITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Outside Hospital Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance MED 1T UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS

Outside Health Care Facility Ambulance MED 2G UNIT EMPYEMA W/O FISTULA
Outside Health Care Facility Ambulance MED 2G UNIT EMPYEMA W/O FISTULA
Outside Health Care Facility Ambulance MED 2G UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT CAMPYLOBACTER ENTERITIS
Emergency Room Ambulance MED 2G UNIT CAMPYLOBACTER ENTERITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ABN FIND-STOOL CONTENTS-OCC BLOOD
Clinic Referral Self SCCA UNIT HODG NODUL SCLERO MULT
Clinic Referral Self SCCA UNIT HODG NODUL SCLERO MULT
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Admitted as transfer from another unitSelf SCCA UNIT COMPLIC BONE MARROW TRANSPL
Admitted as transfer from another unitSelf SCCA UNIT COMPLIC BONE MARROW TRANSPL
Admitted as transfer from another unitSelf SCCA UNIT COMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY SALMONELLA ENTERITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK FROM FISH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE

Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY OTALGIA NOS

Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Outside Health Care Facility Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Health Care Facility Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Health Care Facility Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHRONC GINGITITIS,PLAQUE
Clinic Referral Self SURGERY CENTER CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Physician Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Physician Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Outside Hospital Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Clinic Referral Ambulance PICU CHRONIC PAIN NEC
Clinic Referral Ambulance PICU CHRONIC PAIN NEC

Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT CARDIAC ARREST
Emergency Room Ambulance SURG 4 UNIT CARDIAC ARREST
Clinic Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Clinic Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER TRAUMATIC CATARACT NOS
Clinic Referral Self SURGERY CENTER TRAUMATIC CATARACT NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance SURG 4 UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT CONJOINED TWINS
Clinic Referral Ambulance SURG 3 UNIT CONJOINED TWINS
Clinic Referral Ambulance SURG 3 UNIT CONJOINED TWINS
Clinic Referral Ambulance SURG 3 UNIT CONJOINED TWINS
Clinic Referral Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FOLLOW-UP EXAM NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EDEMA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY LICHEN NITIDUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC

Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Outside Hospital Ambulance SCCA UNIT DISORDERS OF METAB NEC
Outside Hospital Ambulance SCCA UNIT DISORDERS OF METAB NEC
Outside Hospital Ambulance SCCA UNIT DISORDERS OF METAB NEC
Outside Hospital Ambulance SCCA UNIT DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER JOINT DERANGEMENT NEC-HAND
Clinic Referral Self SURGERY CENTER JOINT DERANGEMENT NEC-HAND
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH

Emergency Room Ambulance EMERGENCY ROUTIN CHILD HEALTH EXAM
Emergency Room Ambulance EMERGENCY ROUTIN CHILD HEALTH EXAM
Emergency Room Ambulance EMERGENCY ROUTIN CHILD HEALTH EXAM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Ambulance SURG 4 UNIT INTUSSUSCEPTION
Physician Referral Ambulance SURG 4 UNIT INTUSSUSCEPTION
Clinic Referral Ambulance SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Ambulance SURGERY CENTER UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DYSCHROMIA UNSPECIFIED
Emergency Room Ambulance EMERGENCY GINGIV/PERIODONT DIS NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE

Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF SKIN AND SUBCUT, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF SKIN AND SUBCUT, NEC
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY GROSS HEMATURIA
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT ADENOVIRAL PNEUMONIA
Emergency Room Ambulance MED 2T UNIT ADENOVIRAL PNEUMONIA
Outside Hospital Ambulance MED 1T UNIT NEONATAL THROMBOCYTOPEN
Outside Hospital Ambulance MED 1T UNIT NEONATAL THROMBOCYTOPEN
Outside Hospital Ambulance MED 1T UNIT NEONATAL THROMBOCYTOPEN
Emergency Room Ambulance MED 2G UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Physician Referral Ambulance MED 2T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 2T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY HAND-INFECTION
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY HAND-INFECTION
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY HAND-INFECTION
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY HAND-INFECTION

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2T UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2T UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2T UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2T UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-ANKLE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF SACRUM
Emergency Room Ambulance EMERGENCY BUPHTHALMOS NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)
Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)
Clinic Referral Self SCCA UNIT CHRONIC KIDNEY DISEASE, STAGE III (MOD)
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 1T UNIT OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance MED 1T UNIT OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance MED 1T UNIT OTHER ALTERATION OF CONSCIOUSNESS

Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self REHAB UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER FX FACIAL BONE NEC-CLOSE
Clinic Referral Self SURGERY CENTER FX FACIAL BONE NEC-CLOSE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Physician Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER LIPOMA SKIN NEC
Clinic Referral Self SURGERY CENTER LIPOMA SKIN NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL STRICTURE
Emergency Room Ambulance SURG 3 UNIT LARYNGEAL SPASM
Emergency Room Ambulance SURG 3 UNIT LARYNGEAL SPASM
Clinic Referral Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC

Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-MULT JTS
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-MULT JTS
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-MULT JTS
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER MYELOID LEUKEMIA NOS IN REMISSION
Clinic Referral Self SURGERY CENTER MYELOID LEUKEMIA NOS IN REMISSION
Clinic Referral Self SURGERY CENTER CONGEN URETHRAL STENOSIS
Clinic Referral Self SURGERY CENTER CONGEN URETHRAL STENOSIS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance REHAB UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance REHAB UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Clinic Referral Self SCCA UNIT HYPOTENSION NOS

Clinic Referral Self SCCA UNIT HYPOTENSION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Physician Referral Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT CEREBR ART OCCL UNSPEC W INFARCT
Emergency Room Ambulance SURG 4 UNIT CEREBR ART OCCL UNSPEC W INFARCT
Emergency Room Ambulance SURG 4 UNIT CEREBR ART OCCL UNSPEC W INFARCT
Emergency Room Ambulance SURG 4 UNIT CEREBR ART OCCL UNSPEC W INFARCT
Emergency Room Ambulance SURG 4 UNIT CEREBR ART OCCL UNSPEC W INFARCT
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER GLAUCOMA W SYSTEMIC SYND
Clinic Referral Self SURGERY CENTER GLAUCOMA W SYSTEMIC SYND
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX

Emergency Room Ambulance EMERGENCY DENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Clinic Referral Ambulance SURG 4 UNIT HEMANGIOMA SKIN
Clinic Referral Ambulance SURG 4 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER DIS CALCIUM METABOLISM NEC
Clinic Referral Self SURGERY CENTER DIS CALCIUM METABOLISM NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Physician Referral Self SURGERY CENTER REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEMICAL BURN PERIOCULAR
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY PAIN IN LIMB

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CYSTS OF EYELIDS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self REHAB UNIT CONSTIPATION NOS
Clinic Referral Self REHAB UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER ALT ESOTROPIA W A PATTRN
Clinic Referral Self SURGERY CENTER ALT ESOTROPIA W A PATTRN
Outside Hospital Ambulance MED 1T UNIT VASC COMP MED CARE NEC
Outside Hospital Ambulance MED 1T UNIT VASC COMP MED CARE NEC
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY APHASIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SUPERFIC INJ TRUNK NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE

Emergency Room Ambulance EMERGENCY ATTEN TO URINOSTOMY NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT LARYNGEAL SPASM
Emergency Room Ambulance MED 1T UNIT LARYNGEAL SPASM
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self MED 2T UNIT NEPHRITIS NOS
Clinic Referral Self MED 2T UNIT NEPHRITIS NOS
Clinic Referral Self MED 2T UNIT NEPHRITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Clinic Referral Self REHAB UNIT CHONDRODYSTROPHY
Clinic Referral Self REHAB UNIT CHONDRODYSTROPHY
Clinic Referral Self REHAB UNIT CHONDRODYSTROPHY
Clinic Referral Self REHAB UNIT CHONDRODYSTROPHY
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance NICU SUBDURAL HEMORRH W/O COMA
Physician Referral Ambulance NICU SUBDURAL HEMORRH W/O COMA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Clinic Referral Self SURGERY CENTER LEFT SIDED ULCERATIVE COLITIS
Clinic Referral Self SURGERY CENTER LEFT SIDED ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT DENTAL DISORDER NEC
Clinic Referral Self SURG 3 UNIT DENTAL DISORDER NEC
Clinic Referral Self SURG 3 UNIT DENTAL DISORDER NEC
Clinic Referral Self SURG 3 UNIT DENTAL DISORDER NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance MED 2G UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PARALYTIC PTOSIS
Clinic Referral Self SURGERY CENTER PARALYTIC PTOSIS
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CYANOSIS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE

Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURGERY CENTER CONGEN HIP DISLOC, BILAT
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT PATHOLOGIC FX ANKLE NOS
Clinic Referral Self SURG 3 UNIT PATHOLOGIC FX ANKLE NOS
Clinic Referral Self SURG 3 UNIT PATHOLOGIC FX ANKLE NOS
Clinic Referral Self MED 2G UNIT VOCAL CORD DISEASE NEC
Clinic Referral Self MED 2G UNIT VOCAL CORD DISEASE NEC
Clinic Referral Self MED 2G UNIT VOCAL CORD DISEASE NEC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT HYPOTENSION NOS
Emergency Room Ambulance SCCA UNIT HYPOTENSION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Outside Hospital Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Outside Hospital Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Outside Hospital Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Outside Hospital Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SURGERY CENTER LUMBOSACRAL NEURITIS NOS
Clinic Referral Self SURGERY CENTER LUMBOSACRAL NEURITIS NOS
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Clinic Referral Self SURGERY CENTER SEPTAL CLOSURE ANOM NEC
Clinic Referral Self SURGERY CENTER SEPTAL CLOSURE ANOM NEC
Physician Referral Self SURGERY CENTER IMPACTION INTESTINE NEC
Physician Referral Self SURGERY CENTER IMPACTION INTESTINE NEC
Emergency Room Ambulance EMERGENCY KERATODERMA, ACQUIRED
Emergency Room Ambulance EMERGENCY POISONING-PHENOTHIAZINE TRANQ
Outside Hospital Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Outside Hospital Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Outside Hospital Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Outside Hospital Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Emergency Room Ambulance SURG 4 UNIT POLYCYST KIDN, AUTOSOM RECESS
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Clinic Referral Self SURGERY CENTER SPEECH DISTURBANCE NEC
Clinic Referral Self SURGERY CENTER SPEECH DISTURBANCE NEC
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Physician Referral Self SURGERY CENTER HYPERTENSION NOS
Physician Referral Self SURGERY CENTER HYPERTENSION NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM KIDNEY
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM KIDNEY
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM KIDNEY
Emergency Room Ambulance EMERGENCY ATTN REM SURG DRESSING
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS

Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER TMJ DISORD OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER TMJ DISORD OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION

Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ANOMALIES OF URACHUS
Emergency Room Ambulance SURG 3 UNIT ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURGERY CENTER CYSTOURETHRAL ANOM NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK

Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Clinic Referral Self SURGERY CENTER GASTRODUODENAL DIS NEC
Clinic Referral Self SURGERY CENTER GASTRODUODENAL DIS NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Clinic Referral Self REHAB UNIT FRACTURE PATELLA-CLOSED
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER EXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Clinic Referral Ambulance SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Ambulance SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2T UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2T UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2T UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2T UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2T UNIT SHIGELLA FLEXNERI
Emergency Room Ambulance MED 2T UNIT SHIGELLA FLEXNERI
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance SURG 4 UNIT ENDOCARD FIBROELASTOSIS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARD FIBROELASTOSIS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARD FIBROELASTOSIS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARD FIBROELASTOSIS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARD FIBROELASTOSIS
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Transfer from Critical Access HospitalSelf SURG 4 UNIT PORTAL HYPERTENSION
Transfer from Critical Access HospitalSelf SURG 4 UNIT PORTAL HYPERTENSION
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM RETROPERITONEUM
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM RETROPERITONEUM
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK

Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT SCLEREMA NEONATORUM
Emergency Room Ambulance MED 2G UNIT SCLEREMA NEONATORUM
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY SLEEP APNEA NOS
Emergency Room Ambulance EMERGENCY POISONING-PROPIONIC ACID DERIV
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NEC
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACQ PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT ACQ PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT ACQ PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA

Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 4 UNIT PERITONITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY GROSS HEMATURIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN THIGH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY TONGUE DISORDER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HYPERVENTILATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Physician Referral Ambulance MED 1T UNIT APNEA
Physician Referral Ambulance MED 1T UNIT APNEA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance MED 2G UNIT ANAL FISSURE
Emergency Room Ambulance MED 2G UNIT ANAL FISSURE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self REHAB UNIT ACQ EQUINUS DEFORMITY

Clinic Referral Self REHAB UNIT ACQ EQUINUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY DISLOC WRIST NOS-CLOSED
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self MED 2T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 2T UNIT DIFF CONNECT TIS DIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Clinic Referral Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 1T UNIT OTHER PULMONARY INSUFF
Clinic Referral Ambulance SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Ambulance SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Ambulance SURG 4 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY MECH COMPL-PERITONEAL DIALY CATHETR
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 2T UNIT CYANOSIS
Emergency Room Ambulance MED 2T UNIT CYANOSIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INSECT BITE HIP AND LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SCCA UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SCCA UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY FOREIGN BODY TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY STREP SORE THROAT

Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance REHAB UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self REHAB UNIT CONGENITAL COXA VARA
Clinic Referral Self REHAB UNIT CONGENITAL COXA VARA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM

Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT NASAL AND SINUS DIS NEC
Emergency Room Ambulance MED 2G UNIT NASAL AND SINUS DIS NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY SEBORRHEIC DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK

Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUNBURN
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC
Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY VOICE DISTURBANCE NEC
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Physician Referral Ambulance MED 2G UNIT
Physician Referral Ambulance MED 2G UNIT
Physician Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Physician Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER DYSPHAGIA NOS
Physician Referral Self SURGERY CENTER DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION

Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Ambulance MED 1T UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Ambulance MED 1T UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHR STOMACH ULC W HEM
Clinic Referral Self SURGERY CENTER CHR STOMACH ULC W HEM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM

Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Physician Referral Self SURGERY CENTER DISEASES OF NAIL NEC
Physician Referral Self SURGERY CENTER DISEASES OF NAIL NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SURG 3 UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SURG 3 UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance SURG 3 UNIT NECROTIZING FASCIITIS
Clinic Referral Self SURGERY CENTER REG ENTERITIS, SM INTEST
Clinic Referral Self SURGERY CENTER REG ENTERITIS, SM INTEST
Emergency Room Ambulance EMERGENCY TORUS FX TIBIA
Clinic Referral Ambulance SCCA UNIT COMPLIC BONE MARROW TRANSPL
Clinic Referral Ambulance SCCA UNIT COMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Physician Referral Self SURGERY CENTER NONSPECIF SKIN ERUPT NEC
Physician Referral Self SURGERY CENTER NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Physician Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT ECZEMA HERPETICUM
Emergency Room Ambulance MED 2T UNIT ECZEMA HERPETICUM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INJURY EXTERN GENITALS NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIUM NOS
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIUM NOS
Outside Hospital Ambulance MED 2G UNIT POISONING-OPIUM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX METACARP BASE NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE DELTOID
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF BUTTOCK
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY SPRAIN HIP AND THIGH NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER IMMUNOLOGICAL FIND OTHR OR UNSPEC
Clinic Referral Self SURGERY CENTER IMMUNOLOGICAL FIND OTHR OR UNSPEC
Emergency Room Ambulance SURG 4 UNIT POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance SURG 4 UNIT POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance SURG 4 UNIT POISONING-ANTICONVUL NEC/NOS
Clinic Referral Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Clinic Referral Self MED 2T UNIT CONSTIPATION NOS
Clinic Referral Self MED 2T UNIT CONSTIPATION NOS
Clinic Referral Self MED 2T UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT MEMBRANOPROLIF NEPHR NOS
Clinic Referral Self SURG 4 UNIT MEMBRANOPROLIF NEPHR NOS
Clinic Referral Self SURG 4 UNIT MEMBRANOPROLIF NEPHR NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Emergency Room Ambulance SURG 3 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 3 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 3 UNIT ANEMIA NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 4 UNIT PERITONITIS NOS
Physician Referral Ambulance SURG 4 UNIT PERITONITIS NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER RENAL AND URETERAL DIS NEC
Clinic Referral Self SURGERY CENTER RENAL AND URETERAL DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT FAILURE TO THRIVE
Clinic Referral Self REHAB UNIT FAILURE TO THRIVE
Clinic Referral Self REHAB UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ANAL OR RECTAL PAIN
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB

Clinic Referral Self SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Clinic Referral Self SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Physician Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Physician Referral Ambulance MED 2G UNIT APNEA
Physician Referral Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance EMERGENCY TACHYPNEA
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 4 UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Clinic Referral Self SURG 4 UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Clinic Referral Self SURG 4 UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC

Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PALATE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PALATE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PALATE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PALATE
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA WITH FISTULA
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT VARICELLA UNCOMPLICATED
Emergency Room Ambulance MED 2G UNIT VARICELLA UNCOMPLICATED
Physician Referral Self REHAB UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Physician Referral Self REHAB UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Physician Referral Self REHAB UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY OPEN WOUND OF AURICLE

Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF RIBS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER RETAINED DENTAL ROOT
Clinic Referral Self SURGERY CENTER RETAINED DENTAL ROOT
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC

Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT HEADACHE
Clinic Referral Self SURG 3 UNIT HEADACHE
Clinic Referral Self SURG 3 UNIT HEADACHE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Clinic Referral Self REHAB UNIT TALIPES VALGUS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Clinic Referral Self SURGERY CENTER BLADDER DISORDER NEC
Clinic Referral Self SURGERY CENTER BLADDER DISORDER NEC
Clinic Referral Self SCCA UNIT CHRONIC MYELOID LEUKEMIA IN REMIS
Clinic Referral Self SCCA UNIT CHRONIC MYELOID LEUKEMIA IN REMIS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF HAND
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF HAND
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF NAIL
Physician Referral Self SURGERY CENTER ENTROPION NOS
Physician Referral Self SURGERY CENTER ENTROPION NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SKIN ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT SKIN ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT SKIN ANOMALY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NEC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES ARM
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 2G UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS

Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY 1ST DEG BURN THIGH
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY KIDNEY ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Clinic Referral Self SURG 3 UNIT GENU VALGUM
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT

Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION
Clinic Referral Self SURG 3 UNIT BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS

Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURG 4 UNIT PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURG 4 UNIT PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURG 4 UNIT PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER WISKOTT-ALDRICH SYNDROME
Clinic Referral Self SURGERY CENTER WISKOTT-ALDRICH SYNDROME
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL EDEMA
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC
Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT ATTEN TO ENTEROSTOMY NEC
Outside Health Care Facility Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Outside Health Care Facility Ambulance MED 1T UNIT VIRAL MENINGITIS NOS

Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 2T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2T UNIT MELENA, BLOOD IN STOOL
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Outside Hospital Ambulance PICU TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF JAW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX LOW FEMUR EPIPHY-CLOS
Emergency Room Ambulance EMERGENCY FX LOW FEMUR EPIPHY-CLOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Physician Referral Self MED 2G UNIT VOMITING ALONE
Physician Referral Self MED 2G UNIT VOMITING ALONE
Physician Referral Self MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND

Clinic Referral Self SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Clinic Referral Self SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIHYPERTEN AGENT
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIHYPERTEN AGENT
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTHEMORRHAGIC ANEMIA
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTHEMORRHAGIC ANEMIA
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance SURG 3 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA D/T INFECTN
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA D/T INFECTN
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY IMPETIGO
Clinic Referral Ambulance MED 2T UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance MED 2T UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance MED 1T UNIT POISONING-ANTIDEPRESSANT
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Clinic Referral Self SURGERY CENTER CELIAC DISEASE
Outside Hospital Ambulance MED 2T UNIT ACUTE RHEUMATIC ENDOCARD
Outside Hospital Ambulance MED 2T UNIT ACUTE RHEUMATIC ENDOCARD
Emergency Room Ambulance SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Emergency Room Ambulance SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Emergency Room Ambulance SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Emergency Room Ambulance SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Emergency Room Ambulance SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance MED 1T UNIT ABNORMAL NEONATAL SCREENING
Emergency Room Ambulance MED 1T UNIT ABNORMAL NEONATAL SCREENING

Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self SCCA UNIT CONSTIPATION NOS
Clinic Referral Self SCCA UNIT CONSTIPATION NOS
Outside Hospital Ambulance MED 1T UNIT BACTEREMIA NOS
Outside Hospital Ambulance MED 1T UNIT BACTEREMIA NOS
Outside Hospital Ambulance MED 1T UNIT BACTEREMIA NOS
Outside Hospital Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self MED 2G UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 2G UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 2G UNIT CHONDRODYSTROPHY
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self PICU COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self PICU COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self PICU COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX

Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE URI NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS NOS
Clinic Referral Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA

Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACNE NEC
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 3 UNIT HYPERPOTASSEMIA
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONTUSION OF EYEBALL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 1T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 1T UNIT RESP SYNCYT VIRAL PNEUM
Physician Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Physician Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Physician Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Physician Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL

Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CONGEN HEART ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance SURG 4 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance SURG 4 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance SURG 4 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Outside Health Care Facility Ambulance MED 1T UNIT ORBITAL CELLULITIS
Outside Health Care Facility Ambulance MED 1T UNIT ORBITAL CELLULITIS
Outside Health Care Facility Ambulance MED 1T UNIT ORBITAL CELLULITIS
Outside Health Care Facility Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT DISLOCAT PATELLA-CLOSED
Clinic Referral Self SURG 3 UNIT DISLOCAT PATELLA-CLOSED
Clinic Referral Self SURG 3 UNIT DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 1T UNIT SERUM REACTION NEC
Emergency Room Ambulance MED 1T UNIT SERUM REACTION NEC
Emergency Room Ambulance MED 1T UNIT SERUM REACTION NEC
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA

Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Clinic Referral Ambulance MED 2G UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Ambulance MED 2G UNIT CLEFT PALATE AND LIP NOS
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance SURG 3 UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Physician Referral Self REHAB UNIT CHRONIC PANCREATITIS
Physician Referral Self REHAB UNIT CHRONIC PANCREATITIS
Physician Referral Self REHAB UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS

Clinic Referral Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY ATTEN TO TRACHEOSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Clinic Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Clinic Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance MED 2G UNIT WHOOPING COUGH NOS
Emergency Room Ambulance MED 2G UNIT WHOOPING COUGH NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Clinic Referral Ambulance SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Ambulance SURG 4 UNIT PORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Physician Referral Ambulance MED 1T UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Physician Referral Ambulance MED 2T UNIT OTHER ATOPIC DERMATITIS
Physician Referral Ambulance MED 2T UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SCCA UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SCCA UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 3 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Outside Hospital Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY SALMONELLA INFECTION NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY BULLOUS MYRINGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Outside Health Care Facility Ambulance SURG 4 UNIT MECKEL’S DIVERTICULUM
Outside Health Care Facility Ambulance SURG 4 UNIT MECKEL’S DIVERTICULUM
Outside Health Care Facility Ambulance SURG 4 UNIT MECKEL’S DIVERTICULUM
Outside Health Care Facility Ambulance SURG 4 UNIT MECKEL’S DIVERTICULUM
Outside Health Care Facility Ambulance SURG 4 UNIT MECKEL’S DIVERTICULUM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT EPISTAXIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC

Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TRUNK NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR

Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY DACRYOCYSTITIS NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SEBORRHEIC DERMATITIS OTHER
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 1T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC

Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance MED 2T UNIT RESP SYNCYT VIRAL PNEUM
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY LABYRINTHITIS NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATRIAL PREMATURE BEATS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS

Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self SURGERY CENTER MOUTH ANOMALY NEC
Clinic Referral Self SURGERY CENTER MOUTH ANOMALY NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER ACUTE MUCOID OTITIS MEDIA
Clinic Referral Self SURGERY CENTER ACUTE MUCOID OTITIS MEDIA
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER ABD WALL ANOMALY NEC
Clinic Referral Self SURGERY CENTER ABD WALL ANOMALY NEC

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Physician Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Physician Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL SEPTICEMIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL SEPTICEMIA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2T UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2T UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY AUTONOMIC NERVE DIS NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-MULT JTS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY 1ST DEG BURN THUMB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE

Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS
Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Clinic Referral Self MED 2G UNIT FOLLOW-UP EXAM NEC
Clinic Referral Self MED 2G UNIT FOLLOW-UP EXAM NEC
Emergency Room Ambulance MED 2G UNIT CHOLANGITIS
Emergency Room Ambulance MED 2G UNIT CHOLANGITIS
Physician Referral Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Physician Referral Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Physician Referral Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance REHAB UNIT GRAND MAL STATUS
Emergency Room Ambulance REHAB UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY IRIDOCYCLITIS NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN WRIST
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY MYOCLONUS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Outside Hospital Ambulance MED 2G UNIT CEREBRAL CYSTS
Outside Hospital Ambulance MED 2G UNIT CEREBRAL CYSTS
Outside Hospital Ambulance MED 2G UNIT CEREBRAL CYSTS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS

Clinic Referral Self SURG 3 UNIT OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO HEAD/FACE/NECK
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO HEAD/FACE/NECK

Clinic Referral Ambulance SURG 3 UNIT MALIG NEO HEAD/FACE/NECK
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT PETROLEUM PROD
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT PETROLEUM PROD
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2T UNIT LACK OF COORDINATION
Emergency Room Ambulance MED 2T UNIT LACK OF COORDINATION
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance MED 2T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURG 3 UNIT GLAUCOMA W VASCULAR DIS
Clinic Referral Self SURG 3 UNIT GLAUCOMA W VASCULAR DIS
Clinic Referral Self SURG 3 UNIT GLAUCOMA W VASCULAR DIS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME

Clinic Referral Self SURGERY CENTER BENIGN NEO MOUTH NEC/NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO MOUTH NEC/NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PSYCHOPHYSIC VISUAL DIST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY INFLAMMATION OF JAW
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Clinic Referral Self SURGERY CENTER OPEN WOUND HAND W TENDON
Clinic Referral Self SURGERY CENTER OPEN WOUND HAND W TENDON
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY COMPLIC DEVICE/GRFT NOS
Emergency Room Ambulance EMERGENCY STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance SURGERY CENTER DISSECTING THORACOABD AORTIC ANEUR
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-MULT JTS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SCCA UNIT HEMATURIA NOS
Emergency Room Ambulance SCCA UNIT HEMATURIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG

Outside Hospital Ambulance PICU CONGENITAL PULMON VALV ATRESIA
Outside Hospital Ambulance PICU CONGENITAL PULMON VALV ATRESIA
Outside Hospital Ambulance PICU CONGENITAL PULMON VALV ATRESIA
Outside Hospital Ambulance PICU CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SCCA UNIT CONVULSIONS NEC
Emergency Room Ambulance SCCA UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURG 3 UNIT CONDUCT HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT CONDUCT HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT CONDUCT HEARING LOSS NOS
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance EMERGENCY TOXIC EFFECT LIQ PETROL GAS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self MED 1T UNIT UNC BEHAV NEO ORAL/PHAR
Clinic Referral Self MED 1T UNIT UNC BEHAV NEO ORAL/PHAR
Clinic Referral Self MED 1T UNIT UNC BEHAV NEO ORAL/PHAR
Clinic Referral Self MED 1T UNIT UNC BEHAV NEO ORAL/PHAR
Clinic Referral Self MED 1T UNIT UNC BEHAV NEO ORAL/PHAR
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP

Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER ABNORM ELECTROCARDIOGRAM
Clinic Referral Self SURGERY CENTER ABNORM ELECTROCARDIOGRAM
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance MED 2G UNIT CELLULITIS OF FACE
Outside Hospital Ambulance MED 2G UNIT CELLULITIS OF FACE
Outside Hospital Ambulance MED 2G UNIT CELLULITIS OF FACE
Outside Hospital Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance REHAB UNIT FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance REHAB UNIT FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance REHAB UNIT FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Physician Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SCCA UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance SCCA UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STRIDOR
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Outside Health Care Facility Self REHAB UNIT DISLOC MULT CERV VERT-CLOSE
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance MED 1T UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Ambulance MED 1T UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CARDIAC ARREST
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC

Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Ambulance MED 2G UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Ambulance MED 2G UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Ambulance MED 2G UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Ambulance MED 2G UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CEREBELLAR ATAXIA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Emergency Room Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Emergency Room Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Emergency Room Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Emergency Room Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX

Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Physician Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Physician Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance MED 1T UNIT SPINAL MUSCL ATROPHY NOS
Emergency Room Ambulance MED 1T UNIT SPINAL MUSCL ATROPHY NOS
Emergency Room Ambulance MED 1T UNIT SPINAL MUSCL ATROPHY NOS
Emergency Room Ambulance MED 1T UNIT SPINAL MUSCL ATROPHY NOS
Clinic Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURGERY CENTER ANKYLOSING SPONDYLITIS
Clinic Referral Self SURGERY CENTER ANKYLOSING SPONDYLITIS
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Clinic Referral Self SURG 4 UNIT CONDUCTION DISORDER NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Physician Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Physician Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Physician Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRAGGRES PERIODONTITIS,LOC
Clinic Referral Self OUTPAT PROCEDURE CNTRAGGRES PERIODONTITIS,LOC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC

Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS
Physician Referral Self SURGERY CENTER COMPRESSION OF VEIN
Physician Referral Self SURGERY CENTER COMPRESSION OF VEIN
Emergency Room Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Emergency Room Ambulance SURG 4 UNIT DIS OF BILIARY TRACT NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURGERY CENTER LATE AMPUTAT COMPLIC NEC
Emergency Room Ambulance EMERGENCY NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL THYROID
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT BILAT
Physician Referral Self SURGERY CENTER VESICOURET REFLX W NEPHROPAT BILAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURG 3 UNIT BRAIN CONDITIONS NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH

Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURGERY CENTER NEUROFIBROM,TYPE I,VON RECKLING
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Clinic Referral Self SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance EMERGENCY SUNBURN
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC

Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY INJURY TRUNK SITE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE FOLLIC CONJUNCTIVITIS
Emergency Room Ambulance SCCA UNIT APNEA
Emergency Room Ambulance SCCA UNIT APNEA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDUCT HEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC

Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER SLEEP APNEA NOS
Clinic Referral Self SURGERY CENTER SLEEP APNEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC

Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRCHRONIC MYELOID LEUKEMIA IN REMIS
Clinic Referral Self OUTPAT PROCEDURE CNTRCHRONIC MYELOID LEUKEMIA IN REMIS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACTINOMYCOSIS NOS
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Emergency Room Ambulance SURG 4 UNIT HYPOPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOPOTASSEMIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT STRESS INCONTINENCE MALE
Clinic Referral Self SURG 3 UNIT STRESS INCONTINENCE MALE
Clinic Referral Self SURG 3 UNIT STRESS INCONTINENCE MALE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER SLEEP APNEA NOS
Clinic Referral Self SURGERY CENTER SLEEP APNEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Outside Health Care Facility Self SURGERY CENTER MALFUNC OTHER DEVICE/GRAFT
Outside Health Care Facility Self SURGERY CENTER MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE

Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Self SURG 4 UNIT FUNC DISORDERS INTESTINE NEC
Physician Referral Self SURG 4 UNIT FUNC DISORDERS INTESTINE NEC
Physician Referral Self SURG 4 UNIT FUNC DISORDERS INTESTINE NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance EMERGENCY DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance MED 2T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-PROPIONIC ACID DERIV
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN

Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT JOINT DERANGMENT NEC-OTHER JOINT
Clinic Referral Self REHAB UNIT JOINT DERANGMENT NEC-OTHER JOINT
Clinic Referral Self REHAB UNIT JOINT DERANGMENT NEC-OTHER JOINT
Clinic Referral Self REHAB UNIT JOINT DERANGMENT NEC-OTHER JOINT
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NOS
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NOS
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY MULTIPLE FX HAND-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 3 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Self SURG 3 UNIT FLAT FOOT
Clinic Referral Ambulance SCCA UNIT ACUTE PANCREATITIS
Clinic Referral Ambulance SCCA UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH

Physician Referral Ambulance MED 1T UNIT DEHYDRATION
Physician Referral Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Emergency Room Ambulance SURG 3 UNIT MALIG NEO FRONTAL LOBE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Outside Hospital Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Outside Hospital Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Physician Referral Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Physician Referral Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Physician Referral Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Physician Referral Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS

Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOC ACROMIOCLAVIC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SCCA UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FOREIGN BODY HIP/LEG
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-UNSPEC
Emergency Room Ambulance EMERGENCY CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Ambulance SCCA UNIT LARGE CELL LYMPH MULTIP

Clinic Referral Ambulance SCCA UNIT LARGE CELL LYMPH MULTIP
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 1T UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 1T UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY BURN NOS HAND-UNSPEC
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STRESS FRACTURE TIBIA/FIBULA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOOT
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE NASOPHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA

Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance MED 2G UNIT ERYTHEMA MULTIFORME NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance SURG 3 UNIT NONTRAUMA HEMA SOFT TISS
Emergency Room Ambulance SURG 3 UNIT NONTRAUMA HEMA SOFT TISS
Emergency Room Ambulance SURG 3 UNIT NONTRAUMA HEMA SOFT TISS
Physician Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Outside Hospital Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER NERVE/MUSCULSKEL SYM NEC
Clinic Referral Self SURGERY CENTER NERVE/MUSCULSKEL SYM NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX METACARP BASE NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURGERY CENTER CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Emergency Room Ambulance SURG 3 UNIT FX CLAVICL, ACROM END-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX CLAVICL, ACROM END-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX CLAVICL, ACROM END-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX CLAVICL, ACROM END-CLOSE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCES NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT LUMP OR MASS IN BREAST
Emergency Room Ambulance MED 2G UNIT LUMP OR MASS IN BREAST
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY 3RD DEG BURN HAND-MULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Physician Referral Ambulance MED 2G UNIT TUBERCULIN TEST REACTION NO TBC
Physician Referral Ambulance MED 2G UNIT TUBERCULIN TEST REACTION NO TBC
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER SKIN HYPERTRO/ATROPH NOS
Clinic Referral Self SURGERY CENTER SKIN HYPERTRO/ATROPH NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FOLLOW-UP EXAM NOS
Emergency Room Ambulance EMERGENCY FOLLOW-UP EXAM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT

Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY CONTUSION ABDOMINAL WALL
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PERICHONDRITIS PINNA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-CLOSE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT FX RADIUS NECK-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS NECK-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS NECK-CLOSED
Clinic Referral Self OUTPAT PROCEDURE CNTRCHR DUODEN ULCER W HEM
Clinic Referral Self OUTPAT PROCEDURE CNTRCHR DUODEN ULCER W HEM
Clinic Referral Self SURG 4 UNIT CONSTIPATION NEC
Clinic Referral Self SURG 4 UNIT CONSTIPATION NEC
Clinic Referral Self SURG 4 UNIT CONSTIPATION NEC
Clinic Referral Self SURG 4 UNIT CONSTIPATION NEC
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER ACQ DEFORMITY OF TOE NOS
Clinic Referral Self SURGERY CENTER ACQ DEFORMITY OF TOE NOS
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Outside Hospital Ambulance SURG 3 UNIT RESPIRATORY COMP NEC
Outside Hospital Ambulance SURG 3 UNIT RESPIRATORY COMP NEC
Outside Hospital Ambulance SURG 3 UNIT RESPIRATORY COMP NEC
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Outside Hospital Ambulance SURG 3 UNIT FEVER NOS
Outside Hospital Ambulance SURG 3 UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 1T UNIT CLOSED SKULL VLT FX W/O COMA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC

Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT PERSISTENT VOMITING
Clinic Referral Self MED 1T UNIT PERSISTENT VOMITING
Clinic Referral Self MED 1T UNIT PERSISTENT VOMITING
Clinic Referral Self MED 1T UNIT PERSISTENT VOMITING
Clinic Referral Self MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Physician Referral Self OUTPAT PROCEDURE CNTRCHRONC GRAFT-VS-HOST DIS
Physician Referral Self OUTPAT PROCEDURE CNTRCHRONC GRAFT-VS-HOST DIS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES

Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Physician Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Physician Referral Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Physician Referral Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Ambulance PICU CARDIAC ARREST
Clinic Referral Ambulance PICU CARDIAC ARREST
Clinic Referral Self SURGERY CENTER SYNDACTYL TOE-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL TOE-NO FUSION
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURG 4 UNIT
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Outside Hospital Ambulance MED 2G UNIT AUTONOMIC NERVE DIS NEC
Outside Hospital Ambulance MED 2G UNIT AUTONOMIC NERVE DIS NEC
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance MED 2G UNIT ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance MED 2G UNIT ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance MED 2G UNIT ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY JUV OSTEOCHONDROSIS FOOT
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY PITYRIASIS ROSEA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYRINGOMYELIA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY BLACK EYE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2T UNIT INTUSSUSCEPTION

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA

Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Emergency Room Ambulance SURG 3 UNIT OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance SURG 3 UNIT OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY MUSCSKEL SYMPT LIMB NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Physician Referral Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self PICU SYNDACTYL FING W FUSION
Clinic Referral Self PICU SYNDACTYL FING W FUSION
Clinic Referral Self PICU SYNDACTYL FING W FUSION
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER MANDIBULAR HYPOPLASIA
Clinic Referral Self SURGERY CENTER MANDIBULAR HYPOPLASIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER ARTHROPATHY NOS-SHLDER
Clinic Referral Self SURGERY CENTER ARTHROPATHY NOS-SHLDER
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS

Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Clinic Referral Self SURGERY CENTER CIRCULATORY DISEASE NEC
Clinic Referral Self SURGERY CENTER CIRCULATORY DISEASE NEC
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self REHAB UNIT ANKYLOSIS-LOWER/LEG
Clinic Referral Self REHAB UNIT ANKYLOSIS-LOWER/LEG
Clinic Referral Self REHAB UNIT ANKYLOSIS-LOWER/LEG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Ambulance SURG 4 UNIT PERITONITIS NOS
Clinic Referral Ambulance SURG 4 UNIT PERITONITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE CHOLECYSTITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE CHOLECYSTITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE CHOLECYSTITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE CHOLECYSTITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC

Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NEUROTROPH KERATOCONJUNC
Clinic Referral Self SURGERY CENTER NEUROTROPH KERATOCONJUNC
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY ATTN REM NONSURG DRESSNG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PALLOR

Emergency Room Ambulance EMERGENCY NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN PERIUMBILICAL
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN PERIUMBILICAL
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURG 3 UNIT CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURG 3 UNIT CYSTOURETHRAL ANOM NEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY CONTUSION UPPER LIMB NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT CONGENITAL NEUTROPENIA
Emergency Room Ambulance SCCA UNIT CONGENITAL NEUTROPENIA
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT PLICA SYNDROME
Clinic Referral Self SURG 4 UNIT PLICA SYNDROME
Clinic Referral Self SURG 4 UNIT PLICA SYNDROME
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA

Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT COMMUNICAT HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self MED 2G UNIT POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SCCA UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SCCA UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Clinic Referral Ambulance MED 2G UNIT ASTHMA UNSPECIFIED WITH EXAC
Clinic Referral Ambulance MED 2G UNIT ASTHMA UNSPECIFIED WITH EXAC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ANOREXIA
Clinic Referral Ambulance SCCA UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Ambulance SCCA UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SCCA UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY OPEN WOUND BUCCAL MUCOSA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MYASTHEN GRAVIS W/O ACUTE EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-HALLUCINOGENS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance MED 2T UNIT ACUTE DYSTONIA D/T DRUGS
Emergency Room Ambulance MED 2T UNIT ACUTE DYSTONIA D/T DRUGS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS

Emergency Room Ambulance EMERGENCY ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Physician Referral Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Physician Referral Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ROUTIN CHILD HEALTH EXAM
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Physician Referral Self SURGERY CENTER ASCITES NEC
Physician Referral Self SURGERY CENTER ASCITES NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ NOSE DEFORMITY
Clinic Referral Self OUTPAT PROCEDURE CNTRANOREXIA
Clinic Referral Self OUTPAT PROCEDURE CNTRANOREXIA
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Physician Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Physician Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance MED 1T UNIT POSTTRAUM WOUND INFEC NEC
Emergency Room Ambulance MED 1T UNIT POSTTRAUM WOUND INFEC NEC
Outside Hospital Ambulance MED 1T UNIT PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT PRIMARY APNEA OF NEWBORN
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Emergency Room Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Physician Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Physician Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS

Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROS PELVIS
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURGERY CENTER ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance MED 2G UNIT INTRAVENT HEMORRAGE GRADE III
Emergency Room Ambulance MED 2G UNIT INTRAVENT HEMORRAGE GRADE III
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Clinic Referral Self SURG 4 UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Self SURG 4 UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Self SURG 4 UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 3 UNIT OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSUPPUR OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSUPPUR OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SCCA UNIT NEOPLASM RELATED PAIN
Clinic Referral Self SCCA UNIT NEOPLASM RELATED PAIN

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT OTHER SPEC BACTERIAL MENINGITIS
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Clinic Referral Self SURGERY CENTER ACQRD STENOS EAR CANAL NOS
Clinic Referral Self SURGERY CENTER ACQRD STENOS EAR CANAL NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS UNI
Clinic Referral Self SURGERY CENTER SENSORNEUR HEAR LOSS UNI
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Emergency Room Ambulance EMERGENCY LAT POPLITEAL NERVE LES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS

Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HIP/THIGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PERICARDIAL DISEASE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER COMMON TRUNCUS
Clinic Referral Self SURGERY CENTER COMMON TRUNCUS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Clinic Referral Self SURGERY CENTER SPRAIN OF HAND NEC
Clinic Referral Self SURGERY CENTER SPRAIN OF HAND NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Physician Referral Ambulance PICU CARDIAC ARREST
Physician Referral Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT ASPERGILLOSIS
Emergency Room Ambulance MED 1T UNIT ASPERGILLOSIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY WHEEZING
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Outside Hospital Ambulance MED 2G UNIT LYMPHANGIOMA, ANY SITE

Outside Hospital Ambulance MED 2G UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance SURG 3 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance SURG 3 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance SURG 3 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance SURG 3 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Self SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Self SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Self SCCA UNIT NEONATAL NEUTROPENIA
Outside Hospital Self SCCA UNIT NEONATAL NEUTROPENIA
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2T UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2T UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS
Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS
Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT INFECTION COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance MED 2G UNIT INFECTION COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance EMERGENCY OSTEOCHONDROPATHY NOS
Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CHR MAXILLARY SINUSITIS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT CHRONIC RESPIRATORY FAILURE
Emergency Room Ambulance MED 2T UNIT CHRONIC RESPIRATORY FAILURE
Clinic Referral Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Clinic Referral Self SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Clinic Referral Self SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Physician Referral Ambulance MED 1T UNIT TUBERCULIN TEST REACTION NO TBC
Physician Referral Ambulance MED 1T UNIT TUBERCULIN TEST REACTION NO TBC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self MED 1T UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN CHEST WALL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NJURIES TO SCALP NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY BONE AND CARTILAGE DIS NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NECK NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONTUSION OF EYEBALL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM

Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2G UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 2G UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance SURG 3 UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Self SURG 3 UNIT VIRAL ENTERITIS NOS
Physician Referral Self SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT PLEURAL EFFUSION NOS

Emergency Room Ambulance SURG 3 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Clinic Referral Self REHAB UNIT OSTEOGENESIS IMPERFECTA
Clinic Referral Self REHAB UNIT OSTEOGENESIS IMPERFECTA
Clinic Referral Self REHAB UNIT OSTEOGENESIS IMPERFECTA
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SCCA UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE

Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 3 UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY SPRAIN METACARPOPHALANG
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance REHAB UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance REHAB UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance REHAB UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance REHAB UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY SCIATICA
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX FOOT BONE NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BRONCHITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance PICU ABD WALL ANOMALY NEC
Outside Hospital Ambulance PICU ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SCCA UNIT VOMITING ALONE
Clinic Referral Ambulance SCCA UNIT VOMITING ALONE
Clinic Referral Ambulance SCCA UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY CONTUSION OF HIP
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER MALIG NEO FRONTAL LOBE
Clinic Referral Self SURGERY CENTER MALIG NEO FRONTAL LOBE
Physician Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Clinic Referral Self SURGERY CENTER CONGENITAL ANOMALY NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CONG SKULL/FACE/JAW DEF
Clinic Referral Self SURGERY CENTER CONG SKULL/FACE/JAW DEF
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA

Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY ACNE NEC
Emergency Room Ambulance MED 2T UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2T UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2T UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2T UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRINFLAM SPONDYLOPATHY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINFLAM SPONDYLOPATHY NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Physician Referral Self SURGERY CENTER CHRONIC SINUSITIS NOS
Physician Referral Self SURGERY CENTER CHRONIC SINUSITIS NOS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ADRENOGENITAL DISORDERS
Emergency Room Ambulance MED 2G UNIT ADRENOGENITAL DISORDERS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Ambulance SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Ambulance SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Hospital Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Hospital Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Self SURGERY CENTER LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Physician Referral Self SURGERY CENTER LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY MALIG NEOPLASM SKIN ARM
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Clinic Referral Self SCCA UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SCCA UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Emergency Room Ambulance EMERGENCY EPISTAXIS

Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EYE ANOMALIES NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Clinic Referral Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Clinic Referral Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY 2 DEG BURN FINGR W THUMB
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER LUMBAGO
Clinic Referral Self SURGERY CENTER LUMBAGO
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRODUODENAL DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRODUODENAL DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC

Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURGERY CENTER CONGENITAL LIP FISTULA
Clinic Referral Self SURGERY CENTER CONGENITAL LIP FISTULA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Physician Referral Self SURGERY CENTER KELOID SCAR
Physician Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Physician Referral Ambulance SURG 4 UNIT HEART CONTUSION-CLOSED
Physician Referral Ambulance SURG 4 UNIT HEART CONTUSION-CLOSED
Physician Referral Ambulance SURG 4 UNIT HEART CONTUSION-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY VENOUS THROMBOSIS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NEC
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NEC
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance SURG 3 UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance SURG 3 UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance SURG 3 UNIT NONSPECIF SKIN ERUPT NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS

Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NOS
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTHEMORRHAGIC ANEMIA
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTHEMORRHAGIC ANEMIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM

Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY UNEQUAL LEG LENGTH
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF ARM
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY COMPLIC GU DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS

Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE

Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Physician Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance REHAB UNIT MALIG NEO SPINAL CORD
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED

Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance MED 2T UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Ambulance SURGERY CENTER MYL SARCOMA WO ACHV RMSN
Clinic Referral Ambulance SURGERY CENTER MYL SARCOMA WO ACHV RMSN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND FINGER-COMPL
Clinic Referral Self SURG 3 UNIT SYNOVITIS NEC
Clinic Referral Self SURG 3 UNIT SYNOVITIS NEC
Clinic Referral Self SURG 3 UNIT SYNOVITIS NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CENT GIANT CELL GRANULOM
Clinic Referral Self SURGERY CENTER CENT GIANT CELL GRANULOM
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Clinic Referral Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Ambulance SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Ambulance SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance MED 2T UNIT ACUTE NONSUP OTITIS MED NOS
Outside Hospital Ambulance MED 2T UNIT ACUTE NONSUP OTITIS MED NOS
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT

Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CARDIOVAS SYS SYMP NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY EYE NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA

Emergency Room Ambulance EMERGENCY POISONING-ANTIALLRG/ANTIEMET
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Physician Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance MED 2T UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2T UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2T UNIT MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance PICU ESOPHAGEAL REFLUX
Outside Hospital Ambulance PICU ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 3 UNIT BILAT ING HERNIA W OBST
Clinic Referral Self SURG 3 UNIT BILAT ING HERNIA W OBST
Clinic Referral Self SURG 3 UNIT BILAT ING HERNIA W OBST
Clinic Referral Self SURG 3 UNIT RECTAL PROLAPSE
Clinic Referral Self SURG 3 UNIT RECTAL PROLAPSE
Clinic Referral Self SURG 3 UNIT RECTAL PROLAPSE
Clinic Referral Self SURG 3 UNIT RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY CERVICALGIA
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB

Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT ACUTE DYSTONIA D/T DRUGS
Emergency Room Ambulance MED 2G UNIT ACUTE DYSTONIA D/T DRUGS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SCCA UNIT DEHYDRATION
Clinic Referral Self SCCA UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Physician Referral Self SURGERY CENTER CHALAZION
Physician Referral Self SURGERY CENTER CHALAZION
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER CHRONIC ADENOIDITIS
Clinic Referral Self SURGERY CENTER CHRONIC ADENOIDITIS
Clinic Referral Self SURGERY CENTER SYNOVITIS NOS
Clinic Referral Self SURGERY CENTER SYNOVITIS NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance MED 2G UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2G UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY COUGH

Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLAT FOOT
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 4 UNIT CHOLELITH W CHOLECYS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT GASTRITIS NEC W/O HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS NEC W/O HEMORRH
Clinic Referral Ambulance MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Physician Referral Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Physician Referral Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Physician Referral Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Physician Referral Ambulance SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Ambulance PICU CHRONIC PAIN NEC

Clinic Referral Ambulance PICU CHRONIC PAIN NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO TRACHEOSTOMY
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY HIP/LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY PELVIC FRACTURE NOS-CLOS
Emergency Room Ambulance EMERGENCY PELVIC FRACTURE NOS-CLOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY FOOT/TOE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT DEHYDRATION

Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Physician Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Physician Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 1T UNIT PANCYTOPENIA
Emergency Room Ambulance MED 1T UNIT PANCYTOPENIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURG 4 UNIT BILAT CLEFT PALATE-INC
Clinic Referral Self SURG 4 UNIT BILAT CLEFT PALATE-INC
Clinic Referral Self SURG 4 UNIT BILAT CLEFT PALATE-INC
Emergency Room Ambulance SURG 4 UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SURG 4 UNIT IMMUNE THROMBOCYTOPENIC PURPURA

Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Emergency Room Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGEN URETHRAL STENOSIS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Physician Referral Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 2G UNIT CONSTIPATION NEC
Clinic Referral Ambulance MED 2G UNIT CONSTIPATION NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Health Care Facility Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Outside Health Care Facility Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL EYELID DEFORM
Clinic Referral Self SURG 3 UNIT CONGENITAL EYELID DEFORM
Clinic Referral Self SURG 3 UNIT CONGENITAL EYELID DEFORM
Clinic Referral Self SURG 3 UNIT CONGENITAL EYELID DEFORM
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE V
Emergency Room Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE V
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY FX HUMERUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SURGERY CENTER CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURGERY CENTER CONGENITAL PULMON VALV ATRESIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY IN PHARYNX
Clinic Referral Self SURG 3 UNIT FX HUMERUS SHAFT-CLOSED
Clinic Referral Self SURG 3 UNIT FX HUMERUS SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VARICELLA CONTACT/ EXPOSURE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEMATOMA AURICLE/PINNA
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY VIRAL DISEASE CONTACT/ EXP NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance SURG 3 UNIT POST DISLOC ELBOW-CLOSED
Emergency Room Ambulance SURG 3 UNIT POST DISLOC ELBOW-CLOSED
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self MED 2G UNIT DIFF CONNECT TIS DIS NEC
Clinic Referral Self MED 2G UNIT DIFF CONNECT TIS DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ

Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURGERY CENTER OPEN WOUND KNEE/LEG-COMPL
Clinic Referral Self SURGERY CENTER OPEN WOUND KNEE/LEG-COMPL
Clinic Referral Self SURGERY CENTER FX BIMALLEOLAR-CLOSED
Clinic Referral Self SURGERY CENTER FX BIMALLEOLAR-CLOSED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 2T UNIT CHRONIC BRONCHITIS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance PICU PARALYTIC ILEUS
Emergency Room Ambulance PICU PARALYTIC ILEUS
Emergency Room Ambulance PICU PARALYTIC ILEUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL RETINA
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL RETINA
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY ECZEMA HERPETICUM
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PROTEINURIA
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURG 3 UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHRONIC RHINITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Clinic Referral Self REHAB UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM SOFT TISSUE LEG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 2G UNIT DIFF CONNECT TIS DIS NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-CNS STIMULANT NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY NONTRAUMA HEMA SOFT TISS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY URETHRAL STRICTURE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 1T UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 1T UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEMANGIOMA NEC
Clinic Referral Self SURG 4 UNIT CONGENITAL URETEROCELE
Clinic Referral Self SURG 4 UNIT CONGENITAL URETEROCELE
Clinic Referral Self SURG 4 UNIT CONGENITAL URETEROCELE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN

Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 3 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY NEONATAL BRADYCARDIA
Emergency Room Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Emergency Room Ambulance SURG 4 UNIT EPIMEMBRANOUS NEPHRITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE

Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY DIARRHEA NOS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 1T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Physician Referral Self MED 2G UNIT PERINATAL CHR RESP DIS
Physician Referral Self MED 2G UNIT PERINATAL CHR RESP DIS
Physician Referral Self MED 2G UNIT PERINATAL CHR RESP DIS
Physician Referral Self MED 2G UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Outside Health Care Facility Ambulance MED 2T UNIT NONTERATOGENIC ANOM NEC
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance MED 2T UNIT POISONING-BENZODIAZEPINE TRAN
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance REHAB UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance REHAB UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY SPRAIN OF BACK NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance MED 1T UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 1T UNIT INTUSSUSCEPTION
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS

Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Ambulance SCCA UNIT FEVER NOS
Clinic Referral Ambulance SCCA UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY TRANSIENT ALTERATION OF AWARENESS
Emergency Room Ambulance MED 2G UNIT INCONTINENCE OF FECES
Emergency Room Ambulance MED 2G UNIT INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB

Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance REHAB UNIT VOMITING ALONE
Emergency Room Ambulance REHAB UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN MULT FINGER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY SPRAIN ACROMIOCLAVICULAR
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY POISONING-PROPIONIC ACID DERIV
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-UP/ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance NICU NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SCCA UNIT E COLI SEPTICEMIA
Emergency Room Ambulance SCCA UNIT E COLI SEPTICEMIA
Emergency Room Ambulance SCCA UNIT E COLI SEPTICEMIA
Emergency Room Ambulance SCCA UNIT E COLI SEPTICEMIA
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER DERMATOSES NEC

Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Clinic Referral Self OUTPAT PROCEDURE CNTRDISACCHARIDASE DEF/MALAB
Clinic Referral Self OUTPAT PROCEDURE CNTRDISACCHARIDASE DEF/MALAB
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Clinic Referral Self SURG 3 UNIT CHOLECYSTITIS NOS
Clinic Referral Self SURG 3 UNIT CHOLECYSTITIS NOS
Clinic Referral Self SURG 3 UNIT CHOLECYSTITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER RUPT EXTEN TENDON HAND
Clinic Referral Self SURGERY CENTER RUPT EXTEN TENDON HAND
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE

Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 4 UNIT PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance SURG 4 UNIT PNEUMOCOCCAL MENINGITIS
Outside Hospital Ambulance SURG 4 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self MED 2T UNIT JAUNDICE NOS
Clinic Referral Self MED 2T UNIT JAUNDICE NOS
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-SHLDER
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Outside Hospital Ambulance MED 2G UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 2G UNIT CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance MED 2G UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Health Care Facility Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY MED EXAM NEC-ADMIN PURP
Emergency Room Ambulance EMERGENCY MED EXAM NEC-ADMIN PURP
Emergency Room Ambulance EMERGENCY MED EXAM NEC-ADMIN PURP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-INC
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Emergency Room Ambulance MED 2G UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 2G UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 2G UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 2G UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 2G UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance SURG 3 UNIT FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ACCRETIONS ON TEETH

Clinic Referral Self SURGERY CENTER ACCRETIONS ON TEETH
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance SURG 4 UNIT REDUCTION DEFORM, BRAIN
Emergency Room Ambulance SURG 4 UNIT REDUCTION DEFORM, BRAIN
Emergency Room Ambulance SURG 4 UNIT REDUCTION DEFORM, BRAIN
Emergency Room Ambulance SURG 4 UNIT REDUCTION DEFORM, BRAIN
Emergency Room Ambulance EMERGENCY DISORDER OF COCCYX NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Outside Hospital Ambulance PICU HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance PICU HYPOXIC-ISCHEMIC ENCEPH
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK DUE MILK PRODUCTS
Clinic Referral Self REHAB UNIT POST TRAUM PULM INSUFFIC
Clinic Referral Self REHAB UNIT POST TRAUM PULM INSUFFIC
Clinic Referral Self REHAB UNIT POST TRAUM PULM INSUFFIC
Clinic Referral Self REHAB UNIT POST TRAUM PULM INSUFFIC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Ambulance SURG 4 UNIT APLASTIC ANEMIAS NEC
Clinic Referral Ambulance SURG 4 UNIT APLASTIC ANEMIAS NEC
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COAGULAT DEFECT NEC/NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CYANOSIS
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Clinic Referral Self PICU ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM THYROID
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTRACHALASIA AND CARDIOSPASM
Clinic Referral Self OUTPAT PROCEDURE CNTRACHALASIA AND CARDIOSPASM
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY JOINT PAIN-MULT JTS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB

Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY BURN NOS CHEST WALL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BLADDER CALCULUS NEC
Clinic Referral Self SURGERY CENTER BLADDER CALCULUS NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER FX UP RADIUS NEC/NOS-CLOSE
Clinic Referral Self SURGERY CENTER FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT ACUTE URI NOS

Emergency Room Ambulance REHAB UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURGERY CENTER ASEPTIC NECROSIS FEMUR
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Emergency Room Ambulance MED 2T UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance MED 2T UNIT PERINATAL CHR RESP DIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER NAUSEA ALONE
Clinic Referral Self SURGERY CENTER NAUSEA ALONE
Emergency Room Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Emergency Room Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS

Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Outside Hospital Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Emergency Room Ambulance SCCA UNIT ANEMIA NOS
Emergency Room Ambulance SCCA UNIT ANEMIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance MED 2G UNIT PARINFLUENZA VIRAL PNEUM
Emergency Room Ambulance MED 2G UNIT PARINFLUENZA VIRAL PNEUM
Emergency Room Ambulance MED 2G UNIT PARINFLUENZA VIRAL PNEUM
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC

Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PRUNE BELLY SYNDROME
Clinic Referral Self SURG 3 UNIT PRUNE BELLY SYNDROME
Clinic Referral Self SURG 3 UNIT PRUNE BELLY SYNDROME
Clinic Referral Self MED 2G UNIT NAUSEA WITH VOMITING
Clinic Referral Self MED 2G UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self REHAB UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 4 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 4 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 4 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SCCA UNIT INFEC OTITIS EXTERNA NOS
Clinic Referral Self SCCA UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER CONG KNEE DEFORMITY
Clinic Referral Self SURGERY CENTER CONG KNEE DEFORMITY
Clinic Referral Ambulance INPATIENT PSYCH CHRONIC PAIN SYNDROME
Clinic Referral Ambulance INPATIENT PSYCH CHRONIC PAIN SYNDROME
Clinic Referral Ambulance INPATIENT PSYCH CHRONIC PAIN SYNDROME
Clinic Referral Ambulance INPATIENT PSYCH CHRONIC PAIN SYNDROME
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 1T UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance MED 1T UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance REHAB UNIT LUMBAR DISC DISPLACEMENT
Emergency Room Ambulance REHAB UNIT LUMBAR DISC DISPLACEMENT
Emergency Room Ambulance REHAB UNIT LUMBAR DISC DISPLACEMENT
Emergency Room Ambulance REHAB UNIT LUMBAR DISC DISPLACEMENT
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Physician Referral Ambulance SCCA UNIT PNEUMOCOCCAL SEPTICEMIA
Physician Referral Ambulance SCCA UNIT PNEUMOCOCCAL SEPTICEMIA
Physician Referral Ambulance SCCA UNIT PNEUMOCOCCAL SEPTICEMIA
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2T UNIT BELL’S PALSY
Outside Hospital Ambulance MED 2T UNIT BELL’S PALSY

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Emergency Room Ambulance MED 2T UNIT VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STRIDOR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COMPLIC GU DEVICE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY INJURY ULNAR NERVE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY ELECTROLYT/FLUID DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF BUTTOCK
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL DISORDER OTHER
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL DISORDER OTHER
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB

Emergency Room Ambulance MED 2T UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance MED 2T UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Outside Health Care Facility Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Outside Health Care Facility Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURGERY CENTER FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT CONGEN URETHRAL STENOSIS
Clinic Referral Self SURG 3 UNIT CONGEN URETHRAL STENOSIS
Clinic Referral Self SURG 3 UNIT CONGEN URETHRAL STENOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self SURG 4 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 4 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 4 UNIT ACQ CAVOVARUS DEFORMITY

Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance EMERGENCY ABRASION NEC
Clinic Referral Self REHAB UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self REHAB UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self REHAB UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance PICU ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance PICU ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Emergency Room Ambulance SURG 4 UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance SURG 4 UNIT NAUSEA WITH VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT BLADDER CALCULUS NEC
Emergency Room Ambulance MED 2G UNIT BLADDER CALCULUS NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance MED 1T UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance MED 1T UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 4 UNIT ANEMIA NOS
Emergency Room Ambulance SURG 4 UNIT ANEMIA NOS
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER MONOART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER MONOART JUV RHEUM ARTHR
Clinic Referral Self SCCA UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SCCA UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SCCA UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SCCA UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ALTERED MENTAL STATUS
Clinic Referral Self SCCA UNIT ALTERED MENTAL STATUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ACQRD DEFORM AURICLE/PINNA

Clinic Referral Self SURGERY CENTER ACQRD DEFORM AURICLE/PINNA
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance PICU HEMOPHAGOCYTIC SYNDROMES
Outside Hospital Ambulance PICU HEMOPHAGOCYTIC SYNDROMES
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self PICU PORTAL HYPERTENSION
Clinic Referral Self PICU PORTAL HYPERTENSION
Clinic Referral Self PICU PORTAL HYPERTENSION
Clinic Referral Self PICU PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Ambulance MED 1T UNIT DYSPHAGIA, OROPHARYNGEAL
Clinic Referral Ambulance MED 1T UNIT DYSPHAGIA, OROPHARYNGEAL
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON

Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Physician Referral Self SURGERY CENTER EPILEPSY NOS W/O MENTN INTRACTABLE
Physician Referral Self SURGERY CENTER EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Transfer from Critical Access HospitalSelf SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Transfer from Critical Access HospitalSelf SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Physician Referral Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Physician Referral Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Physician Referral Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Physician Referral Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURG 3 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 3 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 3 UNIT HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACETONURIA
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF ABDOMEN NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance SURGERY CENTER AFT CARE HEAL TRAUM FRAC UPPER LEG
Clinic Referral Ambulance SURGERY CENTER AFT CARE HEAL TRAUM FRAC UPPER LEG
Emergency Room Ambulance SCCA UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance SCCA UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance SCCA UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance SCCA UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance SCCA UNIT INTRACEREBRAL HEMORRHAGE
Clinic Referral Self MED 1T UNIT BENIGN NEO SKIN FACE NEC
Clinic Referral Self MED 1T UNIT BENIGN NEO SKIN FACE NEC
Clinic Referral Self MED 1T UNIT BENIGN NEO SKIN FACE NEC
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL

Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Outside Hospital Ambulance MED 2G UNIT CHRONIC PAIN SYNDROME
Outside Hospital Ambulance MED 2G UNIT CHRONIC PAIN SYNDROME
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY POSTTRAUM WOUND INFEC NEC
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance MED 2T UNIT AMINO-ACID TRANSPORT DIS
Physician Referral Ambulance MED 2T UNIT AMINO-ACID TRANSPORT DIS
Physician Referral Ambulance MED 2T UNIT AMINO-ACID TRANSPORT DIS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT REG ENTERITIS, SM INTEST
Emergency Room Ambulance MED 2T UNIT REG ENTERITIS, SM INTEST
Clinic Referral Ambulance MED 1T UNIT OTHER SPECIFIED DIS DUE TO VIRUSES
Clinic Referral Ambulance MED 1T UNIT OTHER SPECIFIED DIS DUE TO VIRUSES
Clinic Referral Ambulance MED 1T UNIT OTHER SPECIFIED DIS DUE TO VIRUSES
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self SURG 3 UNIT FX FEMORAL CONDYLE-CLOSE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC

Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT LARYNGEAL SPASM
Emergency Room Ambulance MED 1T UNIT LARYNGEAL SPASM
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self REHAB UNIT STRESS INCONTINENCE MALE
Clinic Referral Self REHAB UNIT STRESS INCONTINENCE MALE
Clinic Referral Self REHAB UNIT STRESS INCONTINENCE MALE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY POISONING-SYMPATHOMIMETICS
Emergency Room Ambulance EMERGENCY EYE ANOMALY NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY FX DISTAL ULNA-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHRONIC PAIN NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2T UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2T UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ATTEN TO URINOSTOMY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Physician Referral Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 2T UNIT LARYNGOTRACH ANOMALY NEC

Clinic Referral Self MED 2T UNIT LARYNGOTRACH ANOMALY NEC
Physician Referral Ambulance MED 2G UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 2G UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 2G UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 2G UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self REHAB UNIT OTHER URINARY INCONTINENCE
Clinic Referral Self REHAB UNIT OTHER URINARY INCONTINENCE
Clinic Referral Self REHAB UNIT OTHER URINARY INCONTINENCE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT POISONING-ANALGES/ANTIPYR NEC
Emergency Room Ambulance MED 1T UNIT POISONING-ANALGES/ANTIPYR NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Physician Referral Self PICU COARCTATION OF AORTA
Physician Referral Self PICU COARCTATION OF AORTA
Physician Referral Self PICU COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self PICU MAXILLARY HYPOPLASIA
Clinic Referral Self PICU MAXILLARY HYPOPLASIA
Clinic Referral Self PICU MAXILLARY HYPOPLASIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self REHAB UNIT FEEDING PROBLEM

Clinic Referral Self REHAB UNIT FEEDING PROBLEM
Clinic Referral Self REHAB UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Ambulance SURG 3 UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK

Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY EDEMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Ambulance MED 1T UNIT ATRIOVENT BLOCK COMPLETE
Clinic Referral Ambulance MED 1T UNIT ATRIOVENT BLOCK COMPLETE
Clinic Referral Ambulance MED 1T UNIT ATRIOVENT BLOCK COMPLETE
Clinic Referral Ambulance MED 1T UNIT ATRIOVENT BLOCK COMPLETE
Clinic Referral Ambulance MED 1T UNIT ATRIOVENT BLOCK COMPLETE
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 4 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BURN NOS HAND-UNSPEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOLLOW-UP EXAM NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance PICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance PICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance MED 2T UNIT

Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance MED 2G UNIT MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT MENINGITIS NOS
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHIL GASTRT WO HEM
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHIL GASTRT WO HEM
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCES NEC
Clinic Referral Self SURGERY CENTER LARGE CELL LYMPH ABDOM
Clinic Referral Self SURGERY CENTER LARGE CELL LYMPH ABDOM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 4 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 4 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 4 UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURGERY CENTER BENIGN NEO CONJUNCTIVA
Clinic Referral Self SURGERY CENTER BENIGN NEO CONJUNCTIVA
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER MALOCC-ANGLE’S CLASS III
Clinic Referral Self SURGERY CENTER MALOCC-ANGLE’S CLASS III
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Emergency Room Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT

Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Self SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance SURG 3 UNIT TROCHANTERIC FX NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT TROCHANTERIC FX NOS-CLOSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Transfer from Critical Access HospitalAmbulance NICU RECUR UNIL ING HERN-OBST
Transfer from Critical Access HospitalAmbulance NICU RECUR UNIL ING HERN-OBST
Transfer from Critical Access HospitalAmbulance NICU RECUR UNIL ING HERN-OBST
Transfer from Critical Access HospitalAmbulance NICU RECUR UNIL ING HERN-OBST
Transfer from Critical Access HospitalAmbulance NICU RECUR UNIL ING HERN-OBST
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Physician Referral Self MED 1T UNIT COUGH
Physician Referral Self MED 1T UNIT COUGH

Physician Referral Self MED 1T UNIT COUGH
Physician Referral Self MED 1T UNIT COUGH
Physician Referral Self MED 1T UNIT COUGH
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance MED 1T UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 1T UNIT PRIMARY APNEA OF NEWBORN
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Physician Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Outside Health Care Facility Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance MED 1T UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance MED 1T UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance MED 1T UNIT ACUTE POSTOP PAIN NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER

Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Physician Referral Ambulance SURG 4 UNIT DIS UREA CYCLE METABOL
Clinic Referral Ambulance SURG 4 UNIT HYDRONEPHROSIS
Clinic Referral Ambulance SURG 4 UNIT HYDRONEPHROSIS
Clinic Referral Ambulance SURG 4 UNIT HYDRONEPHROSIS
Clinic Referral Ambulance SURG 4 UNIT HYDRONEPHROSIS
Clinic Referral Self SURG 3 UNIT FX TRIMALLEOLAR-CLOSED
Clinic Referral Self SURG 3 UNIT FX TRIMALLEOLAR-CLOSED
Clinic Referral Self SURG 3 UNIT FX TRIMALLEOLAR-CLOSED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Outside Hospital Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER DENTAL ARCH ANOMALY NEC
Clinic Referral Self SURGERY CENTER DENTAL ARCH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY POISONING-ANTIDEPRESSANT
Emergency Room Ambulance EMERGENCY CYSTIC FIBROSIS W PULM MANIFEST
Transfer from Critical Access HospitalAmbulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Transfer from Critical Access HospitalAmbulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Transfer from Critical Access HospitalAmbulance MED 2T UNIT ACUTE RESPIRATORY FAILURE

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Outside Health Care Facility Ambulance MED 1T UNIT DIGEORGE’S SYNDROME
Outside Health Care Facility Ambulance MED 1T UNIT DIGEORGE’S SYNDROME
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER MOYAMOYA DISEASE
Clinic Referral Self SURGERY CENTER MOYAMOYA DISEASE
Emergency Room Ambulance MED 2G UNIT IMPACTION INTESTINE NEC
Emergency Room Ambulance MED 2G UNIT IMPACTION INTESTINE NEC
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC

Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STRESS FRACTURE TIBIA/FIBULA
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DISORDER OF COCCYX NEC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-ANTIHYPERTEN AGENT
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Clinic Referral Self PICU TOOTH ERUPTION DISTURB
Clinic Referral Self PICU TOOTH ERUPTION DISTURB
Clinic Referral Self PICU TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Physician Referral Ambulance SURG 4 UNIT DEHYDRATION
Physician Referral Ambulance SURG 4 UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance MED 2T UNIT SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2T UNIT SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT

Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Clinic Referral Ambulance SURG 4 UNIT HERPES ZOSTER NOS
Clinic Referral Ambulance SURG 4 UNIT HERPES ZOSTER NOS
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER NEUROTROPH KERATOCONJUNC
Clinic Referral Self SURGERY CENTER NEUROTROPH KERATOCONJUNC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Ambulance SURG 3 UNIT CYST PHARYNX/NASOPHARYNX
Clinic Referral Ambulance SURG 3 UNIT CYST PHARYNX/NASOPHARYNX
Clinic Referral Ambulance SURG 3 UNIT CYST PHARYNX/NASOPHARYNX
Clinic Referral Ambulance SURG 3 UNIT CYST PHARYNX/NASOPHARYNX
Emergency Room Ambulance MED 2T UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance MED 2T UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance MED 2T UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance MED 2T UNIT ACUTE OSTEOMYELITIS-L/LEG
Clinic Referral Ambulance SURG 3 UNIT CELLULITIS/ABSCESS MOUTH
Clinic Referral Ambulance SURG 3 UNIT CELLULITIS/ABSCESS MOUTH
Clinic Referral Ambulance SURG 3 UNIT CELLULITIS/ABSCESS MOUTH
Clinic Referral Ambulance SURG 3 UNIT CELLULITIS/ABSCESS MOUTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE

Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Clinic Referral Self SURGERY CENTER AFTR-CATAR OBSCUR VISION
Clinic Referral Self SURGERY CENTER AFTR-CATAR OBSCUR VISION
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self MED 2G UNIT SYNCOPE AND COLLAPSE
Clinic Referral Self MED 2G UNIT SYNCOPE AND COLLAPSE
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Outside Hospital Ambulance MED 2G UNIT COUGH
Outside Hospital Ambulance MED 2G UNIT COUGH
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS
Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR

Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT FX PHALANX, FOOT-OPEN
Emergency Room Ambulance MED 2T UNIT FX PHALANX, FOOT-OPEN
Emergency Room Ambulance MED 2T UNIT FX PHALANX, FOOT-OPEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Outside Hospital Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Outside Hospital Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FIT ORTHODONTIC DEVICE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL

Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance MED 1T UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Outside Health Care Facility Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self MED 2G UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Physician Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2T UNIT ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance MED 2T UNIT ABNORMAL URINE FINDINGS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURGERY CENTER MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS

Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY LUMBOSACR SPONDYLOLYSIS
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self MED 2G UNIT INTESTINAL DISORDERS NEC
Clinic Referral Self MED 2G UNIT INTESTINAL DISORDERS NEC
Clinic Referral Self MED 2G UNIT INTESTINAL DISORDERS NEC

Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURGERY CENTER STRIDOR
Emergency Room Ambulance SURGERY CENTER STRIDOR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT HEMATEMESIS
Emergency Room Ambulance MED 2G UNIT HEMATEMESIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RHABDOMYOLYSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 2G UNIT CHR VASC INSUFF INTEST
Outside Hospital Ambulance MED 2G UNIT CHR VASC INSUFF INTEST
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-PELVIS

Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance SCCA UNIT PULMONARY EOSINOPHILIA
Physician Referral Ambulance SCCA UNIT PULMONARY EOSINOPHILIA
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Emergency Room Ambulance EMERGENCY MANDIBLE FX NOS-OPEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURG 4 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 4 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 4 UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance MED 1T UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 1T UNIT BRAN-CHAIN AMIN-ACID DIS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Clinic Referral Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Ambulance SURG 4 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self REHAB UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self REHAB UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self REHAB UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self REHAB UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER PARTIAL LOSS EAR OSSICLE
Clinic Referral Self SURGERY CENTER PARTIAL LOSS EAR OSSICLE
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSC W SINUS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSC W SINUS
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Ambulance SURG 4 UNIT ATRIAL FLUTTER
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER DIS EXTERNAL EAR NEC
Clinic Referral Self SURGERY CENTER DIS EXTERNAL EAR NEC
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Ambulance SCCA UNIT NEOPLASM RELATED PAIN
Clinic Referral Ambulance SCCA UNIT NEOPLASM RELATED PAIN

Clinic Referral Self SURGERY CENTER TMJ DISORD OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER TMJ DISORD OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY ABNORMAL CLINICAL FINDING NEC
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self MED 2T UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Clinic Referral Self MED 2T UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance MED 1T UNIT CAMPYLOBACTER ENTERITIS
Outside Hospital Ambulance MED 1T UNIT CAMPYLOBACTER ENTERITIS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance SURG 4 UNIT REG ENTERIT SM/LG INTEST

Clinic Referral Ambulance SURG 4 UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Ambulance SURG 4 UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Ambulance SURG 4 UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL OBSTRUCT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY INJURY-SITE NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance MED 2T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2T UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF URACHUS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF URACHUS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF URACHUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE FOLLIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE FOLLIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE FOLLIC CONJUNCTIVITIS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 2T UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 2T UNIT ADENOVIRUS INFECTION NOS
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ERYTHMA MULTIFORME MINOR
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Physician Referral Self SURG 3 UNIT CONGENITAL PTOSIS
Physician Referral Self SURG 3 UNIT CONGENITAL PTOSIS
Physician Referral Self SURG 3 UNIT CONGENITAL PTOSIS
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC

Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self MED 2G UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT EPILEPSY PART CONTINUA NOT INTRACT
Emergency Room Ambulance MED 1T UNIT EPILEPSY PART CONTINUA NOT INTRACT
Emergency Room Ambulance MED 1T UNIT EPILEPSY PART CONTINUA NOT INTRACT
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT ANAL AND RECTAL POLYP
Emergency Room Ambulance MED 2T UNIT ANAL AND RECTAL POLYP
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-SYMPATHOLYTICS
Emergency Room Ambulance EMERGENCY POISONING-SYMPATHOLYTICS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURG 4 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 4 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 4 UNIT ACQ EQUINOVARUS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DRUG DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT HODGKINS DIS NOS THORAX
Emergency Room Ambulance MED 2G UNIT HODGKINS DIS NOS THORAX
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACNE NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance SURG 3 UNIT SALIVARY GLAND MUCOCELE
Emergency Room Ambulance MED 2G UNIT POSTPROCEDURAL FEVER
Emergency Room Ambulance MED 2G UNIT POSTPROCEDURAL FEVER
Emergency Room Ambulance MED 2G UNIT POSTPROCEDURAL FEVER
Emergency Room Ambulance MED 2G UNIT POSTPROCEDURAL FEVER
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY EXTERN GENITALS NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX METACARP BASE NEC-CLOSE

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Clinic Referral Self SURG 4 UNIT SPLEEN DISEASE NEC
Clinic Referral Self SURG 4 UNIT SPLEEN DISEASE NEC
Clinic Referral Self SURG 4 UNIT SPLEEN DISEASE NEC

Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT RHABDOMYOLYSIS
Emergency Room Ambulance MED 1T UNIT RHABDOMYOLYSIS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Physician Referral Ambulance MED 2T UNIT INCONTINENCE OF FECES
Physician Referral Ambulance MED 2T UNIT INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES

Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS

Emergency Room Ambulance MED 2G UNIT DIAPER OR NAPKIN RASH
Emergency Room Ambulance MED 2G UNIT DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT NAUSEA WITH VOMITING
Clinic Referral Self SCCA UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance MED 2G UNIT STEVENS-JOHNSON SYNDROME
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN MOUTH

Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE ALLERGIC SEROUS OM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX UPPER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY TOXIC EFFECT ALCOHOL NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CRACKED TOOTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY AFT CARE HEAL TRAUM FRAC LOWER ARM
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER PERS HX OF KIDNEY MALIGNANCY
Clinic Referral Self SURGERY CENTER PERS HX OF KIDNEY MALIGNANCY
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URINARY CALCULUS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS

Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W HEMORRH
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HYPOSMOLALITY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOREARM-INFEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Clinic Referral Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC

Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Clinic Referral Self SCCA UNIT MUCOSITS D/T ANTINEO RX
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance MED 1T UNIT SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY ELECTROLYT/FLUID DIS NEC
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance MED 2G UNIT SPONTANEOUS ECCHYMOSES
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Physician Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Physician Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURGERY CENTER POPLITEAL SYNOVIAL CYST
Clinic Referral Self SURGERY CENTER POPLITEAL SYNOVIAL CYST
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance MED 1T UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 1T UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY NEWBORN PULMONARY HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA

Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2T UNIT GENERALIZED PAIN
Emergency Room Ambulance MED 2T UNIT GENERALIZED PAIN
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Outside Hospital Ambulance SURG 4 UNIT MALPOSITION OF HEART
Outside Hospital Ambulance SURG 4 UNIT MALPOSITION OF HEART
Outside Hospital Ambulance SURG 4 UNIT MALPOSITION OF HEART
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Clinic Referral Self SURG 3 UNIT FIT/ADJUST CEREBROVASC SHUNT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT DISEASE OF PHARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF PHARYNX NEC
Physician Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Physician Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Clinic Referral Ambulance SURG 4 UNIT CYTOMEGALOVIRAL INCLUSION DIS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self MED 2T UNIT CELLULITIS, FINGER NOS
Clinic Referral Self MED 2T UNIT CELLULITIS, FINGER NOS
Clinic Referral Self MED 2T UNIT CELLULITIS, FINGER NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY POISONING-CNS STIMULANTS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2T UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2T UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2T UNIT INTESTINAL DISORDERS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance REHAB UNIT POST TRAUM PULM INSUFFIC
Outside Hospital Ambulance REHAB UNIT POST TRAUM PULM INSUFFIC
Outside Hospital Ambulance REHAB UNIT POST TRAUM PULM INSUFFIC
Clinic Referral Self SURGERY CENTER ACQ NOSE DEFORMITY

Clinic Referral Self SURGERY CENTER ACQ NOSE DEFORMITY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY POISONING-OPIATES NEC
Emergency Room Ambulance EMERGENCY POISONING-OPIATES NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W HYPEROSMOLAR COMA
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W HYPEROSMOLAR COMA
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W HYPEROSMOLAR COMA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT CHRONIC SINUSITIS NEC
Emergency Room Ambulance SURG 3 UNIT CHRONIC SINUSITIS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Clinic Referral Self SURGERY CENTER UPPER LIMB ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Ambulance MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE LEG

Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance NICU SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance NICU SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance NICU SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance NICU SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance NICU SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER MALFUN INTERN ORTHO DEVICE/ GRAFT NOS
Clinic Referral Self SURGERY CENTER MALFUN INTERN ORTHO DEVICE/ GRAFT NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS

Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY ABRASION FINGER
Emergency Room Ambulance EMERGENCY WOUND DISRUPTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FACIAL WEAKNESS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self MED 2G UNIT NONSUPP OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT NONSUPP OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HYPOXEMIA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Clinic Referral Self SURGERY CENTER CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURGERY CENTER CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER INFECTION COLOSTOMY/ENTEROSTOMY
Clinic Referral Self SURGERY CENTER INFECTION COLOSTOMY/ENTEROSTOMY
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance MED 1T UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance MED 1T UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance MED 1T UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self MED 2G UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self MED 2G UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance MED 2T UNIT PERICARDIAL DISEASE NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR

Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self PICU CONG SKULL/FACE/JAW DEF
Clinic Referral Self PICU CONG SKULL/FACE/JAW DEF
Clinic Referral Self PICU CONG SKULL/FACE/JAW DEF
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER PALPITATIONS
Clinic Referral Self SURGERY CENTER PALPITATIONS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Health Care Facility Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Outside Health Care Facility Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS

Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY BREAST DISORDER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance EMERGENCY BURN NOS FACE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY PERIPH VASCULAR DIS NEC
Emergency Room Ambulance EMERGENCY PERIPH VASCULAR DIS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCES NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT FUSSY INFANT (BABY)
Emergency Room Ambulance SURG 3 UNIT FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT FOREARM DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT FOREARM DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT FOREARM DEFORMITY NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Physician Referral Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Physician Referral Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT UNCERTAIN BEHAV NEOPL SKIN

Clinic Referral Self SURG 4 UNIT UNCERTAIN BEHAV NEOPL SKIN
Clinic Referral Self SURG 4 UNIT UNCERTAIN BEHAV NEOPL SKIN
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY CHALAZION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY DACRYOCYSTITIS NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FRACTURE
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FRACTURE
Clinic Referral Self SURG 3 UNIT CLOSE SKULL BASE FRACTURE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Clinic Referral Self SURGERY CENTER UNS MY LEU WO ACH RMSN
Clinic Referral Self SURGERY CENTER UNS MY LEU WO ACH RMSN
Clinic Referral Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Clinic Referral Ambulance SURG 3 UNIT DISORDERS OF METAB NEC
Clinic Referral Ambulance SURG 3 UNIT DISORDERS OF METAB NEC

Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance MED 2G UNIT FX ORBITAL FLOOR-CLOSED
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER CONJOINED TWINS
Clinic Referral Self SURGERY CENTER CONJOINED TWINS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF LEG

Emergency Room Ambulance MED 2T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY BACKACHE NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ULCER OF HEEL/PLANTAR MIDFOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SCREENING-ENDOC/NUT/MET/IMMUN NEC
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE

Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Physician Referral Self SCCA UNIT THALASSEMIA NEC
Physician Referral Self SCCA UNIT THALASSEMIA NEC
Physician Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance MED 2G UNIT POISONING-SALICYLATES
Emergency Room Ambulance MED 2G UNIT POISONING-SALICYLATES
Emergency Room Ambulance MED 2G UNIT POISONING-SALICYLATES
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Outside Hospital Ambulance PICU TOXIC EFFECT MUSHROOMS
Outside Hospital Ambulance PICU TOXIC EFFECT MUSHROOMS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY PALPITATIONS
Clinic Referral Self REHAB UNIT ESOPHAGEAL REFLUX
Clinic Referral Self REHAB UNIT ESOPHAGEAL REFLUX
Clinic Referral Self REHAB UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Clinic Referral Self SURGERY CENTER PRESSURE ULCER, SITE NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO LUNG
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO LUNG
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT

Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER FINGER INJURY NOS
Clinic Referral Self SURGERY CENTER FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Physician Referral Self MED 2T UNIT THROMBOCYTOPENIA NOS
Physician Referral Self MED 2T UNIT THROMBOCYTOPENIA NOS
Physician Referral Self MED 2T UNIT THROMBOCYTOPENIA NOS
Physician Referral Self MED 2T UNIT THROMBOCYTOPENIA NOS
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NEC
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT ERYTHEMA NODOSUM
Emergency Room Ambulance SURG 4 UNIT ERYTHEMA NODOSUM
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SCCA UNIT HEMOLYTIC HEMOGLOBINURIA
Clinic Referral Self SCCA UNIT HEMOLYTIC HEMOGLOBINURIA
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER AUTONOMIC NERVE DIS NEC
Clinic Referral Self SURGERY CENTER AUTONOMIC NERVE DIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TETRALOGY OF FALLOT
Clinic Referral Self SURGERY CENTER TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY GI NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self PICU INTEST POSTOP NONABSORB
Clinic Referral Self PICU INTEST POSTOP NONABSORB
Clinic Referral Self PICU INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT EDEMA
Clinic Referral Ambulance SURG 4 UNIT EDEMA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS
Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY POSTTRAUM WOUND INFEC NEC
Clinic Referral Self SURGERY CENTER COMPL TRANSPOS GREAT VES
Clinic Referral Self SURGERY CENTER COMPL TRANSPOS GREAT VES
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Outside Hospital Ambulance SURG 3 UNIT BLADDER EXSTROPHY
Outside Hospital Ambulance SURG 3 UNIT BLADDER EXSTROPHY
Outside Hospital Ambulance SURG 3 UNIT BLADDER EXSTROPHY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FRACTURE CALCANEUS-CLOSE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABNORMAL GLUCOSE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 1T UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FRACTURE TWO RIBS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FRACTURE TWO RIBS-CLOSED
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY GLUCOCORTICOID DEFICIENT
Emergency Room Ambulance EMERGENCY GLUCOCORTICOID DEFICIENT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY DYSURIA
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT FX SHAFT RAD W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX SHAFT RAD W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX SHAFT RAD W ULNA-OPEN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN

Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURG 3 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURG 3 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY COMPLIC GU DEVICE
Clinic Referral Self SURG 4 UNIT UNCERT BEHAVIOR NEOPLASM NEC
Clinic Referral Self SURG 4 UNIT UNCERT BEHAVIOR NEOPLASM NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance MED 2G UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY INSECT BITE FINGER
Emergency Room Ambulance MED 2G UNIT HERED PROG MUSC DYSTRPHY
Emergency Room Ambulance MED 2G UNIT HERED PROG MUSC DYSTRPHY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SLEEP APNEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY NEC
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS

Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CONJUNCTIVA
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT HEMOPTYSIS
Emergency Room Ambulance SURG 4 UNIT HEMOPTYSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Physician Referral Ambulance SURG 4 UNIT TACHYCARDIA NOS
Physician Referral Ambulance SURG 4 UNIT TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Emergency Room Ambulance SURG 3 UNIT UNC BEHAV NEO PITUITARY
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT BLADDER/URETHRA INJ-CLOSED
Emergency Room Ambulance SURG 3 UNIT BLADDER/URETHRA INJ-CLOSED
Emergency Room Ambulance SURG 3 UNIT BLADDER/URETHRA INJ-CLOSED
Emergency Room Ambulance MED 1T UNIT FEVER NOS

Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY INSECT BITE TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY OPTIC NEURITIS NOS

Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY BURN NOS CHEST WALL
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Ambulance SCCA UNIT HEMOLYTIC HEMOGLOBINURIA
Clinic Referral Ambulance SCCA UNIT HEMOLYTIC HEMOGLOBINURIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION

Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CRACKED TOOTH
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY BRONCHITIS NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPPUR OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW

Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY TRUNK SITE NEC
Emergency Room Ambulance EMERGENCY DERMATITIS DUE TO OTHER RADIATN
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN PALM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFIC INJ FINGER-NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY RENAL COLIC
Emergency Room Ambulance SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 4 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS

Emergency Room Ambulance MED 2G UNIT PARALYTIC ILEUS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PARVOVIRUS B19
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Transfer from Critical Access HospitalAmbulance SURG 3 UNIT ABD WALL ANOMALY NEC
Transfer from Critical Access HospitalAmbulance SURG 3 UNIT ABD WALL ANOMALY NEC
Transfer from Critical Access HospitalAmbulance SURG 3 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Physician Referral Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Physician Referral Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance SURG 3 UNIT ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY 1ST DEG BURN FOOT
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC

Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY GASTROSTOMY COMPLICATION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY INJURY EXTERN GENITALS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY THERAPUTIC DRUG MONITORING
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT BRAIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY 2ND DEG BURN PALM
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 2T UNIT GALLSTONE ILEUS
Clinic Referral Self MED 2T UNIT GALLSTONE ILEUS
Clinic Referral Self MED 2T UNIT GALLSTONE ILEUS
Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA

Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT ANEMIA NOS
Emergency Room Ambulance MED 2T UNIT ANEMIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CARBUNCLE OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR

Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Outside Health Care Facility Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Outside Health Care Facility Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Outside Health Care Facility Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Outside Health Care Facility Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONTUSION OF BACK
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 1T UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance SURG 4 UNIT ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Outside Hospital Self NICU NEC ENTEROCOLTIS NB NOS
Outside Hospital Self NICU NEC ENTEROCOLTIS NB NOS
Clinic Referral Self PICU ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self PICU ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Outside Hospital Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PARALYTIC ILEUS
Emergency Room Ambulance SURG 3 UNIT PARALYTIC ILEUS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS

Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER JOINT DIS NOS-FOREARM
Clinic Referral Self SURGERY CENTER JOINT DIS NOS-FOREARM
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURGERY CENTER FIT/ADJUST DEVICE NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST DEVICE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 1T UNIT APNEA
Outside Hospital Ambulance MED 1T UNIT APNEA
Outside Hospital Ambulance MED 1T UNIT APNEA
Outside Hospital Ambulance MED 1T UNIT APNEA
Outside Hospital Ambulance MED 1T UNIT APNEA
Outside Hospital Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 4 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 4 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LYMPH NODES
Clinic Referral Self SURGERY CENTER BENIGN NEO LYMPH NODES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 4 UNIT MECH COMPL-PERITONEAL DIALY CATHETR
Physician Referral Ambulance SURG 4 UNIT MECH COMPL-PERITONEAL DIALY CATHETR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT HIP NOS-CLOSED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-L/LEG
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BURN NOS ABDOMINAL WALL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance MED 2G UNIT DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance MED 2G UNIT DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY CONTUSION OF BACK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PENETRAT WOUND ORBIT W FB
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL STENOSIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY BURN NOS ARM-UNSPEC
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FELON
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Physician Referral Self MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL SPHINCTER TEAR-OLD
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL SPHINCTER TEAR-OLD
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Emergency Room Ambulance MED 2T UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance MED 2T UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Ambulance SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Ambulance SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS

Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Outside Hospital Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance MED 2G UNIT DEHYDRATION

Outside Hospital Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY PATHOLOGIC FX HIP/NECK FEMUR
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance SURG 4 UNIT CHR PEPTIC ULCER W HEM
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER LIPOMA NEC
Clinic Referral Self SURGERY CENTER LIPOMA NEC
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY POSTTRAUM WOUND INFEC NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Outside Hospital Ambulance MED 1T UNIT FOREIGN BODY IN PHARYNX
Outside Hospital Ambulance MED 1T UNIT FOREIGN BODY IN PHARYNX
Outside Hospital Ambulance MED 1T UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY GANGLION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CRACKED TOOTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Physician Referral Ambulance SURG 4 UNIT SHORTNESS OF BREATH
Physician Referral Ambulance SURG 4 UNIT SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED

Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance PICU INFEC/INFLAM-NEURL DEVIC
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS INTRACTABLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CAMPYLOBACTER ENTERITIS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self REHAB UNIT FX FEMORAL CONDYLE-CLOSE
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO ESOPHAGUS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO ESOPHAGUS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance SURG 3 UNIT KIDNEY LACERATION-CLOSED
Emergency Room Ambulance SURG 3 UNIT KIDNEY LACERATION-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN NOS
Clinic Referral Self SURGERY CENTER MALIG NEO BRAIN NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOC SHOULDER NOS-CLOSE
Emergency Room Ambulance EMERGENCY FELON
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance MED 2T UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance MED 2T UNIT LOWER EXTR THROMBOSIS PROXIMAL
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF HAND
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF HAND
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FX SHAFT FIB W TIB-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX SHAFT FIB W TIB-CLOSE

Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY BURN NOS HAND-UNSPEC
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY EPISTAXIS

Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT METHYL ALCOHOL
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT METHYL ALCOHOL
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT METHYL ALCOHOL
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT METHYL ALCOHOL
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUNBURN OF SECOND DEGREE
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION

Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance SURG 4 UNIT APPENDICITIS NOS
Outside Hospital Ambulance SURG 4 UNIT APPENDICITIS NOS
Outside Hospital Ambulance SURG 4 UNIT APPENDICITIS NOS
Outside Hospital Ambulance SURG 4 UNIT APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Physician Referral Self SURGERY CENTER BONE MARROW DONOR

Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED
Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT CHOLANGITIS
Clinic Referral Self SCCA UNIT CHOLANGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES ANKLE/FOOT
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES ANKLE/FOOT
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER INFANTILE SPASMS INTRACTABLE
Clinic Referral Self SURGERY CENTER INFANTILE SPASMS INTRACTABLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH

Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS
Physician Referral Ambulance MED 2G UNIT HYPOCALCEM/HYPOMAGNES NWBRN
Physician Referral Ambulance MED 2G UNIT HYPOCALCEM/HYPOMAGNES NWBRN
Physician Referral Ambulance MED 2G UNIT HYPOCALCEM/HYPOMAGNES NWBRN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT CEREBELLAR ATAXIA NEC
Emergency Room Ambulance MED 2G UNIT CEREBELLAR ATAXIA NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Transfer from Critical Access HospitalSelf SURGERY CENTER UNILAT INGUINAL HERNIA
Transfer from Critical Access HospitalSelf SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance MED 2G UNIT MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY GASTROSTOMY COMPLICATION NOS
Emergency Room Ambulance MED 2T UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2T UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2T UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2T UNIT GRAM-NEG SEPTICEMIA NEC
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance MED 1T UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 1T UNIT CYANOTIC ATTACKS OF NEWBORN
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY VISUAL LOSS NOS
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self MED 2T UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self MED 2T UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Ambulance MED 2G UNIT MALFUNC VASC DEVICE/GRAF
Physician Referral Ambulance MED 2G UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance SURG 3 UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance SURG 3 UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance REHAB UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance REHAB UNIT SPONTANEOUS PNEUMOTHORAX NEC
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self MED 2G UNIT CONSTIPATION NOS
Outside Hospital Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT ROTAVIRUS ENTERITIS

Emergency Room Ambulance SURG 3 UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURG 3 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 3 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 3 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance MED 2G UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2T UNIT SLEEP APNEA NOS
Emergency Room Ambulance MED 2T UNIT SLEEP APNEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 4 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN

Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT URETERIC OBSTRUCTION NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY ECZEMA HERPETICUM
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY WOUND DISRUPTION NOS
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-CLOSED
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY TUBERCULOSIS CONTACT
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Physician Referral Ambulance MED 1T UNIT TB PLEURISY-UNSPEC
Physician Referral Ambulance MED 1T UNIT TB PLEURISY-UNSPEC
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC

Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Outside Hospital Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PTOSIS OF EYELID NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY POISONING-ANTIASTHMATICS
Clinic Referral Self SURG 3 UNIT CONG MACROGLOSSIA
Clinic Referral Self SURG 3 UNIT CONG MACROGLOSSIA
Clinic Referral Self SURG 3 UNIT CONG MACROGLOSSIA
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NEONATAL INFEC MASTITIS

Emergency Room Ambulance MED 2G UNIT NEONATAL INFEC MASTITIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance MED 2G UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance MED 2G UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance MED 2G UNIT NEWBORN TRANSITORY TACHYPNEA
Clinic Referral Self SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2T UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance EMERGENCY OTHER BACK SYMPTOMS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER

Emergency Room Ambulance EMERGENCY SUNBURN
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Transfer from Critical Access HospitalAmbulance MED 2T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Transfer from Critical Access HospitalAmbulance MED 2T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Transfer from Critical Access HospitalAmbulance MED 2T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX ASTRAGALUS-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX UPPER END FIBULA-CLOSE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY APNEA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA NEC

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURGERY CENTER SKIN HYPERTRO/ATROPH NOS
Clinic Referral Self SURGERY CENTER SKIN HYPERTRO/ATROPH NOS
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Outside Hospital Ambulance NICU TRANSITORY ILEUS OF NWBRN
Outside Hospital Ambulance NICU TRANSITORY ILEUS OF NWBRN
Emergency Room Ambulance EMERGENCY CARBUNCLE OF TRUNK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Clinic Referral Self SURG 4 UNIT INFUNDIB PULMON STENOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance MED 1T UNIT OPTIC NEURITIS NOS
Emergency Room Ambulance MED 1T UNIT OPTIC NEURITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT NWBRN GI HEMORRHAGE
Emergency Room Ambulance MED 1T UNIT NWBRN GI HEMORRHAGE
Emergency Room Ambulance MED 1T UNIT NWBRN GI HEMORRHAGE
Emergency Room Ambulance MED 1T UNIT NWBRN GI HEMORRHAGE
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Outside Hospital Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER CHRONIC PHARYNGITIS
Clinic Referral Self SURGERY CENTER CHRONIC PHARYNGITIS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER ATRESIA LARGE INTESTINE
Clinic Referral Self SURGERY CENTER ATRESIA LARGE INTESTINE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 1T UNIT PART EPIL W/O INTR EPIL

Emergency Room Ambulance MED 1T UNIT PART EPIL W/O INTR EPIL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SUNBURN
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VACCINE FOR RABIES
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY FOREIGN BODY HEAD
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COLLES’ FRACTURE-CLOSED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL

Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Self MED 2G UNIT DYSPHAGIA NOS
Clinic Referral Self MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PHLYCTEN KERATOCONJUNCT
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance MED 1T UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY FOREIGN BODY HIP/LEG
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS

Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS W OBSTR
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS W OBSTR
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS W OBSTR
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS W OBSTR
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT SPRAIN SHOULDER/ARM NEC
Clinic Referral Self REHAB UNIT SPRAIN SHOULDER/ARM NEC
Clinic Referral Self REHAB UNIT SPRAIN SHOULDER/ARM NEC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS

Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Outside Hospital Ambulance NICU NEONATAL HYPOGLYCEMIA
Outside Hospital Ambulance NICU NEONATAL HYPOGLYCEMIA
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL DIS NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Ambulance MED 2T UNIT CHRONIC KIDNEY DISEASE NOS
Physician Referral Ambulance MED 2T UNIT CHRONIC KIDNEY DISEASE NOS
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Self SURGERY CENTER DENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self SURGERY CENTER DENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT FX ASTRAGALUS-CLOSED
Clinic Referral Self SURG 3 UNIT FX ASTRAGALUS-CLOSED
Clinic Referral Self SURG 3 UNIT FX ASTRAGALUS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER MALE GENITAL DIS NEC
Clinic Referral Self SURGERY CENTER MALE GENITAL DIS NEC
Emergency Room Ambulance MED 1T UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 1T UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER THALASSEMIA NEC
Clinic Referral Self SURGERY CENTER THALASSEMIA NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Outside Hospital Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Outside Hospital Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Outside Hospital Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT TMJ DISORD ADHESIONS AND ANKYLOSIS
Clinic Referral Self SURG 3 UNIT TMJ DISORD ADHESIONS AND ANKYLOSIS
Clinic Referral Self SURG 3 UNIT TMJ DISORD ADHESIONS AND ANKYLOSIS
Clinic Referral Self SURG 3 UNIT TMJ DISORD ADHESIONS AND ANKYLOSIS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRFLATUL/ERUCTAT/GAS PAIN
Clinic Referral Self OUTPAT PROCEDURE CNTRFLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SCCA UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance SCCA UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance SCCA UNIT ALTERED MENTAL STATUS
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC

Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES WRIST/HAND
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES WRIST/HAND
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY PARVOVIRUS B19
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER FX METACARPAL SHAFT-CLOSE
Clinic Referral Self SURGERY CENTER FX METACARPAL SHAFT-CLOSE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Physician Referral Ambulance MED 2G UNIT HYPOTENSION NEC
Physician Referral Ambulance MED 2G UNIT HYPOTENSION NEC
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Clinic Referral Self SURGERY CENTER DERMATOSES NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER SPEC DISORDER URETHRA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Physician Referral Ambulance MED 2G UNIT FEEDING PROBLEM
Physician Referral Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF BACK
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2T UNIT SCOLIOSIS NEC
Clinic Referral Self MED 2T UNIT SCOLIOSIS NEC
Clinic Referral Self MED 2T UNIT SCOLIOSIS NEC
Clinic Referral Self MED 2T UNIT SCOLIOSIS NEC
Outside Hospital Ambulance PICU SEPTICEMIA (SEPSIS) OF NEWBORN
Outside Hospital Ambulance PICU SEPTICEMIA (SEPSIS) OF NEWBORN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Outside Hospital Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN

Clinic Referral Self SURGERY CENTER EYE AND VISION EXAMINATION
Clinic Referral Self SURGERY CENTER EYE AND VISION EXAMINATION
Emergency Room Ambulance SURG 4 UNIT OLD FB IN SOFT TISSUE
Emergency Room Ambulance SURG 4 UNIT OLD FB IN SOFT TISSUE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE W/O CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE W/O CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE W/O CRISIS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER BUPHTHAL W OTHER EYE ANOM
Clinic Referral Self SURGERY CENTER BUPHTHAL W OTHER EYE ANOM
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM

Clinic Referral Self SURGERY CENTER INFLAMMATION EYELID NEC
Clinic Referral Self SURGERY CENTER INFLAMMATION EYELID NEC
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Admitted as transfer from another unitAmbulance REHAB UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE

Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance MED 2G UNIT ACQ HEMOLYTIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT ACQ HEMOLYTIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT COUGH
Emergency Room Ambulance MED 1T UNIT COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT PANCYTOPENIA
Emergency Room Ambulance SCCA UNIT PANCYTOPENIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance SURG 4 UNIT EDEMA
Emergency Room Ambulance SURG 4 UNIT EDEMA
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM CRUSTACEAN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 4 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 4 UNIT CONG HIP DISLOC, UNILAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH

Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Outside Hospital Ambulance SURG 3 UNIT CONJOINED TWINS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER BUPHTHAL W OTHER EYE ANOM
Physician Referral Self SURGERY CENTER BUPHTHAL W OTHER EYE ANOM
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Outside Hospital Ambulance SURG 4 UNIT STG III NEC ENTEROCOL NB
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURGERY CENTER ACUTE APICAL PERIODONTITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance MED 1T UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 1T UNIT CONVULSIONS NEC
Physician Referral Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC

Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY SPRAIN THORACIC REGION
Clinic Referral Self SURGERY CENTER MYOCARDITIS NOS
Clinic Referral Self SURGERY CENTER MYOCARDITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Outside Hospital Ambulance MED 2G UNIT LYMPHADENITIS NOS
Outside Hospital Ambulance MED 2G UNIT LYMPHADENITIS NOS
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Emergency Room Ambulance REHAB UNIT ABSCESS OF EYELID
Clinic Referral Self SURG 3 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2T UNIT EPISTAXIS
Emergency Room Ambulance MED 2T UNIT EPISTAXIS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA INTRACRANIAL
Clinic Referral Self SURG 3 UNIT HEMANGIOMA INTRACRANIAL
Clinic Referral Self SURG 3 UNIT HEMANGIOMA INTRACRANIAL
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY

Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Outside Hospital Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PRECORDIAL PAIN
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN
Outside Hospital Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Outside Hospital Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Clinic Referral Ambulance SURG 3 UNIT BRAIN ANOMALY NEC
Clinic Referral Ambulance SURG 3 UNIT BRAIN ANOMALY NEC
Physician Referral Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Physician Referral Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance SURG 4 UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance SURG 4 UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance SURG 4 UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 1T UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance SURG 4 UNIT PREMATURE BEATS NEC
Emergency Room Ambulance SURG 4 UNIT PREMATURE BEATS NEC
Emergency Room Ambulance SURG 4 UNIT PREMATURE BEATS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY INSECT BITE HIP AND LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER DISEASES OF LIPS
Clinic Referral Self SURGERY CENTER DISEASES OF LIPS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CLEFT LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT LIP NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED

Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSTOMACH FUNCTION DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSTOMACH FUNCTION DIS NEC
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT UNILAT ING HERNIA W OBST

Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF DIGEST SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF DIGEST SYST, NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance MED 1T UNIT FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Clinic Referral Self SURG 4 UNIT ACHALASIA AND CARDIOSPASM
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN

Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Ambulance SURG 4 UNIT MALFUNC CARDIAC PACEMAKE
Clinic Referral Self SURGERY CENTER LIPOMA SKIN NEC
Clinic Referral Self SURGERY CENTER LIPOMA SKIN NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self MED 1T UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Self MED 1T UNIT REG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA

Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Outside Health Care Facility Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Outside Health Care Facility Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER GROSS HEMATURIA
Clinic Referral Self SURGERY CENTER GROSS HEMATURIA
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURGERY CENTER CONGEN TRICUSP ATRES/STEN
Physician Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT

Physician Referral Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY AFT CARE HEAL TRAUM FRAC LOWER ARM
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY 2 DEG BURN BACK OF HAND
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COMPLIC GU DEVICE
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FX DISTAL ULNA-CLOSED
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURGERY CENTER OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance SURGERY CENTER OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURG 3 UNIT ANOMALY OF SPINE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC

Emergency Room Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR INTERN PROSTHE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR INTERN PROSTHE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR INTERN PROSTHE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Hospital Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Outside Hospital Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Outside Hospital Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM

Outside Hospital Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance SURG 3 UNIT ACUTE TONSILLITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE TONSILLITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 1T UNIT PULMON TB NOS-EXAM UNKN
Emergency Room Ambulance MED 1T UNIT PULMON TB NOS-EXAM UNKN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB

Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT FLU W MANIFESTATION NEC
Emergency Room Ambulance MED 1T UNIT FLU W MANIFESTATION NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HIP/THIGH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURG 3 UNIT HYPOGLYCEMIA NOS
Clinic Referral Self SURG 3 UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY POISONING-VITAMINS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CHALAZION
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY MALFUNC URETHRAL CATH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INJURY TO FACIAL NERVE
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CERVICALGIA

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NWBRN GI HEMORRHAGE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2G UNIT ASPHYXIATION/STRANGULAT
Outside Hospital Ambulance MED 2G UNIT ASPHYXIATION/STRANGULAT
Outside Hospital Ambulance MED 2G UNIT ASPHYXIATION/STRANGULAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Clinic Referral Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY POISONING-VITAMINS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY JOINT DERANGMENT NEC-SHLDER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM-INFEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONEAL ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY PRICKLY HEAT
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY DISLOC ACROMIOCLAVIC-CLOSE
Emergency Room Ambulance EMERGENCY DISLOC ACROMIOCLAVIC-CLOSE
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CLOSE SKULL BASE FRACTURE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PITYRIASIS ROSEA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER ONYCHIA OF TOE
Clinic Referral Self SURGERY CENTER ONYCHIA OF TOE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Physician Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance SURG 3 UNIT JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SCCA UNIT SECOND HYPERTENSION NEC
Clinic Referral Self SCCA UNIT SECOND HYPERTENSION NEC
Emergency Room Ambulance EMERGENCY ACUTE INFECT EXTERN EAR NEC
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER FUNC DISORDERS INTESTINE NEC
Clinic Referral Self SURGERY CENTER FUNC DISORDERS INTESTINE NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Physician Referral Self SURGERY CENTER JOINT PAIN-L/LEG
Physician Referral Self SURGERY CENTER JOINT PAIN-L/LEG
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTRMONOART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRMONOART JUV RHEUM ARTHR
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Physician Referral Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Physician Referral Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance EMERGENCY 1ST DEG BURN HAND NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMATEMESIS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMATEMESIS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION

Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Physician Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Ambulance SCCA UNIT NAUSEA WITH VOMITING
Clinic Referral Ambulance SCCA UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURGERY CENTER PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM

Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance PICU STEVENS-JOHNSON-TEN SYN
Emergency Room Ambulance PICU STEVENS-JOHNSON-TEN SYN
Emergency Room Ambulance PICU STEVENS-JOHNSON-TEN SYN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance PICU ABD WALL ANOMALY NEC
Outside Hospital Ambulance PICU ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO URINOSTOMY NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY TRANS ARTHROPATHY-MULT
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPERFIC INJ FINGER-NEC
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY ELEV BL PRES W/O HYPERTN

Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self SURGERY CENTER PLANTAR FIBROMATOSIS
Clinic Referral Self SURGERY CENTER PLANTAR FIBROMATOSIS
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURG 3 UNIT LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN RUQ

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN RUQ
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Physician Referral Ambulance SURG 3 UNIT EMPYEMA W/O FISTULA
Physician Referral Ambulance SURG 3 UNIT EMPYEMA W/O FISTULA
Physician Referral Ambulance SURG 3 UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance SURG 4 UNIT MALFUNC GU DEV/GRAFT NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC GU DEV/GRAFT NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC GU DEV/GRAFT NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC GU DEV/GRAFT NOS
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance MED 2G UNIT ANAPHYLAC SHOCK TREE NUTS SEEDS
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT

Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRDIAPHRAGMATIC HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRDIAPHRAGMATIC HERNIA
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER PROLAPSE URETHRAL MUCOSA
Clinic Referral Self SURGERY CENTER PROLAPSE URETHRAL MUCOSA
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 1T UNIT METH SUS PNEUM D/T STAPH
Emergency Room Ambulance MED 1T UNIT METH SUS PNEUM D/T STAPH
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS

Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS
Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Outside Hospital Ambulance MED 2G UNIT OTITIS MEDIA NOS
Outside Hospital Ambulance MED 2G UNIT OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DISORDERS MITOCHONDRIAL METABOL
Clinic Referral Self SURGERY CENTER DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance MED 1T UNIT JUV RHEUM ARTHRITIS NOS

Emergency Room Ambulance MED 1T UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURGERY CENTER CONGEN FACE/NECK ANOM NEC
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND AUDITORY CANAL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY SPRAIN OF BACK NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Physician Referral Self OUTPAT PROCEDURE CNTRPOLYDACTYLY, FINGERS
Physician Referral Self OUTPAT PROCEDURE CNTRPOLYDACTYLY, FINGERS
Outside Hospital Self MED 1T UNIT FAILURE TO THRIVE
Outside Hospital Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ

Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance SURG 4 UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance SURG 4 UNIT ROTAVIRUS ENTERITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEARING LOSS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Clinic Referral Self SURG 4 UNIT ADJUST FITTING IMPL CARD DEFIBRILL
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Physician Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Physician Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Physician Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL

Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Emergency Room Ambulance EMERGENCY SEBORRHEA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURGERY CENTER COMPLIC HRT VALVE PROSTHESIS
Physician Referral Self SURGERY CENTER SEBACEOUS CYST
Physician Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 1T UNIT FEEDING PROBLEM
Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE

Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CONJOINED TWINS
Clinic Referral Self SURG 4 UNIT CONJOINED TWINS
Clinic Referral Self SURG 4 UNIT CONJOINED TWINS
Clinic Referral Self SURG 4 UNIT CONJOINED TWINS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance MED 2G UNIT CNS DEMYELINATION NEC
Outside Hospital Ambulance MED 2G UNIT CNS DEMYELINATION NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT ATRIAL FIBRILLATION
Emergency Room Ambulance SURG 4 UNIT ATRIAL FIBRILLATION
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY FOOT/TOE NEC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY OPEN WOUND LIP-COMPLICAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT ANEMIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX

Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Hospital Ambulance PICU
Outside Hospital Ambulance PICU
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance NICU STOMACH INJURY-OPEN
Outside Hospital Ambulance NICU STOMACH INJURY-OPEN
Outside Hospital Ambulance NICU STOMACH INJURY-OPEN
Outside Hospital Ambulance NICU STOMACH INJURY-OPEN
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance EMERGENCY FOOD POISONING NOS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT SOAP/DETERGENT
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY JUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE APICAL PERIODONTITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE APICAL PERIODONTITIS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Clinic Referral Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Clinic Referral Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Clinic Referral Ambulance SURG 3 UNIT SPONTANEOUS PNEUMOTHORAX NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT DERANG LAT MENISCUS NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY INTEGUMENT TISS SYMP NEC
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL CATARACT NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL CATARACT NOS

Clinic Referral Self SURG 3 UNIT CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATION OF INTESTINE
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATION OF INTESTINE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Outside Hospital Ambulance REHAB UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance REHAB UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance REHAB UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance REHAB UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Clinic Referral Self MED 2G UNIT ELEV TRANSAMINASE/LDH
Clinic Referral Self MED 2G UNIT ELEV TRANSAMINASE/LDH
Clinic Referral Self MED 2G UNIT ELEV TRANSAMINASE/LDH
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY IN STOMACH
Emergency Room Ambulance MED 2T UNIT PSEUDOMONAS SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT PSEUDOMONAS SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT PSEUDOMONAS SEPTICEMIA
Clinic Referral Self SURGERY CENTER JOINT DIS NOS-UP/ARM
Clinic Referral Self SURGERY CENTER JOINT DIS NOS-UP/ARM
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LIVER, PRIMARY
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LIVER, PRIMARY
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LIVER, PRIMARY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SUPERFIC INJ HEAD NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY HEAD AND NECK SYMPTOMS NEC
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FOREIGN BODY HIP/LEG
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Ambulance SURG 4 UNIT IRON DEFIC ANEMIA NOS
Clinic Referral Ambulance SURG 4 UNIT IRON DEFIC ANEMIA NOS

Outside Hospital Ambulance SURG 3 UNIT CHRONIC PANCREATITIS
Outside Hospital Ambulance SURG 3 UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURG 3 UNIT BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURG 3 UNIT BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURG 3 UNIT BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NEC
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self MED 2G UNIT CHR MEMBRANOUS NEPHRITIS
Clinic Referral Self MED 2G UNIT CHR MEMBRANOUS NEPHRITIS
Clinic Referral Self MED 2G UNIT CHR MEMBRANOUS NEPHRITIS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK

Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURG 4 UNIT PULMON CIRCULAT DIS NEC
Clinic Referral Self SURG 4 UNIT PULMON CIRCULAT DIS NEC
Clinic Referral Self SURG 4 UNIT PULMON CIRCULAT DIS NEC
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT ANEURYSM OF CORONARY VESSELS
Clinic Referral Ambulance SURG 4 UNIT ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY WHEEZING

Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Outside Hospital Ambulance SCCA UNIT SEPTICEMIA NOS
Outside Hospital Ambulance SCCA UNIT SEPTICEMIA NOS
Outside Hospital Ambulance SCCA UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Ambulance SURG 4 UNIT PERSISTENT VOMITING
Clinic Referral Ambulance SURG 4 UNIT PERSISTENT VOMITING
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Physician Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Physician Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Emergency Room Ambulance MED 2G UNIT COMPLICAT DUE TO INSULIN PUMP
Emergency Room Ambulance MED 2G UNIT COMPLICAT DUE TO INSULIN PUMP
Clinic Referral Self SCCA UNIT TRANSFUSION REACTION NEC

Clinic Referral Self SCCA UNIT TRANSFUSION REACTION NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER VENTRICULAR SEPT DEFECT
Clinic Referral Self SURGERY CENTER VENTRICULAR SEPT DEFECT
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Physician Referral Self SURGERY CENTER MYOPATHY NOS
Physician Referral Self SURGERY CENTER MYOPATHY NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURGERY CENTER OBSTRUCT HEART ANOM NEC
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY LOSS OF WEIGHT
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OPEN WOUND NASAL CAVITY
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE

Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self REHAB UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self REHAB UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self REHAB UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance SCCA UNIT COMBINED IMMUNITY DEFIC
Emergency Room Ambulance SCCA UNIT COMBINED IMMUNITY DEFIC
Emergency Room Ambulance SCCA UNIT COMBINED IMMUNITY DEFIC
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self SURG 3 UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self SURG 3 UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ATTN REM SURG DRESSING
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY CONTUSION OF BUTTOCK
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC FEMUR
Clinic Referral Self SURG 4 UNIT LACK OF COORDINATION
Clinic Referral Self SURG 4 UNIT LACK OF COORDINATION
Clinic Referral Self SURG 4 UNIT LACK OF COORDINATION
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self MED 2T UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self MED 2T UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self MED 2T UNIT CONGENITAL PULMON VALV ATRESIA

Outside Hospital Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Outside Hospital Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Outside Hospital Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT CYSTS OF JAWS NEC
Clinic Referral Self SURG 3 UNIT CYSTS OF JAWS NEC
Clinic Referral Self SURG 3 UNIT CYSTS OF JAWS NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM

Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SHOULDER
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-UP/ARM
Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-UP/ARM
Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-UP/ARM
Clinic Referral Self SURG 3 UNIT ORBIT DEFORM D/T TRAUMA
Clinic Referral Self SURG 3 UNIT ORBIT DEFORM D/T TRAUMA
Clinic Referral Self SURG 3 UNIT ORBIT DEFORM D/T TRAUMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER VIRAL ENTERITIS
Emergency Room Ambulance EMERGENCY POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK

Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DRUG DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self SURG 3 UNIT DENTOFACIAL ANOMALIES NEC
Clinic Referral Self SURG 3 UNIT DENTOFACIAL ANOMALIES NEC
Clinic Referral Self SURG 3 UNIT DENTOFACIAL ANOMALIES NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL SEPTICEMIA
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL SEPTICEMIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Emergency Room Ambulance MED 2G UNIT ASCITES NEC
Emergency Room Ambulance MED 2G UNIT ASCITES NEC
Emergency Room Ambulance MED 2G UNIT ASCITES NEC
Emergency Room Ambulance MED 2G UNIT ASCITES NEC
Emergency Room Ambulance EMERGENCY SEROUS CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Outside Hospital Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Outside Hospital Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Outside Hospital Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC

Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Clinic Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Ambulance MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Hospital Ambulance MED 2G UNIT BACTEREMIA NOS
Outside Hospital Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self MED 2T UNIT NEUTROPENIA NOS
Clinic Referral Self MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT ENURESIS NOS
Clinic Referral Self SURG 3 UNIT ENURESIS NOS
Clinic Referral Self SURG 3 UNIT ENURESIS NOS
Clinic Referral Self SURG 3 UNIT ENURESIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY CONTUSION SCAPUL REGION
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-UP/ARM
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY APNEA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 1T UNIT INFLAMMATION OF JAW
Emergency Room Ambulance MED 1T UNIT INFLAMMATION OF JAW
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC
Emergency Room Ambulance MED 2G UNIT SERUM REACTION NEC
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Clinic Referral Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY UNSPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY UNSPEC SITE
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM

Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN LOWER LEG
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CONGENITAL HYPOTHYROIDSM
Clinic Referral Self SURGERY CENTER CONGENITAL HYPOTHYROIDSM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FELON
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER ACUTE ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER ACUTE ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER DENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self SURGERY CENTER DENTAL CARIES EXTENDING INTO PULP
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY DISORDERS OF EYELID NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL INFEC NEC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS

Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY POISONING-PSYCHOSTIMULANTS
Emergency Room Ambulance MED 2T UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance MED 2T UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance MED 2T UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance MED 2T UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY HEMANGIOMA NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC

Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HODGKINS DIS NOS HEAD
Clinic Referral Self SURGERY CENTER HODGKINS DIS NOS HEAD
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Clinic Referral Self SURGERY CENTER DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT GAS/VAPOR NEC
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS

Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 3 UNIT BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 3 UNIT BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 3 UNIT BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Outside Hospital Ambulance NICU NJURIES TO SCALP NEC
Outside Hospital Ambulance NICU NJURIES TO SCALP NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCHR DUODENAL ULCER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCHR DUODENAL ULCER NOS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FX ULNA SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SCCA UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SCCA UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SCCA UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Clinic Referral Self SURGERY CENTER ACQ DEFORMITY OF TOE NEC
Clinic Referral Self SURGERY CENTER ACQ DEFORMITY OF TOE NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY

Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURG 3 UNIT CEREBRAL CYSTS
Clinic Referral Self SURG 3 UNIT CEREBRAL CYSTS
Clinic Referral Self SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance MED 2G UNIT MASTOIDITIS NOS
Emergency Room Ambulance MED 2G UNIT MASTOIDITIS NOS
Emergency Room Ambulance MED 2G UNIT MASTOIDITIS NOS
Emergency Room Ambulance MED 2G UNIT MASTOIDITIS NOS
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance MED 2T UNIT ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURG 3 UNIT ATTEN TO CYSTOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO CYSTOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO CYSTOSTOMY
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Ambulance MED 2T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Ambulance MED 2T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Ambulance MED 2T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Ambulance MED 2T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS,UNILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS,UNILAT
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance SURG 4 UNIT PULM EMBOLISM/INFARCT NOS
Emergency Room Ambulance SURG 4 UNIT PULM EMBOLISM/INFARCT NOS
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY PLANTAR WART
Emergency Room Ambulance MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Physician Referral Self SURGERY CENTER PERITONEAL ABSCESS
Physician Referral Self SURGERY CENTER PERITONEAL ABSCESS
Clinic Referral Self SURGERY CENTER CIRCULATORY DISEASE NEC
Clinic Referral Self SURGERY CENTER CIRCULATORY DISEASE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SYNDACTYL TOE-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL TOE-NO FUSION
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance MED 2G UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance MED 2G UNIT NECROTIZING FASCIITIS

Emergency Room Ambulance MED 2G UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance MED 2G UNIT NECROTIZING FASCIITIS
Emergency Room Ambulance EMERGENCY HYPHEMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER CONTRACTED PALMAR FASCIA
Clinic Referral Self SURGERY CENTER CONTRACTED PALMAR FASCIA
Clinic Referral Self SURGERY CENTER DISORDERS OF EYELID NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF EYELID NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG II NEC ENTEROCOL NB
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY HAND
Clinic Referral Self SURGERY CENTER FOREIGN BODY HAND
Emergency Room Ambulance EMERGENCY TOXIC ERYTHEMA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA

Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY PRIMARY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONCUSSION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK UNSPEC FOOD
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC

Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER INFLAM SPONDYLOPATHY NEC
Clinic Referral Self SURGERY CENTER INFLAM SPONDYLOPATHY NEC
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER FEVER NOS
Clinic Referral Self SURGERY CENTER FEVER NOS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Physician Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER OTHR CONG MULTI SYSTEM SYND
Clinic Referral Self SURGERY CENTER OTHR CONG MULTI SYSTEM SYND

Physician Referral Ambulance MED 2G UNIT ACUTE PANCREATITIS
Physician Referral Ambulance MED 2G UNIT ACUTE PANCREATITIS
Physician Referral Ambulance MED 2G UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER POSTMASTOID CHOLESTEATMA
Clinic Referral Self SURGERY CENTER POSTMASTOID CHOLESTEATMA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Outside Hospital Ambulance MED 1T UNIT NB RESPIRATORY ARREST
Outside Hospital Ambulance MED 1T UNIT NB RESPIRATORY ARREST
Outside Hospital Ambulance MED 1T UNIT NB RESPIRATORY ARREST
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC TIBIA
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC TIBIA
Clinic Referral Self REHAB UNIT LONGITUDINAL DEFIC TIBIA
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Clinic Referral Self SURGERY CENTER CYST OF BONE NOS
Clinic Referral Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER RESPIRATORY ABNORM NEC
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NOS

Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NOS
Clinic Referral Self SURGERY CENTER ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURGERY CENTER ADJUST FITTING CARDIAC PACEMAKER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT STRESS FRACTURE NEC
Clinic Referral Self REHAB UNIT STRESS FRACTURE NEC
Clinic Referral Self REHAB UNIT STRESS FRACTURE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL EDEMA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER APHAKIA
Physician Referral Self SURGERY CENTER APHAKIA
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE

Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIA
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIA
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NEC
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NEC
Clinic Referral Self SURG 4 UNIT NEPHROTIC SYNDROME NEC
Clinic Referral Self REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Physician Referral Self SURGERY CENTER MONOCULAR ESOTROPIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO TRACHEOSTOMY
Physician Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT PLANTAR FIBROMATOSIS
Clinic Referral Self SURG 3 UNIT PLANTAR FIBROMATOSIS
Clinic Referral Self SURG 3 UNIT PLANTAR FIBROMATOSIS
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF CIRCULAT SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF CIRCULAT SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF CIRCULAT SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF CIRCULAT SYST, NEC
Clinic Referral Self SURG 4 UNIT AFCARE FOL SURG OF CIRCULAT SYST, NEC
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURG 4 UNIT ASEPTIC NECROSIS FEMUR
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNC BEHAV NEO INTESTINE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNC BEHAV NEO INTESTINE
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance SCCA UNIT COMPLIC ORGAN TRANSPLNT NOS
Physician Referral Ambulance SCCA UNIT COMPLIC ORGAN TRANSPLNT NOS
Clinic Referral Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT ABD WALL ANOMALY NEC
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT ABD WALL ANOMALY NEC
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Physician Referral Self SURGERY CENTER MONOCULAR EXOTROPIA
Physician Referral Self SURGERY CENTER MONOCULAR EXOTROPIA
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-COMPL
Clinic Referral Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS

Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT CHOLECYSTITIS NOS
Emergency Room Ambulance MED 2T UNIT CHOLECYSTITIS NOS
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Clinic Referral Self MED 2T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT CHRONIC PAIN SYNDROME
Emergency Room Ambulance MED 1T UNIT CHRONIC PAIN SYNDROME
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT BENIGN NEO PARATHYROID
Physician Referral Ambulance MED 2G UNIT BENIGN NEO PARATHYROID
Clinic Referral Self SURGERY CENTER LOWER LIMB ANOMALY NOS
Clinic Referral Self SURGERY CENTER LOWER LIMB ANOMALY NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance MED 1T UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance MED 1T UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance MED 1T UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance MED 1T UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURGERY CENTER CEREBROVASCULAR ANOMALY
Clinic Referral Self SURGERY CENTER CEREBROVASCULAR ANOMALY
Emergency Room Ambulance EMERGENCY CONTUSION OF EYEBALL
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT OPEN WOUND FACE NOS-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND FACE NOS-COMPL
Emergency Room Ambulance EMERGENCY DYSHIDROSIS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR

Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER FX RADIUS NECK-CLOSED
Clinic Referral Self SURGERY CENTER FX RADIUS NECK-CLOSED
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER ACQUIRED ABSENSE OF GENITAL ORGANS
Clinic Referral Self SURGERY CENTER ACQUIRED ABSENSE OF GENITAL ORGANS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY CHALAZION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY EYE NEC
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS NEC W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS NEC W/O HEMORRH
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER GENU VARUM
Clinic Referral Self SURGERY CENTER GENU VARUM
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC

Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF HAND
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF HAND
Clinic Referral Self SURGERY CENTER CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 4 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 4 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 4 UNIT NOSE ANOMALY NEC
Clinic Referral Ambulance REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Ambulance REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Ambulance REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Ambulance REHAB UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2G UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2G UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2G UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Physician Referral Ambulance MED 2T UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC

Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Ambulance MED 1T UNIT CONSTIPATION NEC
Clinic Referral Ambulance MED 1T UNIT CONSTIPATION NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC
Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC
Physician Referral Ambulance MED 1T UNIT CELLULITIS OF FACE
Physician Referral Ambulance MED 1T UNIT CELLULITIS OF FACE
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Outside Health Care Facility Ambulance MED 1T UNIT LIVER DISORDERS NEC
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT HEMOPTYSIS
Emergency Room Ambulance MED 1T UNIT HEMOPTYSIS
Clinic Referral Self SCCA UNIT VENOUS THROMBOSIS NEC
Clinic Referral Self SCCA UNIT VENOUS THROMBOSIS NEC
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-ANKLE
Physician Referral Self NICU RETINOPH PREMATURITY NOS
Physician Referral Self NICU RETINOPH PREMATURITY NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Physician Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Physician Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Physician Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Outside Health Care Facility Ambulance MED 2G UNIT RECTAL AND ANAL HEMORRHAGE
Outside Health Care Facility Ambulance MED 2G UNIT RECTAL AND ANAL HEMORRHAGE

Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Physician Referral Self MED 2G UNIT FEEDING PROBLEM
Physician Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Physician Referral Self SURGERY CENTER MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK OTHR SPEC FOOD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Clinic Referral Self REHAB UNIT RECUR DISLOCAT-UP/ARM
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY GRANUL-SKIN
Clinic Referral Self SURGERY CENTER FOREIGN BODY GRANUL-SKIN
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS

Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN MOUTH
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS INJURY
Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS INJURY
Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS INJURY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER PATH RESORPTION TEETH, EXTERNAL
Clinic Referral Self SURGERY CENTER PATH RESORPTION TEETH, EXTERNAL
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance SCCA UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance SCCA UNIT ACUTE PHARYNGITIS
Clinic Referral Self MED 1T UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self MED 1T UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Outside Hospital Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance SURG 4 UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT CONG ECTODERMAL DYSPLAS
Clinic Referral Self SURG 3 UNIT CONG ECTODERMAL DYSPLAS
Clinic Referral Self SURG 3 UNIT CONG ECTODERMAL DYSPLAS
Clinic Referral Self SURG 3 UNIT CONG ECTODERMAL DYSPLAS
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE

Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2T UNIT HEADACHE
Emergency Room Ambulance MED 2T UNIT HEADACHE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ATTN REM SURG DRESSING
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK
Emergency Room Ambulance EMERGENCY ANISOCORIA
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK

Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH

Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Outside Hospital Ambulance NICU STG III NEC ENTEROCOL NB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance SURG 3 UNIT MOYAMOYA DISEASE
Emergency Room Ambulance SURG 3 UNIT MOYAMOYA DISEASE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN LARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2T UNIT APNEA
Emergency Room Ambulance MED 2T UNIT APNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY NEPHRITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance SCCA UNIT LUMBAGO
Emergency Room Ambulance SCCA UNIT LUMBAGO
Clinic Referral Ambulance MED 2T UNIT SARCOIDOSIS
Clinic Referral Ambulance MED 2T UNIT SARCOIDOSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY HERPETIC WHITLOW
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PERIPH VASCULAR DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY 2ND DEGREE BURN NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY CONCUSSION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF BUTTOCK
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MASTOIDITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Physician Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV

Physician Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Physician Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Emergency Room Ambulance MED 1T UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance MED 1T UNIT EMPYEMA W/O FISTULA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALV ATRESIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Ambulance SURG 3 UNIT POSTPROCEDURAL FEVER
Clinic Referral Ambulance SURG 3 UNIT POSTPROCEDURAL FEVER
Emergency Room Ambulance MED 1T UNIT LACK OF COORDINATION

Emergency Room Ambulance MED 1T UNIT LACK OF COORDINATION
Physician Referral Ambulance MED 1T UNIT HB-SS DISEASE W/O CRISIS
Physician Referral Ambulance MED 1T UNIT HB-SS DISEASE W/O CRISIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 2G UNIT SPONDYLOLISTHESIS
Emergency Room Ambulance MED 2G UNIT SPONDYLOLISTHESIS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Clinic Referral Self SURGERY CENTER INCISIONAL HERNIA
Clinic Referral Self SURGERY CENTER INCISIONAL HERNIA
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER BURKITT’S UNSP XTRNODL/SOLID ORG
Clinic Referral Self SURGERY CENTER BURKITT’S UNSP XTRNODL/SOLID ORG
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER SACROILIITIS NEC
Clinic Referral Self SURGERY CENTER SACROILIITIS NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRPOLYART JUV RHEUM ARTHR

Clinic Referral Self OUTPAT PROCEDURE CNTRPOLYART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SCCA UNIT PATHOLOGIC FX VERTEBRAE
Emergency Room Ambulance SCCA UNIT PATHOLOGIC FX VERTEBRAE
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Outside Hospital Ambulance NICU RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance NICU RESPIRATORY DISTRESS SYN
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY DYSURIA
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS

Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF MUSCULOSK SYS, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF MUSCULOSK SYS, NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TOPICAL FOOD DERMATITIS
Emergency Room Ambulance EMERGENCY H SIMPLEX KERATITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CLOSED SKULL VAULT FX
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Self SCCA UNIT
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HAND NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS

Emergency Room Ambulance EMERGENCY SPRAIN OF BACK NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 2G UNIT ORBITAL CELLULITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 4 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Ambulance MED 1T UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance MED 1T UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance MED 1T UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance MED 1T UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY INSECT BITE FINGER
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ISSUE REPEAT PRESCRIPT
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SCCA UNIT HEMOPHAGOCYTIC SYNDROMES
Emergency Room Ambulance SCCA UNIT HEMOPHAGOCYTIC SYNDROMES
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Physician Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM NEC
Physician Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM NEC
Clinic Referral Self SURGERY CENTER ABSENCE OF MUSCLE/TENDON
Clinic Referral Self SURGERY CENTER ABSENCE OF MUSCLE/TENDON

Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROSIS ARM
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROSIS ARM
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB

Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance SURG 3 UNIT SPIN BIF W HYDRCEPH-LUMB
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,UNILT
Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,UNILT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURGERY CENTER LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Physician Referral Self SURGERY CENTER LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER RADIAL NERVE LESION
Clinic Referral Self SURGERY CENTER RADIAL NERVE LESION

Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-FOREARM
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-FOREARM
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BOUTONNIERE DEFORMITY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FX FEMORAL CONDYLE-CLOSE
Clinic Referral Self SCCA UNIT PULM EMBOLISM/INFARCT NOS
Clinic Referral Self SCCA UNIT PULM EMBOLISM/INFARCT NOS
Clinic Referral Self SCCA UNIT PULM EMBOLISM/INFARCT NOS
Clinic Referral Self SCCA UNIT PULM EMBOLISM/INFARCT NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HIP/THIGH
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES

Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Outside Health Care Facility Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Outside Health Care Facility Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Outside Health Care Facility Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self REHAB UNIT TALIPES NOS
Clinic Referral Self REHAB UNIT TALIPES NOS
Clinic Referral Self REHAB UNIT TALIPES NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER JOINT PAIN-ANKLE
Clinic Referral Self SURGERY CENTER JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT CHOLELITHIAS NOS W OBSTR
Emergency Room Ambulance MED 1T UNIT CHOLELITHIAS NOS W OBSTR
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ACUTE RHEUMAT HRT DIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RHEUMAT HRT DIS NOS

Emergency Room Ambulance MED 1T UNIT ACUTE RHEUMAT HRT DIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE RHEUMAT HRT DIS NOS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Outside Hospital Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 1T UNIT ABSCESS OF LUNG
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Clinic Referral Self SURGERY CENTER MARGINAL PERF TYMP NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CONG HIP DEFORMITY NEC
Clinic Referral Self SURGERY CENTER CONG HIP DEFORMITY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC

Emergency Room Ambulance MED 2G UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance MED 2G UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self REHAB UNIT HALLUX VALGUS
Clinic Referral Self REHAB UNIT HALLUX VALGUS
Clinic Referral Self REHAB UNIT HALLUX VALGUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY LIVER DISORDER NOS
Emergency Room Ambulance MED 2T UNIT HYDRONEPHROSIS
Emergency Room Ambulance MED 2T UNIT HYDRONEPHROSIS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY CONCUSSION W COMA NOS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FX FOOT BONE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DISLOC SHOULDER NOS-CLOSE
Emergency Room Ambulance EMERGENCY SEBORRHEA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Clinic Referral Ambulance MED 1T UNIT CHRONIC SINUSITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY CHALAZION
Physician Referral Self MED 2G UNIT MALIG NEOPL KIDNEY
Physician Referral Self MED 2G UNIT MALIG NEOPL KIDNEY
Physician Referral Self MED 2G UNIT MALIG NEOPL KIDNEY

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OBSERVATION UNIT PILONIDAL CYST W ABSCESS
Clinic Referral Self OBSERVATION UNIT PILONIDAL CYST W ABSCESS
Clinic Referral Self OBSERVATION UNIT PILONIDAL CYST W ABSCESS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Outside Health Care Facility Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CLEFT PALATE AND LIP NOS
Clinic Referral Self SURGERY CENTER CLEFT PALATE AND LIP NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC
Clinic Referral Self SURG 3 UNIT BONE CYST NEC

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Transfer from Critical Access HospitalAmbulance MED 2G UNIT STREPTOCOCCAL MENINGITIS
Transfer from Critical Access HospitalAmbulance MED 2G UNIT STREPTOCOCCAL MENINGITIS
Transfer from Critical Access HospitalAmbulance MED 2G UNIT STREPTOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self MED 1T UNIT CONG MACROGLOSSIA
Clinic Referral Self MED 1T UNIT CONG MACROGLOSSIA
Clinic Referral Self MED 1T UNIT CONG MACROGLOSSIA
Clinic Referral Self MED 1T UNIT CONG MACROGLOSSIA
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Physician Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Physician Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Physician Referral Ambulance SURG 3 UNIT BACTEREMIA NOS
Physician Referral Ambulance SURG 3 UNIT BACTEREMIA NOS
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Outside Hospital Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Outside Hospital Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Clinic Referral Self SURGERY CENTER FITTING URINARY DEVICES
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance NICU PERINATAL CHR RESP DIS
Outside Hospital Ambulance NICU PERINATAL CHR RESP DIS
Outside Hospital Ambulance NICU PERINATAL CHR RESP DIS
Outside Hospital Ambulance NICU PERINATAL CHR RESP DIS
Outside Hospital Ambulance NICU PERINATAL CHR RESP DIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance MED 1T UNIT GRAND MAL STATUS

Outside Hospital Ambulance MED 1T UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HYPERVENTILATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance MED 2T UNIT AUTOIMMUNE HEMOLYTIC ANEMIA
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Clinic Referral Self SURGERY CENTER INTESTINAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER INTESTINAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED

Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY MULTIPLE FX HAND-OPEN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEARING LOSS NOS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LOSS OF WEIGHT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self OBSERVATION UNIT CHRONIC KIDNEY DISEASE NOS
Clinic Referral Self OBSERVATION UNIT CHRONIC KIDNEY DISEASE NOS
Clinic Referral Self OBSERVATION UNIT CHRONIC KIDNEY DISEASE NOS
Emergency Room Ambulance EMERGENCY SEXUAL PRECOCITY NEC
Emergency Room Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Emergency Room Ambulance MED 1T UNIT SUBPERI MASTOID ABSCESS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance OBSERVATION UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance OBSERVATION UNIT DROWNING/NONFATAL SUBMER
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL

Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT POLYOSTOTIC FIBROS DYSPL
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL PROLAPSE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Clinic Referral Self MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance MED 2T UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Outside Hospital Ambulance SURG 3 UNIT FX MALAR/MAXILLARY-OPEN
Outside Hospital Ambulance SURG 3 UNIT FX MALAR/MAXILLARY-OPEN
Outside Hospital Ambulance SURG 3 UNIT FX MALAR/MAXILLARY-OPEN
Outside Hospital Ambulance SURG 3 UNIT FX MALAR/MAXILLARY-OPEN
Outside Hospital Ambulance SURG 3 UNIT FX MALAR/MAXILLARY-OPEN
Emergency Room Ambulance OBSERVATION UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance OBSERVATION UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self OBSERVATION UNIT ESOPHAGEAL REFLUX
Clinic Referral Self OBSERVATION UNIT ESOPHAGEAL REFLUX
Clinic Referral Self OBSERVATION UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY NONSUPP OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL TENDERNESS UNSP SITE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER THROAT PAIN
Clinic Referral Self SURGERY CENTER THROAT PAIN
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance SURG 4 UNIT PERICARDIAL DISEASE NEC
Emergency Room Ambulance SURG 4 UNIT PERICARDIAL DISEASE NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Clinic Referral Self SURGERY CENTER DISEASE OF LARYNX NEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER COMMON TRUNCUS
Clinic Referral Self SURGERY CENTER COMMON TRUNCUS
Emergency Room Ambulance MED 2T UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2T UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURGERY CENTER PERITONSILLAR ABSCESS
Emergency Room Ambulance SURGERY CENTER PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 2G UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND LIP-COMPLICAT
Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-PELVIS
Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-PELVIS

Clinic Referral Self SURG 3 UNIT JOINT CONTRACTURE-PELVIS
Emergency Room Ambulance EMERGENCY BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONG SKULL/FACE/JAW DEF
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY SPEECH DISTURBANCE NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY 2ND DEG BURN LEG NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT MALIG NEOPLASM PELVIC GIRDLE
Clinic Referral Self SCCA UNIT MALIG NEOPLASM PELVIC GIRDLE
Clinic Referral Self SCCA UNIT MALIG NEOPLASM PELVIC GIRDLE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Clinic Referral Self MED 1T UNIT FX LOWER HUMERUS NEC-CLOSE
Clinic Referral Self MED 1T UNIT FX LOWER HUMERUS NEC-CLOSE
Clinic Referral Self MED 1T UNIT FX LOWER HUMERUS NEC-CLOSE
Emergency Room Ambulance MED 1T UNIT FB TRACH/BRONCH/LUNG NEC
Emergency Room Ambulance MED 1T UNIT FB TRACH/BRONCH/LUNG NEC
Emergency Room Ambulance MED 1T UNIT FB TRACH/BRONCH/LUNG NEC
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 2T UNIT MENINGITIS NOS
Emergency Room Ambulance MED 2T UNIT MENINGITIS NOS
Emergency Room Ambulance MED 2T UNIT MENINGITIS NOS
Emergency Room Ambulance MED 2T UNIT MENINGITIS NOS
Clinic Referral Self MED 2T UNIT CONG SKULL/FACE/JAW DEF
Clinic Referral Self MED 2T UNIT CONG SKULL/FACE/JAW DEF
Clinic Referral Self MED 2T UNIT CONG SKULL/FACE/JAW DEF
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS

Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self REHAB UNIT OSTEOARTHROS NOS-L/LEG
Clinic Referral Self REHAB UNIT OSTEOARTHROS NOS-L/LEG
Clinic Referral Self REHAB UNIT OSTEOARTHROS NOS-L/LEG
Clinic Referral Self SURG 3 UNIT LUMBOSACR SPONDYLOLYSIS
Clinic Referral Self SURG 3 UNIT LUMBOSACR SPONDYLOLYSIS
Clinic Referral Self SURG 3 UNIT LUMBOSACR SPONDYLOLYSIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER FX ANKLE NOS-CLOSED
Clinic Referral Self MED 1T UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self MED 1T UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self MED 1T UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SCCA UNIT DRUG ALLERGY NEC
Emergency Room Ambulance SCCA UNIT DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance MED 2G UNIT ARTERITIS NOS
Emergency Room Ambulance MED 2G UNIT ARTERITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SCCA UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO LUNG
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE

Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY BURN NOS HAND-UNSPEC
Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SCCA UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HERPANGINA
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SCCA UNIT WISKOTT-ALDRICH SYNDROME
Clinic Referral Self SCCA UNIT WISKOTT-ALDRICH SYNDROME
Clinic Referral Self SCCA UNIT WISKOTT-ALDRICH SYNDROME
Clinic Referral Self SCCA UNIT WISKOTT-ALDRICH SYNDROME
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self SURG 3 UNIT ACQ ANKLE-FOOT DEF NOS
Emergency Room Ambulance EMERGENCY PAROX ATRIAL TACHYCARDIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE

Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CRANIAL NERVE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Outside Hospital Ambulance PICU PERINATAL INTEST PERFOR
Outside Hospital Ambulance PICU PERINATAL INTEST PERFOR
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Clinic Referral Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC

Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS DUE TO POLLEN
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY POST DISLOC ELBOW-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRPOLYART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPOLYART JUV RHEUM ARTHR
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Emergency Room Ambulance EMERGENCY CRUSHING INJURY TOE
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Physician Referral Self SURGERY CENTER OBSTRUCTION OF BILE DUCT
Physician Referral Self SURGERY CENTER OBSTRUCTION OF BILE DUCT
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA

Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY ABRASION FINGER
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER GREAT VEIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER GREAT VEIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA

Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self REHAB UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self REHAB UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self REHAB UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT HEMATEMESIS
Emergency Room Ambulance MED 2G UNIT HEMATEMESIS
Emergency Room Ambulance MED 2G UNIT HEMATEMESIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT OTHER PSORIASIS
Emergency Room Ambulance MED 2T UNIT OTHER PSORIASIS

Emergency Room Ambulance MED 2T UNIT OTHER PSORIASIS
Emergency Room Ambulance MED 2T UNIT OTHER PSORIASIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CORONARY ARTERY ANOMALY
Clinic Referral Self SURGERY CENTER CORONARY ARTERY ANOMALY
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT AUTOIMMUNE HEPATITIS
Emergency Room Ambulance MED 2G UNIT AUTOIMMUNE HEPATITIS
Emergency Room Ambulance MED 2G UNIT AUTOIMMUNE HEPATITIS
Emergency Room Ambulance MED 2G UNIT AUTOIMMUNE HEPATITIS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self REHAB UNIT SYNOVITIS NOS
Clinic Referral Self REHAB UNIT SYNOVITIS NOS
Clinic Referral Self REHAB UNIT SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY DERMATITIS NEC
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY PITYRIASIS VERSICOLOR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance MED 2G UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2G UNIT HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance SURG 4 UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT SOLITARY BONE CYST
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY CANDIDIASIS SITE NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance SURG 3 UNIT CEREBRAL CYSTS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self REHAB UNIT MECHANICAL COMPLICATN TRACHEOSTOMY
Clinic Referral Self REHAB UNIT MECHANICAL COMPLICATN TRACHEOSTOMY
Clinic Referral Self REHAB UNIT MECHANICAL COMPLICATN TRACHEOSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance MED 2G UNIT STAPHYLOCOCCAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT STAPHYLOCOCCAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT STAPHYLOCOCCAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT CHR MEMBRANOUS NEPHRITIS
Clinic Referral Self SURG 4 UNIT CHR MEMBRANOUS NEPHRITIS

Clinic Referral Self SURG 4 UNIT CHR MEMBRANOUS NEPHRITIS
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT JOINT DERANGEMENT NEC-L/LEG
Clinic Referral Self SURG 3 UNIT JOINT DERANGEMENT NEC-L/LEG
Clinic Referral Self SURG 3 UNIT JOINT DERANGEMENT NEC-L/LEG
Emergency Room Ambulance MED 2G UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance MED 2G UNIT SUBTROCHANTERIC FX-CLOSE
Physician Referral Self SURGERY CENTER MOYAMOYA DISEASE
Physician Referral Self SURGERY CENTER MOYAMOYA DISEASE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Outside Hospital Ambulance SURG 4 UNIT ATRESIA SMALL INTESTINE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER CONTUSION OF EYEBALL
Clinic Referral Self SURGERY CENTER CONTUSION OF EYEBALL
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS

Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURG 4 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM LIVER, PRIMARY
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM LIVER, PRIMARY
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Clinic Referral Self SURGERY CENTER CONDCTV HEAR LOSS, BILAT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX CLAVICL, ACROM END-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Physician Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Physician Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY HAND

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ALLERGIC RHINITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS NO OBSTR
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS NO OBSTR
Emergency Room Ambulance MED 2G UNIT ACUTE EPIGLOTTITIS NO OBSTR
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Outside Hospital Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER VOCAL CORD PARALYSIS NOS
Clinic Referral Self SURGERY CENTER VOCAL CORD PARALYSIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER ENTHESOPATHY OF HIP
Clinic Referral Self SURGERY CENTER ENTHESOPATHY OF HIP
Clinic Referral Self SURGERY CENTER ORBITAL CYSTS
Clinic Referral Self SURGERY CENTER ORBITAL CYSTS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE

Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SCCA UNIT LYMPHOSARCOMA INGUIN
Clinic Referral Self SCCA UNIT LYMPHOSARCOMA INGUIN
Clinic Referral Self SCCA UNIT LYMPHOSARCOMA INGUIN
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER PARTIAL EDENTULISM NOS
Clinic Referral Self SURGERY CENTER PARTIAL EDENTULISM NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY THRUSH
Clinic Referral Ambulance SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Ambulance SURGERY CENTER PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS

Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W HEMORRH
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2T UNIT DRUG DERMATITIS NOS
Emergency Room Ambulance MED 2T UNIT DRUG DERMATITIS NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURGERY CENTER CONG AND HERED THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER CONG AND HERED THROMBOCYTOPENIC PURPURA
Outside Hospital Ambulance SURG 3 UNIT MULT FX MANDIBLE-CLOSED
Outside Hospital Ambulance SURG 3 UNIT MULT FX MANDIBLE-CLOSED
Outside Hospital Ambulance SURG 3 UNIT MULT FX MANDIBLE-CLOSED
Outside Hospital Ambulance SURG 3 UNIT MULT FX MANDIBLE-CLOSED
Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance SURG 4 UNIT UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TIS ABDOMEN
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS

Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance SURG 4 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Physician Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Physician Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT VENOM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER RHABDOMYOLYSIS
Clinic Referral Self SURGERY CENTER RHABDOMYOLYSIS
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY BLEPHARITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2T UNIT HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance MED 2T UNIT HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance MED 2T UNIT HYPOXIC-ISCHEMIC ENCEPH
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY HIP/LEG
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Outside Hospital Ambulance NICU DOUBLE OUTLET RT VENTRIC
Outside Hospital Ambulance NICU DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY DYSHIDROSIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self OUTPAT PROCEDURE CNTRDENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self OUTPAT PROCEDURE CNTRDENTAL CARIES EXTENDING INTO PULP
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SCCA UNIT TRANSFUSION REACTION NEC
Clinic Referral Self SCCA UNIT TRANSFUSION REACTION NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS

Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER URETERAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER URETERAL ANOMALY NEC
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 4 UNIT PILONIDAL CYST W ABSCESS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT CONCUSSION W/O COMA
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES ARM
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Physician Referral Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Physician Referral Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Physician Referral Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Physician Referral Ambulance SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF LUNG
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS

Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SCCA UNIT COMPLIC INTERN JOINT DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN JOINT DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN JOINT DEVICE
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Physician Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Clinic Referral Ambulance PICU CONGESTIVE HEART FAILURE NOS
Clinic Referral Ambulance PICU CONGESTIVE HEART FAILURE NOS
Clinic Referral Ambulance PICU CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY HEMOPTYSIS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance SCCA UNIT LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Emergency Room Ambulance SCCA UNIT LYMPHOMA UNSP SITE XTRNOD/SOLID ORG
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR
Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY CHR GINGIVITIS-NONPLAQUE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC

Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Physician Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Physician Referral Self SURGERY CENTER FOLLOW-UP EXAM NEC
Emergency Room Ambulance EMERGENCY DACRYOCYSTITIS NOS
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Clinic Referral Ambulance SURGERY CENTER PREAURICULAR CYST
Clinic Referral Ambulance SURGERY CENTER PREAURICULAR CYST
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-ANKLE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance MED 2G UNIT ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance MED 2G UNIT ACUTE SEROUS OTITIS MEDIA

Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NWBRN INTEGUMENT COND NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF URETER
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF URETER
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY RICKETS, ACTIVE
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance PICU DISEASE OF LARYNX NEC
Emergency Room Ambulance PICU DISEASE OF LARYNX NEC
Emergency Room Ambulance PICU DISEASE OF LARYNX NEC
Emergency Room Ambulance PICU DISEASE OF LARYNX NEC
Emergency Room Ambulance PICU DISEASE OF LARYNX NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY LAC EYELID SKN/PERIOCULR
Clinic Referral Self SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Self SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Self SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Self SURG 4 UNIT ATRIAL FLUTTER
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-PELVIS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF

Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY PROTEINURIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance MED 2G UNIT POISONING-INSULIN/ANTIDIAB
Emergency Room Ambulance MED 2G UNIT POISONING-INSULIN/ANTIDIAB
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY LYMPHANGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2G UNIT HYPEROSMOLALITY
Emergency Room Ambulance MED 2G UNIT HYPEROSMOLALITY
Emergency Room Ambulance MED 2G UNIT HYPEROSMOLALITY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Outside Hospital Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Outside Hospital Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Outside Hospital Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Outside Hospital Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Health Care Facility Ambulance MED 2T UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Ambulance MED 2T UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Ambulance MED 2T UNIT INTEST POSTOP NONABSORB
Outside Health Care Facility Ambulance MED 2T UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HYPOTHRM-WO LOW ENV TMP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY BURN NOS LEG-UNSPEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND SITE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-L/LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Physician Referral Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Physician Referral Ambulance MED 2G UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY STREP SORE THROAT

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-PELVIS
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance MED 1T UNIT ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance MED 1T UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT SWELLING IN HEAD AND NECK
Emergency Room Ambulance MED 1T UNIT SWELLING IN HEAD AND NECK
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY EXTRAPYRAMIDAL DIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance SCCA UNIT ENDOCRINE/NERV NEO NOS
Emergency Room Ambulance SCCA UNIT ENDOCRINE/NERV NEO NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SURG 4 UNIT MAL HYP KID W CR KID V
Emergency Room Ambulance SURG 4 UNIT MAL HYP KID W CR KID V
Emergency Room Ambulance SURG 4 UNIT MAL HYP KID W CR KID V
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Clinic Referral Self SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Self SURG 3 UNIT SUBDURAL HEMORRHAGE
Clinic Referral Self SURG 3 UNIT SUBDURAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)

Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FOOT AND MOUTH DISEASE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY SPRAIN OF BACK NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN PALM
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY 2ND DEG BURN ELBOW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF LIP
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF LIP
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY BURN NOS PALM
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT

Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY INTERSTITIAL EMPHYSEMA
Emergency Room Ambulance EMERGENCY INTERSTITIAL EMPHYSEMA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CUTANEOUS SCHISTOSOMA
Emergency Room Ambulance EMERGENCY CUTANEOUS SCHISTOSOMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self REHAB UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self REHAB UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self REHAB UNIT CONGEN HIP DISLOC, BILAT
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT BLADDER EXSTROPHY
Clinic Referral Self SURG 3 UNIT BLADDER EXSTROPHY
Clinic Referral Self SURG 3 UNIT BLADDER EXSTROPHY
Clinic Referral Self SURG 3 UNIT BLADDER EXSTROPHY
Emergency Room Ambulance MED 2G UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance MED 2G UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC

Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABRASION NEC
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS

Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURGERY CENTER MALAISE AND FATIGUE NEC
Clinic Referral Self SURGERY CENTER MALAISE AND FATIGUE NEC
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LIVER, PRIMARY
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LIVER, PRIMARY
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LIVER, PRIMARY
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LIVER, PRIMARY
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS

Emergency Room Ambulance MED 2G UNIT CELLULITIS/ABSCESS MOUTH
Emergency Room Ambulance MED 2G UNIT CELLULITIS/ABSCESS MOUTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY OF BREAST
Clinic Referral Self SURGERY CENTER HYPERTROPHY OF BREAST
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Clinic Referral Self MED 2G UNIT UNSPEC DENTAL CARIES
Clinic Referral Self MED 2G UNIT UNSPEC DENTAL CARIES
Clinic Referral Self MED 2G UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self SURGERY CENTER MECH COMP ORTHO DEV/ GRAFT NEC
Outside Hospital Ambulance NICU OBSTRUCTIV HYDROCEPHALUS
Outside Hospital Ambulance NICU OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance SURG 4 UNIT COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY ACUTE INFECT EXTERN EAR NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance MED 2G UNIT MECONIUM OBSTRUCTION
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance SURG 4 UNIT CHOLEDOCHOLITHIASIS NOS
Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC

Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY BURN NOS FOOT
Emergency Room Ambulance EMERGENCY CHILLS (WITHOUT FEVER)
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY VACCINE FOR VIRAL HEPATITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE

Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Self MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Self MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Self MED 2G UNIT CONVULSIONS IN NEWBORN

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT MENINGOCOCCAL MENINGITIS
Emergency Room Ambulance MED 2G UNIT MENINGOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Clinic Referral Self REHAB UNIT OLD BUCKET TEAR LAT MEN
Clinic Referral Self REHAB UNIT OLD BUCKET TEAR LAT MEN
Clinic Referral Self REHAB UNIT OLD BUCKET TEAR LAT MEN
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER MALLET FINGER
Clinic Referral Self SURGERY CENTER MALLET FINGER
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SCCA UNIT HEREDITARY SPHEROCYTOSIS
Emergency Room Ambulance SCCA UNIT HEREDITARY SPHEROCYTOSIS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC

Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 2G UNIT ALLERGIC PURPURA
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY POISONING-TRANQUILIZER NEC
Physician Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Physician Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Outside Hospital Ambulance SURG 4 UNIT ACUTE NECROSIS OF LIVER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX ORBITAL FLOOR-CLOSED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HERNIA NEC
Clinic Referral Self SURGERY CENTER HERNIA NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY MALLORY-WEISS SYNDROME
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance NICU MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 1T UNIT NWBRN HEMOLYT DIS:RH ISOIMM
Emergency Room Ambulance MED 1T UNIT NWBRN HEMOLYT DIS:RH ISOIMM
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG
Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Clinic Referral Self SURGERY CENTER CONG RETINAL CHANGES NEC
Clinic Referral Self SURGERY CENTER CONG RETINAL CHANGES NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Ambulance SURG 4 UNIT OTHER LUNG DISEASE NEC

Clinic Referral Ambulance SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Ambulance SURG 4 UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance MED 2G UNIT PRESSURE ULCER, HIP
Emergency Room Ambulance MED 2G UNIT PRESSURE ULCER, HIP
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SECOND IRITIS, NONINFEC
Clinic Referral Self SURGERY CENTER SECOND IRITIS, NONINFEC
Emergency Room Ambulance SURG 4 UNIT AMINO-ACID TRANSPORT DIS
Emergency Room Ambulance SURG 4 UNIT AMINO-ACID TRANSPORT DIS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 1T UNIT OPEN WOUND OF PHARYNX
Emergency Room Ambulance MED 1T UNIT OPEN WOUND OF PHARYNX
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SCCA UNIT ANAPHYLACTIC SHOCK
Clinic Referral Self SCCA UNIT ANAPHYLACTIC SHOCK
Physician Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Physician Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS

Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUBTROCHANTERIC FX-CLOSE
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance MED 2G UNIT ROTAVIRUS ENTERITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT LONG QT SYNDROME
Clinic Referral Self SURG 4 UNIT LONG QT SYNDROME
Clinic Referral Self SURG 4 UNIT LONG QT SYNDROME
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT NWBRN KERNICTERUS
Emergency Room Ambulance MED 2G UNIT NWBRN KERNICTERUS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Ambulance SURG 4 UNIT DIARRHEA NOS
Clinic Referral Ambulance SURG 4 UNIT DIARRHEA NOS
Clinic Referral Ambulance SURG 4 UNIT DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT ACIDOSIS
Emergency Room Ambulance MED 1T UNIT ACIDOSIS
Emergency Room Ambulance MED 1T UNIT ACIDOSIS
Emergency Room Ambulance MED 1T UNIT ACIDOSIS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER BLADDER EXSTROPHY
Clinic Referral Self SURGERY CENTER BLADDER EXSTROPHY
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY BACKACHE NOS

Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN LOWER LEG
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY CHANGES IN SKIN TEXTURE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY BURN CORNEA/CONJUNCT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY APNEA OF NEWBORN NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY POISONING-SALICYLATES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY BEHCET’S SYNDROME
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Physician Referral Self SURGERY CENTER SIXTH NERVE PALSY

Physician Referral Self SURGERY CENTER SIXTH NERVE PALSY
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Outside Hospital Self REHAB UNIT NEPHRITIS NOS
Outside Hospital Self REHAB UNIT NEPHRITIS NOS
Outside Hospital Self REHAB UNIT NEPHRITIS NOS
Outside Hospital Self REHAB UNIT NEPHRITIS NOS
Outside Hospital Self REHAB UNIT NEPHRITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Physician Referral Self SURGERY CENTER HYPERTROPIA
Physician Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER OTORRHEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT CONG HERED MUSC DYSTRPHY
Clinic Referral Self MED 1T UNIT CONG HERED MUSC DYSTRPHY
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC

Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER DISORDERS OF EAR NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF EAR NEC
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT HODGKINS NOS UNSP XTRNODL/SOLID ORG
Clinic Referral Self SURG 3 UNIT HODGKINS NOS UNSP XTRNODL/SOLID ORG
Clinic Referral Self SURG 3 UNIT HODGKINS NOS UNSP XTRNODL/SOLID ORG
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Physician Referral Self SURGERY CENTER COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC

Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Physician Referral Ambulance SURG 4 UNIT CROUP
Physician Referral Ambulance SURG 4 UNIT CROUP
Physician Referral Ambulance SURG 4 UNIT CROUP
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR MULT
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR MULT
Emergency Room Ambulance SCCA UNIT BURKITT’S TUMOR MULT
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT CYSTS OF JAWS NEC
Clinic Referral Self REHAB UNIT CYSTS OF JAWS NEC
Clinic Referral Self REHAB UNIT CYSTS OF JAWS NEC
Clinic Referral Self REHAB UNIT CYSTS OF JAWS NEC
Clinic Referral Self REHAB UNIT CYSTS OF JAWS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES

Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY CELLULITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY INSECT BITE HAND
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Clinic Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Outside Health Care Facility Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Outside Health Care Facility Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NOS
Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NOS
Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NOS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT BRONCHITIS NOS
Emergency Room Ambulance MED 1T UNIT BRONCHITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA

Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOREARM
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOREARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NOS
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Physician Referral Self SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Physician Referral Self SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DRUG ALLERGY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Outside Hospital Ambulance MED 2G UNIT PRADER-WILLI SYNDROME
Outside Hospital Ambulance MED 2G UNIT PRADER-WILLI SYNDROME
Outside Hospital Ambulance MED 2G UNIT PRADER-WILLI SYNDROME
Outside Hospital Ambulance MED 2G UNIT PRADER-WILLI SYNDROME
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PRIMARY CARNITINE DEFICIENCY
Emergency Room Ambulance EMERGENCY PRIMARY CARNITINE DEFICIENCY
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY SECOND CARNITINE DEFIC NEC
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 4 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT ARTERITIS NOS
Emergency Room Ambulance MED 2G UNIT ARTERITIS NOS

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W HEMORRH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT CH MGR WO ARA W NTR W ST
Emergency Room Ambulance MED 1T UNIT CH MGR WO ARA W NTR W ST
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY ACNE NEC
Physician Referral Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Physician Referral Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE

Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self SURGERY CENTER GENU VALGUM
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Clinic Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Outside Hospital Ambulance PICU LYMPHOSARCOMA MULT
Outside Hospital Ambulance PICU LYMPHOSARCOMA MULT
Physician Referral Ambulance SURG 4 UNIT OTHER GENERAL SYMPTOMS
Physician Referral Ambulance SURG 4 UNIT OTHER GENERAL SYMPTOMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance MED 2G UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PARAPHARYNGEAL ABSCESS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance MED 2G UNIT PREPATELLAR BURSITIS
Emergency Room Ambulance MED 2G UNIT PREPATELLAR BURSITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Information Unavailable Ambulance EMERGENCY ANAL OR RECTAL PAIN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HEAD NEC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY 2 DEG BURN FINGR W THUMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NEONATAL THROMBOCYTOPEN
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY INTEGUMENT ANOMALY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS

Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance EMERGENCY DACRYOADENITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Ambulance MED 1T UNIT POISONING-METHADONE
Physician Referral Ambulance MED 1T UNIT POISONING-METHADONE
Physician Referral Ambulance MED 1T UNIT POISONING-METHADONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKULL/FACE BONE
Clinic Referral Self MED 2G UNIT PERSIST POSTOP FISTULA
Clinic Referral Self MED 2G UNIT PERSIST POSTOP FISTULA
Clinic Referral Self MED 2G UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE

Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE/NERV NEO NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE/NERV NEO NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE/NERV NEO NOS
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Outside Hospital Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,NO OBSTR
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 3 UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Outside Hospital Ambulance PICU VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance PICU VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Emergency Room Ambulance MED 2G UNIT LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY SEBORRHEIC INFANTILE DERMATITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOOT
Emergency Room Ambulance SCCA UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SCCA UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance SCCA UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SCCA UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS
Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS

Clinic Referral Self REHAB UNIT ACQ EQUINOVARUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT FUNC DISORDERS INTESTINE NEC
Emergency Room Ambulance MED 2G UNIT FUNC DISORDERS INTESTINE NEC
Physician Referral Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Physician Referral Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-L/LEG
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Clinic Referral Self MED 1T UNIT DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance MED 2G UNIT HERPETIC WHITLOW
Emergency Room Ambulance MED 2G UNIT HERPETIC WHITLOW
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HIP/THIGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2T UNIT UMBILICAL HERNIA
Clinic Referral Self MED 2T UNIT UMBILICAL HERNIA
Clinic Referral Self MED 2T UNIT UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY COUGH
Outside Hospital Ambulance SURG 4 UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance SURG 4 UNIT MECONIUM OBSTRUCTION
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY MULTIPLE FX HAND-CLOSED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MUSCLE DISORDERS NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE

Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSC W SINUS
Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSC W SINUS
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT NEONATAL THROMBOCYTOPEN
Emergency Room Ambulance MED 2T UNIT NEONATAL THROMBOCYTOPEN
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY MULTIPLE CONTUSIONS NEC
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS

Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK UNSPEC FOOD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 2T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 2T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT POISONING-PSYCHOSTIMULANTS
Emergency Room Ambulance MED 2G UNIT POISONING-PSYCHOSTIMULANTS
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance SCCA UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance SCCA UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY FOLLOW-UP EXAM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ANAL FISTULA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA

Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY POISONING-SEDATIVE/HYPNOT NOS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY ACNE NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROS PELVIS
Clinic Referral Self SURGERY CENTER JUV OSTEOCHONDROS PELVIS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC

Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY INJURY-SITE NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 2G UNIT NEONATAL DEHYDRATION
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Clinic Referral Self SURGERY CENTER ATRIAL FLUTTER
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON

Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER STROMAL CORNEA PIGMENT
Clinic Referral Self SURGERY CENTER STROMAL CORNEA PIGMENT
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance MED 2G UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Outside Hospital Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER STRIDOR
Clinic Referral Self SURGERY CENTER STRIDOR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MECH COMPL-PERITONEAL DIALY CATHETR
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE PROCTITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE PROCTITIS
Clinic Referral Self SURG 4 UNIT FX ASTRAGALUS-CLOSED
Clinic Referral Self SURG 4 UNIT FX ASTRAGALUS-CLOSED
Clinic Referral Self SURG 4 UNIT FX ASTRAGALUS-CLOSED
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-ANKLE
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-ANKLE
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY COUGH
Physician Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Physician Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self REHAB UNIT POSTOP URETHRAL STRICTUR
Clinic Referral Self REHAB UNIT POSTOP URETHRAL STRICTUR
Clinic Referral Self REHAB UNIT POSTOP URETHRAL STRICTUR
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC

Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Physician Referral Ambulance SURG 4 UNIT VENTRICULAR FIBRILLATION
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY OBSTRUCTION OF BILE DUCT
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance SCCA UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance SCCA UNIT NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self MED 1T UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self MED 1T UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance MED 2G UNIT WHEEZING
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE

Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W INTR EPIL
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Outside Hospital Ambulance SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF BACK
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY PERICHONDRITIS PINNA NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURGERY CENTER FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURGERY CENTER CHRONIC MYRINGITIS
Clinic Referral Self SURGERY CENTER CHRONIC MYRINGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY 1ST DEG BURN MULT FINGER

Emergency Room Ambulance EMERGENCY 2ND DEG BURN PALM
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION SCAPUL REGION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY INFECTIOUS ENTERITIS NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NEWBORN TRANSITORY TACHYPNEA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE

Clinic Referral Self MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LYMPHEDEMA
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LYMPHEDEMA
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Clinic Referral Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Physician Referral Ambulance MED 2G UNIT CROUP
Physician Referral Ambulance MED 2G UNIT CROUP
Physician Referral Ambulance MED 2G UNIT CROUP
Physician Referral Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES ANKLE/FOOT
Clinic Referral Self SURGERY CENTER BENIGN NEO BONES ANKLE/FOOT
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS

Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER OCULAR PENETRATION NOS
Clinic Referral Self SURGERY CENTER OCULAR PENETRATION NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Ambulance PICU CHRONIC PAIN NEC
Clinic Referral Ambulance PICU CHRONIC PAIN NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT HEMATEMESIS
Emergency Room Ambulance MED 2T UNIT HEMATEMESIS
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURGERY CENTER RETINAL DETACHMENT NEC
Clinic Referral Self SURGERY CENTER RETINAL DETACHMENT NEC
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self REHAB UNIT MALUNION OF FRACTURE
Clinic Referral Self REHAB UNIT MALUNION OF FRACTURE
Clinic Referral Self REHAB UNIT MALUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance MED 1T UNIT ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ANAL OR RECTAL PAIN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY GENERALIZED PAIN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Physician Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TISSUE NOS
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TISSUE NOS
Clinic Referral Self MED 2T UNIT MALIG NEOPLASM SOFT TISSUE NOS
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self REHAB UNIT ARREST OF BONE GROWTH
Clinic Referral Self REHAB UNIT ARREST OF BONE GROWTH
Clinic Referral Self REHAB UNIT ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURG 3 UNIT OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURG 3 UNIT OTHR SPEC COMPLIC OF PROCEDURE NEC

Physician Referral Self SURGERY CENTER APHAKIA
Physician Referral Self SURGERY CENTER APHAKIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF URETER
Emergency Room Ambulance SURG 3 UNIT CALCULUS OF URETER
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 3 UNIT CYST OF BONE NOS
Clinic Referral Self SURG 3 UNIT CYST OF BONE NOS
Clinic Referral Self SURG 3 UNIT CYST OF BONE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT ARTHROPATHY NOS-UNSPEC
Emergency Room Ambulance MED 2G UNIT ARTHROPATHY NOS-UNSPEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SCCA UNIT CANDIDAL ESOPHAGITIS
Emergency Room Ambulance SCCA UNIT CANDIDAL ESOPHAGITIS
Emergency Room Ambulance SCCA UNIT CANDIDAL ESOPHAGITIS
Emergency Room Ambulance SCCA UNIT CANDIDAL ESOPHAGITIS
Emergency Room Ambulance MED 2G UNIT CONTUSION OF LOWER LEG
Emergency Room Ambulance MED 2G UNIT CONTUSION OF LOWER LEG
Physician Referral Ambulance MED 2T UNIT ACUTE TONSILLITIS
Physician Referral Ambulance MED 2T UNIT ACUTE TONSILLITIS
Physician Referral Ambulance MED 2T UNIT ACUTE TONSILLITIS

Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Physician Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Physician Referral Self SURGERY CENTER CONGENITAL CATARACT NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Ambulance MED 1T UNIT DIARRHEA NOS
Clinic Referral Ambulance MED 1T UNIT DIARRHEA NOS
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL ORBIT
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL ORBIT
Clinic Referral Ambulance SCCA UNIT MALIGN NEOPL ORBIT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY

Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance SURG 3 UNIT SUPRACONDYL FX HUMERUS-OPEN
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER
Emergency Room Ambulance MED 2G UNIT FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance MED 2G UNIT FX CLAVICLE SHAFT-CLOSED
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 4 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 4 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR SEROUS OM SIMP/NOS
Outside Hospital Ambulance MED 1T UNIT PART EPIL W INTR EPIL
Outside Hospital Ambulance MED 1T UNIT PART EPIL W INTR EPIL
Outside Hospital Ambulance MED 1T UNIT PART EPIL W INTR EPIL
Outside Hospital Ambulance MED 1T UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM-INFEC
Emergency Room Ambulance SURG 4 UNIT MI NOS EPISODE CARE UNSPEC
Emergency Room Ambulance SURG 4 UNIT MI NOS EPISODE CARE UNSPEC
Emergency Room Ambulance SURG 4 UNIT MI NOS EPISODE CARE UNSPEC
Emergency Room Ambulance SURG 4 UNIT MI NOS EPISODE CARE UNSPEC
Emergency Room Ambulance SURG 4 UNIT MI NOS EPISODE CARE UNSPEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FX MALAR/MAXILLARY-CLOSE
Clinic Referral Self SURGERY CENTER FX MALAR/MAXILLARY-CLOSE
Clinic Referral Self SURGERY CENTER FX MALAR/MAXILLARY-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY JOINT SYMPTOM NEC-HAND
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY MUCOPUR CONJUNCTIVIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Physician Referral Ambulance PICU SEPTICEMIA NOS
Physician Referral Ambulance PICU SEPTICEMIA NOS
Physician Referral Ambulance PICU SEPTICEMIA NOS
Physician Referral Ambulance PICU SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY POISONING-ANTIALLRG/ANTIEMET
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self MED 2G UNIT NEPHRITIS NEC
Clinic Referral Self MED 2G UNIT NEPHRITIS NEC
Clinic Referral Self MED 2G UNIT NEPHRITIS NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NOS
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NOS
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NOS
Clinic Referral Self MED 2T UNIT PORTAL HYPERTENSION
Clinic Referral Self MED 2T UNIT PORTAL HYPERTENSION
Clinic Referral Self MED 2T UNIT PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO ENTEROSTOMY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Physician Referral Self MED 1T UNIT INCONTINENCE OF FECES
Physician Referral Self MED 1T UNIT INCONTINENCE OF FECES
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER

Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 2G UNIT BENIGN NEO SOFT TISSUE NEC
Clinic Referral Self MED 2G UNIT BENIGN NEO SOFT TISSUE NEC
Clinic Referral Self MED 2G UNIT BENIGN NEO SOFT TISSUE NEC
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self OUTPAT PROCEDURE CNTRSHORT STATURE – GROWTH RETARDATION
Clinic Referral Self OUTPAT PROCEDURE CNTRSHORT STATURE – GROWTH RETARDATION
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT GASTRIC ANOMALY NEC
Clinic Referral Self SURG 3 UNIT GASTRIC ANOMALY NEC
Clinic Referral Self SURG 3 UNIT GASTRIC ANOMALY NEC

Clinic Referral Self SURG 3 UNIT GASTRIC ANOMALY NEC
Clinic Referral Self SURG 3 UNIT GASTRIC ANOMALY NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self MED 2T UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self MED 2T UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance MED 1T UNIT SERUM REACTION NEC
Outside Hospital Ambulance MED 1T UNIT SERUM REACTION NEC
Clinic Referral Ambulance SURG 4 UNIT CYSTITIS NOS
Clinic Referral Ambulance SURG 4 UNIT CYSTITIS NOS
Outside Hospital Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT FX NAVICULAR, FOOT-CLOSE
Clinic Referral Self SURG 3 UNIT FX NAVICULAR, FOOT-CLOSE
Clinic Referral Self SURG 3 UNIT FX NAVICULAR, FOOT-CLOSE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRMIXED HEARING LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRMIXED HEARING LOSS,BILAT
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Outside Hospital Ambulance SURG 4 UNIT FAILURE TO THRIVE
Outside Hospital Ambulance SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CROUP
Physician Referral Self MED 2T UNIT LIVER DISORDERS NEC
Physician Referral Self MED 2T UNIT LIVER DISORDERS NEC
Physician Referral Self MED 2T UNIT LIVER DISORDERS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC

Outside Hospital Ambulance NICU CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance NICU CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Clinic Referral Self SURGERY CENTER FX MALAR/MAXILLARY-CLOSE
Clinic Referral Self SURGERY CENTER FX MALAR/MAXILLARY-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NEC
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NEC
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NEC
Clinic Referral Self SURG 4 UNIT GREAT VEIN ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 4 UNIT PERITONITIS NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Outside Hospital Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Outside Hospital Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Outside Hospital Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Outside Hospital Ambulance SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION

Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance EMERGENCY LOSS OF WEIGHT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY OTHER ALTERATION OF CONSCIOUSNESS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Clinic Referral Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance EMERGENCY INSECT BITE FOOT/TOE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OMPHALITIS OF NEWBORN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Clinic Referral Self SURG 4 UNIT COMMON TRUNCUS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN LARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN LARYNX
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN LARYNX
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS

Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Ambulance MED 1T UNIT PSEUDOTUMOR CEREBRI
Clinic Referral Ambulance MED 1T UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self MED 2T UNIT HEMATURIA NOS
Clinic Referral Self MED 2T UNIT HEMATURIA NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT ACUTE KIDNEY FAILURE NEC
Clinic Referral Self SURG 4 UNIT ACUTE KIDNEY FAILURE NEC
Clinic Referral Self SURG 4 UNIT ACUTE KIDNEY FAILURE NEC
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM

Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Clinic Referral Self MED 2T UNIT FEVER IN OTHER DISEASES
Clinic Referral Self MED 2T UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT TOXIC EFFECT CAUSTIC NOS
Emergency Room Ambulance MED 1T UNIT TOXIC EFFECT CAUSTIC NOS
Outside Hospital Ambulance PICU ASPERGILLOSIS
Outside Hospital Ambulance PICU ASPERGILLOSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Physician Referral Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS

Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY RENAL DIALYSIS DEPENDENCE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF ARM
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX W/O COMA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT MULT ENDO NEOP TYPE IIA
Clinic Referral Self SURG 3 UNIT MULT ENDO NEOP TYPE IIA
Clinic Referral Self SURG 3 UNIT MULT ENDO NEOP TYPE IIA
Clinic Referral Self SURG 3 UNIT MULT ENDO NEOP TYPE IIA
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance MED 2G UNIT HYPOSMOLALITY
Outside Hospital Ambulance MED 2G UNIT HYPOSMOLALITY
Outside Hospital Ambulance MED 2G UNIT HYPOSMOLALITY
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Outside Hospital Ambulance MED 2G UNIT SPINA BIFIDA-LUMBAR
Outside Hospital Ambulance MED 2G UNIT SPINA BIFIDA-LUMBAR
Outside Hospital Ambulance MED 2G UNIT SPINA BIFIDA-LUMBAR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCE NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UVJ
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance MED 2G UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance MED 2G UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY DEVEL ODONTOGENIC CYSTS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN MOUTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance SURG 4 UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HYPERVENTILATION

Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER TOOTH FORMATION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH FORMATION DISTURB
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self OUTPAT PROCEDURE CNTRSHORT STATURE – GROWTH RETARDATION
Clinic Referral Self OUTPAT PROCEDURE CNTRSHORT STATURE – GROWTH RETARDATION

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Ambulance SURG 4 UNIT CHR MARGINAL ULCER W HEM
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance MED 2T UNIT CYCLIC NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT CYCLIC NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLAT FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONG ESOPH FISTULA/ATRES
Clinic Referral Self OUTPAT PROCEDURE CNTRCONG ESOPH FISTULA/ATRES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC

Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ISSUE REPEAT PRESCRIPT
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Emergency Room Ambulance SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 4 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 2G UNIT PERINAT GI SYS DIS NEC
Emergency Room Ambulance MED 2G UNIT PERINAT GI SYS DIS NEC
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER BLADDER EXSTROPHY
Clinic Referral Self SURGERY CENTER BLADDER EXSTROPHY
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH

Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA

Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF FOOT NEC
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LIP
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LIP
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self MED 2T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 2T UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Physician Referral Self MED 2T UNIT PORTAL HYPERTENSION
Physician Referral Self MED 2T UNIT PORTAL HYPERTENSION
Physician Referral Self MED 2T UNIT PORTAL HYPERTENSION
Physician Referral Self MED 2T UNIT PORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance MED 1T UNIT TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance MED 1T UNIT TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance EMERGENCY CHALAZION
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Physician Referral Ambulance SURG 4 UNIT DIASTOLIC HEART FAILURE NOS
Physician Referral Ambulance SURG 4 UNIT DIASTOLIC HEART FAILURE NOS
Physician Referral Ambulance SURG 4 UNIT DIASTOLIC HEART FAILURE NOS
Physician Referral Ambulance SURG 4 UNIT DIASTOLIC HEART FAILURE NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CRACKED TOOTH
Clinic Referral Self SURGERY CENTER CRACKED TOOTH
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA

Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY HEAT FATIGUE, TRANSIENT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY TOXIC GASTROENTERITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM ORBIT
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERIT SM/LG INTEST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN

Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Clinic Referral Ambulance MED 1T UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY POISONING-CEPHALOSPORIN GROUP
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self OUTPAT PROCEDURE CNTRDERMATOSES NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRDERMATOSES NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES ARM
Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM LONG BONES ARM
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Clinic Referral Self OUTPAT PROCEDURE CNTRSCAR AND FIBROSIS OF SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRSCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance MED 1T UNIT HYPOTENSION NOS
Emergency Room Ambulance MED 1T UNIT HYPOTENSION NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CONTUSION SCAPUL REGION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT CONGENITAL TORTICOLLIS
Clinic Referral Self SURG 3 UNIT CONGENITAL TORTICOLLIS
Clinic Referral Self SURG 3 UNIT CONGENITAL TORTICOLLIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance MED 2G UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 2G UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF HAND
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY OBSERVATION-SUSPECT COND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD

Emergency Room Ambulance EMERGENCY IMPETIGO
Clinic Referral Ambulance REHAB UNIT OSTEOMYELIT NOS-OTHER SITE
Clinic Referral Ambulance REHAB UNIT OSTEOMYELIT NOS-OTHER SITE
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURGERY CENTER OBSTRUCT HEART ANOM NEC
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance MED 1T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 1T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 1T UNIT PERIAPICAL ABSCESS
Outside Hospital Ambulance MED 1T UNIT POISONING-OPIATE ANTAGONIST
Outside Hospital Ambulance MED 1T UNIT POISONING-OPIATE ANTAGONIST
Outside Hospital Ambulance MED 1T UNIT POISONING-OPIATE ANTAGONIST
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W/O INT EPI
Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W/O INT EPI

Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 1T UNIT CONG PYLORIC STENOSIS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY POISONING-SYMPATHOLYTICS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Emergency Room Ambulance SURG 4 UNIT LIVER DISORDERS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS OTHER SPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 1T UNIT HEADACHE
Clinic Referral Self MED 1T UNIT HEADACHE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF

Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Physician Referral Self SURGERY CENTER CONGENITAL PTOSIS
Physician Referral Self SURGERY CENTER CONGENITAL PTOSIS
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER URETERAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER URETERAL ANOMALY NEC
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W INTR EPIL
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Ambulance SURG 4 UNIT NEPHRITIS NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Clinic Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2T UNIT PERIAPICAL ABSCESS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Outside Hospital Ambulance MED 2G UNIT FETAL BLOOD LOSS NEC
Outside Hospital Ambulance MED 2G UNIT FETAL BLOOD LOSS NEC
Outside Hospital Ambulance MED 2G UNIT FETAL BLOOD LOSS NEC
Outside Hospital Ambulance MED 2G UNIT FETAL BLOOD LOSS NEC
Outside Hospital Ambulance MED 2G UNIT FETAL BLOOD LOSS NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY UNSPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY UNSPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY UNSPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY UNSPEC
Physician Referral Self SURGERY CENTER HYPERTENSION NOS
Physician Referral Self SURGERY CENTER HYPERTENSION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN

Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance MED 2G UNIT ABSCESS OF LUNG
Outside Hospital Ambulance MED 2G UNIT ABSCESS OF LUNG
Outside Hospital Ambulance MED 2G UNIT ABSCESS OF LUNG
Outside Hospital Ambulance MED 2G UNIT ABSCESS OF LUNG
Outside Hospital Ambulance MED 2G UNIT ABSCESS OF LUNG
Clinic Referral Self MED 2G UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Clinic Referral Self MED 2G UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Clinic Referral Self MED 2G UNIT VIR HEP NEC W/O COMA W HEP C CHRON
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT FX UP RADIUS W ULNA-CLOS
Emergency Room Ambulance MED 2G UNIT FX UP RADIUS W ULNA-CLOS
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CERVICALGIA
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY BURN NOS HEAD-UNSPEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance MED 1T UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Physician Referral Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Physician Referral Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 2G UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 2G UNIT FX FEMUR SHAFT-CLOSED

Emergency Room Ambulance MED 2G UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self MED 1T UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self MED 1T UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self MED 1T UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Clinic Referral Self SURG 3 UNIT BLADDER CALCULUS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG’S DISEASE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURG 3 UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SURG 3 UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SURG 3 UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 4 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance SURG 4 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance MED 2G UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance MED 2G UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY OPEN WOUND OF ELBOW
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2G UNIT INFEC OTITIS EXTERNA NOS

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ABNORMAL FECES
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Physician Referral Self SURGERY CENTER SENSONRL HEAR LOSS,BILAT
Physician Referral Self SURGERY CENTER SENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 4 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2T UNIT INFEC/INFLAM-INTERN JOINT DEV
Emergency Room Ambulance MED 2T UNIT INFEC/INFLAM-INTERN JOINT DEV
Emergency Room Ambulance MED 2T UNIT INFEC/INFLAM-INTERN JOINT DEV
Emergency Room Ambulance MED 2T UNIT INFEC/INFLAM-INTERN JOINT DEV
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER CENT GIANT CELL GRANULOM
Clinic Referral Self SURGERY CENTER CENT GIANT CELL GRANULOM
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 4 UNIT OTHER APPENDICITIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Outside Hospital Self MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Outside Hospital Self MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Outside Hospital Self MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Outside Hospital Self MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT ARTERITIS NOS
Emergency Room Ambulance MED 1T UNIT ARTERITIS NOS

Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 1T UNIT STENOSIS OF LARYNX
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Outside Hospital Ambulance SCCA UNIT BONE AND CARTILAGE DIS NOS
Outside Hospital Ambulance SCCA UNIT BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND ANTERIOR ABDOMEN
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY CYSTITIS NOS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY RESPIRATORY ANOMALY NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT

Clinic Referral Self SURG 3 UNIT ACQ SPONDYLOLISTHESIS
Clinic Referral Self SURG 3 UNIT ACQ SPONDYLOLISTHESIS
Clinic Referral Self SURG 3 UNIT ACQ SPONDYLOLISTHESIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 1T UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance MED 1T UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance MED 1T UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance MED 1T UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURG 3 UNIT PILONIDAL CYST W ABSCESS
Emergency Room Ambulance MED 1T UNIT OTHER LYMPHEDEMA
Emergency Room Ambulance MED 1T UNIT OTHER LYMPHEDEMA
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Physician Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NEC
Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self REHAB UNIT ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self REHAB UNIT ACQ ANKLE-FOOT DEF NOS

Clinic Referral Self REHAB UNIT ACQ ANKLE-FOOT DEF NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT HYPERTENSION NOS
Emergency Room Ambulance SURG 4 UNIT HYPERTENSION NOS
Emergency Room Ambulance MED 1T UNIT BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance MED 1T UNIT BONE AND CARTILAGE DIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 1T UNIT PULMONARY COLLAPSE
Emergency Room Ambulance MED 1T UNIT PULMONARY COLLAPSE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY PRICKLY HEAT
Emergency Room Ambulance EMERGENCY FOREIGN BDY FOOT/TOE-INFEC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURG 4 UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURG 4 UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURG 4 UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURG 4 UNIT UNIVERSAL ULCERATIVE COLITIS

Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CONTUSION OF BREAST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY INSECT BITE FOOT/TOE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY INJURY EXTERN GENITALS NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY E. COLI ENTERITIS, NOS
Emergency Room Ambulance EMERGENCY E. COLI ENTERITIS, NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 1T UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Clinic Referral Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY PLANTAR WART
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Clinic Referral Self MED 1T UNIT CHONDRODYSTROPHY
Emergency Room Ambulance SURG 4 UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance SURG 4 UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance SURG 4 UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance SURG 4 UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA

Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURG 4 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 4 UNIT ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURG 4 UNIT ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Emergency Room Ambulance EMERGENCY CELLULITIS NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2T UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2T UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INSECT BITE HIP AND LEG
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance MED 2G UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance SURG 3 UNIT JOINT PAIN-FOREARM
Emergency Room Ambulance SURG 3 UNIT JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY SKIN DISORDER NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY COMBINED IMMUNITY DEFIC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUNBURN
Emergency Room Ambulance EMERGENCY SUNBURN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Outside Health Care Facility Self SURGERY CENTER
Outside Health Care Facility Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TACHYCARDIA NOS
Clinic Referral Self SURGERY CENTER TACHYCARDIA NOS
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Clinic Referral Self SURGERY CENTER RECTAL PROLAPSE
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT

Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Physician Referral Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Clinic Referral Self SURG 3 UNIT RESPIRATORY ANOMALY NEC
Clinic Referral Self SURG 3 UNIT RESPIRATORY ANOMALY NEC
Clinic Referral Self SURG 3 UNIT RESPIRATORY ANOMALY NEC
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Physician Referral Self SURGERY CENTER OTHER LUNG DISEASE NEC
Emergency Room Ambulance EMERGENCY PERS HX INFECT/PARASITIC DIS OTHR
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY SKIN DISORDER NOS
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY ANISOCORIA
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT

Physician Referral Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT
Physician Referral Ambulance MED 2G UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURGERY CENTER DERANG POST LAT MENISCUS
Clinic Referral Self SURGERY CENTER DERANG POST LAT MENISCUS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION LEG NOS
Clinic Referral Self REHAB UNIT REDUCTION DEFORM LEG NOS

Clinic Referral Self REHAB UNIT REDUCTION DEFORM LEG NOS
Clinic Referral Self REHAB UNIT REDUCTION DEFORM LEG NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance EMERGENCY HODGKINS NOS UNSP XTRNODL/SOLID ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION UPPER LIMB NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN TRACHEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF NASAL SEPTUM
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY PROLAPSE URETHRAL MUCOSA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY POISONING-CNS MUSCLE DEPRESS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Admitted as transfer from another unitSelf OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Admitted as transfer from another unitSelf OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SCCA UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SURGERY CENTER CYCLIC NEUTROPENIA
Clinic Referral Self SURGERY CENTER CYCLIC NEUTROPENIA
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CLEFT LIP NOS
Clinic Referral Self SURGERY CENTER CLEFT LIP NOS
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL FX NEC W/O COMA
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY DERMAT D/T INT AGENT NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE

Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Physician Referral Ambulance SCCA UNIT FEVER NOS
Physician Referral Ambulance SCCA UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER ABN AMNION NEC AFF FETUS/NB

Clinic Referral Self SURGERY CENTER ABN AMNION NEC AFF FETUS/NB
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT COUGH
Emergency Room Ambulance MED 2G UNIT COUGH
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURGERY CENTER MOYAMOYA DISEASE
Physician Referral Self SURGERY CENTER MOYAMOYA DISEASE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF TOE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF TOE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF TOE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Physician Referral Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Physician Referral Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Physician Referral Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS

Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER LIPOMA NEC
Clinic Referral Self SURGERY CENTER LIPOMA NEC
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance MED 2G UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Ambulance MED 2G UNIT RENAL SCLEROSIS NOS
Clinic Referral Ambulance MED 2G UNIT RENAL SCLEROSIS NOS
Clinic Referral Ambulance MED 2G UNIT RENAL SCLEROSIS NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURG 4 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 4 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 4 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC-BRF COMA
Emergency Room Ambulance MED 1T UNIT CLOSE SKULL FX NEC-BRF COMA
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY

Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY TOX DIF GOITER NO CRISIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHR MIGRNE WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED
Clinic Referral Self SURG 3 UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURG 3 UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURG 3 UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance MED 2G UNIT DISORDERS OF EAR NEC
Emergency Room Ambulance MED 2G UNIT DISORDERS OF EAR NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY MALIG NEOPLASM SOFT TISSUE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY LAC EYELID SKN/PERIOCULR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAT EXHAUSTION NOS
Emergency Room Ambulance EMERGENCY HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Physician Referral Self SURG 3 UNIT CHRONIC TONSILLITIS
Physician Referral Self SURG 3 UNIT CHRONIC TONSILLITIS
Physician Referral Self SURG 3 UNIT CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self SURG 3 UNIT MALUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT MALUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT MALUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-COMP
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-COMP
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-COMP
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF RESPIRAT SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF RESPIRAT SYST, NEC
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance NICU MECONIUM OBSTRUCTION
Outside Hospital Ambulance NICU MECONIUM OBSTRUCTION
Outside Hospital Ambulance NICU MECONIUM OBSTRUCTION
Emergency Room Ambulance MED 1T UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance MED 1T UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SURG 3 UNIT ENLARGEMENT LYMPH NODES
Clinic Referral Self SURG 3 UNIT ENLARGEMENT LYMPH NODES

Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Physician Referral Ambulance PICU DROWNING/NONFATAL SUBMER
Physician Referral Ambulance PICU DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDER NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURG 4 UNIT WEGENER’S GRANULOMATOSIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Outside Hospital Ambulance MED 2G UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 4 UNIT RENOVASC HYPERTENSION
Emergency Room Ambulance SURG 4 UNIT RENOVASC HYPERTENSION
Emergency Room Ambulance SURG 4 UNIT RENOVASC HYPERTENSION
Emergency Room Ambulance SURG 4 UNIT RENOVASC HYPERTENSION
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER STRESS INCONTINENCE MALE
Clinic Referral Self SURGERY CENTER STRESS INCONTINENCE MALE
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 2T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance REHAB UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS

Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY FX DISTAL ULNA-CLOSED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY BURN NOS FOREARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance EMERGENCY CEREBELLAR ATAXIA NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY CHALAZION
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS

Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Outside Hospital Ambulance NICU PERINATAL INTEST PERFOR
Outside Hospital Ambulance NICU PERINATAL INTEST PERFOR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Physician Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURG 3 UNIT CUBITUS VARUS
Clinic Referral Self SURG 3 UNIT CUBITUS VARUS
Clinic Referral Self SURG 3 UNIT CUBITUS VARUS
Clinic Referral Self SURG 3 UNIT CUBITUS VARUS
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SKIN
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SKIN
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance SURG 3 UNIT PART EPIL W INTR EPIL

Emergency Room Ambulance SURG 3 UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance SURG 3 UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance SURG 3 UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance SURG 3 UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-SUSPECT COND NOS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURG 3 UNIT OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Ambulance SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Ambulance SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Ambulance SURG 3 UNIT PILONIDAL CYST W/O ABSC
Clinic Referral Ambulance SURG 3 UNIT PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY TOXIC EFFECT VENOM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT TOX DIF GOITER NO CRISIS
Clinic Referral Self SURG 3 UNIT TOX DIF GOITER NO CRISIS
Clinic Referral Self SURG 3 UNIT TOX DIF GOITER NO CRISIS
Clinic Referral Self SURG 3 UNIT TOX DIF GOITER NO CRISIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Outside Hospital Ambulance PICU UNC BEH NEO BRAIN/SPINAL
Outside Hospital Ambulance PICU UNC BEH NEO BRAIN/SPINAL
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER REDUCTION DEFORM LEG NOS
Clinic Referral Self SURGERY CENTER REDUCTION DEFORM LEG NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance MED 2G UNIT STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance PICU AUTONOMIC NERVE DIS NEC
Clinic Referral Ambulance PICU AUTONOMIC NERVE DIS NEC
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Clinic Referral Self SCCA UNIT THALASSEMIA NEC
Emergency Room Ambulance EMERGENCY SCABIES

Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self MED 2T UNIT OTHER POSTOP INFECTION
Clinic Referral Self MED 2T UNIT OTHER POSTOP INFECTION
Clinic Referral Self MED 2T UNIT OTHER POSTOP INFECTION
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance MED 1T UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Emergency Room Ambulance SURG 4 UNIT ACUTE/SUBACUTE BACT ENDOCARD
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Clinic Referral Self SURGERY CENTER COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURGERY CENTER COMPLIC-DIGESTIVE SYSTEM
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT CONGEN HEART ANOMALY NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Clinic Referral Self SURGERY CENTER RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY PRICKLY HEAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT POLYDACTYLY, TOES
Clinic Referral Self SURG 3 UNIT POLYDACTYLY, TOES
Clinic Referral Self SURG 3 UNIT POLYDACTYLY, TOES
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY PRICKLY HEAT
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC

Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARTBURN
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT DYSPHAGIA NOS
Emergency Room Ambulance MED 1T UNIT DYSPHAGIA NOS
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF NECK NEC
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF NECK NEC
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF NECK NEC
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Outside Health Care Facility Ambulance SURG 3 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Ambulance SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT PRESSURE ULCER, HIP
Clinic Referral Self SURG 3 UNIT PRESSURE ULCER, HIP
Clinic Referral Self SURG 3 UNIT PRESSURE ULCER, HIP

Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Clinic Referral Self SURG 3 UNIT CONGEN FUSION OF SPINE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance EMERGENCY DRUG DERMATITIS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Emergency Room Ambulance SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance MED 2G UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance MED 2G UNIT NEWBORN TRANSITORY TACHYPNEA
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-NEURL DEVIC
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-NEURL DEVIC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Emergency Room Ambulance EMERGENCY DYSCHROMIA UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE

Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance SURG 3 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 3 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self SCCA UNIT HYPERPOTASSEMIA
Clinic Referral Self SCCA UNIT HYPERPOTASSEMIA
Physician Referral Ambulance MED 1T UNIT AUTONOMIC NERVE DIS NEC
Physician Referral Ambulance MED 1T UNIT AUTONOMIC NERVE DIS NEC
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX FOOT BONE NOS-CLOSED
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT E. COLI ENTERITIS, NOS
Emergency Room Ambulance MED 1T UNIT E. COLI ENTERITIS, NOS
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER ANDROGEN INSENSITVTY SYN
Clinic Referral Self SURGERY CENTER ANDROGEN INSENSITVTY SYN

Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Clinic Referral Ambulance MED 2G UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURGERY CENTER UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST

Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance MED 2G UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT FACIAL NERVE DIS NOS
Clinic Referral Self SURG 3 UNIT FACIAL NERVE DIS NOS
Clinic Referral Self SURG 3 UNIT FACIAL NERVE DIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance NICU CONGEN CYTOMEGALOVIRUS INFEC
Outside Hospital Ambulance NICU CONGEN CYTOMEGALOVIRUS INFEC
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 3 UNIT SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SOFT TISSUE ANOMALY NEC
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Outside Hospital Ambulance MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance MED 2G UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 2G UNIT HYPERPOTASSEMIA
Clinic Referral Self SCCA UNIT STREPTOCOCCAL SEPTICEMIA
Clinic Referral Self SCCA UNIT STREPTOCOCCAL SEPTICEMIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-PELVIS
Clinic Referral Self SURG 3 UNIT CONG FACTOR VIII DIORD
Clinic Referral Self SURG 3 UNIT CONG FACTOR VIII DIORD
Clinic Referral Self SURG 3 UNIT CONG FACTOR VIII DIORD
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABD/PEL SWELL/MASS/LUMP PERIUMBIL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FACIAL WEAKNESS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY NWBRN INTEGUMENT COND NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING

Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Physician Referral Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Physician Referral Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND
Clinic Referral Self MED 2T UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self MED 2T UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERICHONDRITIS PINNA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Clinic Referral Self SURG 4 UNIT BILIARY AND LIVER ANOM NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TRUNK NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPERFIC INJ TRUNK NEC
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Clinic Referral Ambulance SCCA UNIT CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY GENERAL MEDICAL EXAM NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT UNILAT INGUINAL HERNIA

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance MED 1T UNIT NEWBORN TRANSITORY TACHYPNEA
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOW RADIUS W ULNA-OPEN
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 2T UNIT CELLULITIS OF LEG
Outside Hospital Ambulance MED 2T UNIT CELLULITIS OF LEG
Outside Hospital Ambulance MED 2T UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY PERICHONDRITIS PINNA NOS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OLIGURIA AND ANURIA
Emergency Room Ambulance EMERGENCY DRUG DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA

Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN EAR
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN EAR
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER FEVER NOS
Clinic Referral Self SURGERY CENTER FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT HEADACHE
Emergency Room Ambulance MED 1T UNIT HEADACHE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED

Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS

Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Clinic Referral Self REHAB UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Outside Hospital Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Outside Hospital Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Physician Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Physician Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY 2ND DEG BURN THIGH
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Physician Referral Ambulance SURG 4 UNIT COR TRIATRIATUM
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Emergency Room Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER

Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY PERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT NONTERATOGENIC ANOM NEC
Clinic Referral Self SURG 3 UNIT NONTERATOGENIC ANOM NEC
Clinic Referral Self SURG 3 UNIT NONTERATOGENIC ANOM NEC
Clinic Referral Self SURG 3 UNIT NONTERATOGENIC ANOM NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF EYELID NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF EYELID NEC
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Outside Hospital Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Clinic Referral Ambulance MED 2G UNIT INTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY WOUND DISRUPTION NOS
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Clinic Referral Self SURG 3 UNIT NASAL AND SINUS DIS NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Clinic Referral Self SURGERY CENTER ARREST OF BONE GROWTH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self MED 1T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Physician Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT MULT CRANIAL NERVE PALSY
Clinic Referral Self SURG 3 UNIT MULT CRANIAL NERVE PALSY
Clinic Referral Self SURG 3 UNIT MULT CRANIAL NERVE PALSY
Clinic Referral Self SURG 3 UNIT MULT CRANIAL NERVE PALSY
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Physician Referral Self SURGERY CENTER BONE MARROW DONOR
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Physician Referral Self MED 2G UNIT CHRONIC PANCREATITIS
Physician Referral Self MED 2G UNIT CHRONIC PANCREATITIS
Physician Referral Self MED 2G UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURGERY CENTER CONGENITAL CLEFT HAND
Clinic Referral Self SURGERY CENTER CONGENITAL CLEFT HAND
Clinic Referral Self OUTPAT PROCEDURE CNTREXT HEMORRHOID W/O COMPL
Clinic Referral Self OUTPAT PROCEDURE CNTREXT HEMORRHOID W/O COMPL
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Physician Referral Ambulance SURG 4 UNIT PERSIST POSTOP FISTULA
Physician Referral Ambulance SURG 4 UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Clinic Referral Self SURG 3 UNIT LATE AMPUTAT COMPLIC NEC
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Clinic Referral Self SURGERY CENTER OPEN WOUND FINGER W TENDON
Clinic Referral Self SURGERY CENTER OPEN WOUND FINGER W TENDON
Physician Referral Self SURGERY CENTER PYELONEPHRITIS NOS
Physician Referral Self SURGERY CENTER PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER MANDIBLE FX NOS-CLOSED
Clinic Referral Self SURGERY CENTER MANDIBLE FX NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance SURG 3 UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance SURG 3 UNIT INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Clinic Referral Ambulance SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 2G UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance MED 1T UNIT OPEN WOUND KNEE/LEG-COMPL
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURG 4 UNIT ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURG 4 UNIT ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Clinic Referral Ambulance SURG 3 UNIT MALIG NEO PARIETAL LOBE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Physician Referral Self SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Physician Referral Self SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT SWELLING OF LIMB
Emergency Room Ambulance MED 2G UNIT SWELLING OF LIMB
Emergency Room Ambulance MED 2G UNIT SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND CHEEK-COMPL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX-CONCUSS
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX-CONCUSS
Clinic Referral Self SURGERY CENTER TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURGERY CENTER TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY ENURESIS NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance REHAB UNIT ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance REHAB UNIT ENTERITIS OF INFECTION ORIG
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CUTANEOUS SCHISTOSOMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Clinic Referral Self SURG 4 UNIT ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY EHLERS-DANLOS SYNDROME
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance MED 2G UNIT NEONAT JAUND PRETERM DEL
Emergency Room Ambulance SURG 3 UNIT DISRUP INTERNAL OP WOUND
Emergency Room Ambulance SURG 3 UNIT DISRUP INTERNAL OP WOUND
Emergency Room Ambulance SURG 3 UNIT DISRUP INTERNAL OP WOUND
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF LEG
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance SURG 3 UNIT INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Physician Referral Self SURGERY CENTER EXOTROPIA NOS
Physician Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Clinic Referral Self REHAB UNIT FIT/ADJUST NERV/SENS SYSTEM DEVICE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 1T UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2G UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance MED 2G UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSE SKULL BASE FX W/O COMA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self REHAB UNIT UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance MED 2G UNIT PATHOLOGIC FX HUMERUS
Emergency Room Ambulance MED 2G UNIT PATHOLOGIC FX HUMERUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NOS
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE

Clinic Referral Self SURGERY CENTER SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURGERY CENTER HEADACHE
Clinic Referral Self SURGERY CENTER HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-SHLDER
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-SHLDER
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Clinic Referral Self SURGERY CENTER TRAUMATIC CATARACT NOS
Clinic Referral Self SURGERY CENTER TRAUMATIC CATARACT NOS
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATION OF INTESTINE
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATION OF INTESTINE
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance SURG 4 UNIT NWBRN FEEDING PROBLEMS
Outside Hospital Ambulance SURG 4 UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Clinic Referral Self MED 2T UNIT CHOLELITHIASIS NOS
Clinic Referral Self MED 2T UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance PICU ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance PICU ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2G UNIT SOLITARY BONE CYST
Clinic Referral Self MED 2G UNIT SOLITARY BONE CYST
Clinic Referral Self MED 2G UNIT SOLITARY BONE CYST

Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self OUTPAT PROCEDURE CNTRACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURGERY CENTER IRIDOCYCLITIS NOS
Physician Referral Self SURGERY CENTER IRIDOCYCLITIS NOS
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS
Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS
Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS

Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM STOMACH
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM STOMACH
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance NICU PATENT DUCTUS ARTERIOSUS
Outside Health Care Facility Ambulance SURG 3 UNIT ATRESIA LARGE INTESTINE
Outside Health Care Facility Ambulance SURG 3 UNIT ATRESIA LARGE INTESTINE
Outside Health Care Facility Ambulance SURG 3 UNIT ATRESIA LARGE INTESTINE
Outside Health Care Facility Ambulance SURG 3 UNIT ATRESIA LARGE INTESTINE
Outside Health Care Facility Ambulance SURG 3 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRIMMUNOLOGICAL FIND OTHR OR UNSPEC
Clinic Referral Self OUTPAT PROCEDURE CNTRIMMUNOLOGICAL FIND OTHR OR UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY MASTODYNIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS

Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGITIS, UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 2T UNIT CHR OSTEOMYELIT-HAND
Emergency Room Ambulance MED 2T UNIT CHR OSTEOMYELIT-HAND
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES

Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 1T UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 1T UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FRACTURE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT SEROMA COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SICKLE-CELL DISEASE NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT URETHRITIS NEC
Emergency Room Ambulance SURG 4 UNIT URETHRITIS NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY HYPERPOTASSEMIA
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF NERVOUS SYST, NEC
Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF NERVOUS SYST, NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Clinic Referral Self SURGERY CENTER ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Physician Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXERCISE INDUCED BRONCHOSPASM
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE

Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE
Emergency Room Ambulance EMERGENCY FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CYSTITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Outside Hospital Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Outside Hospital Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS

Outside Hospital Ambulance MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Physician Referral Self SURGERY CENTER JOINT SYMPTOM NEC-ANKLE
Physician Referral Self SURGERY CENTER JOINT SYMPTOM NEC-ANKLE
Emergency Room Ambulance EMERGENCY TACHYPNEA
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Emergency Room Ambulance SURG 4 UNIT HYPEROSMOLALITY
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM

Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Physician Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Physician Referral Self SURGERY CENTER MALIG NEOPL KIDNEY
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Ambulance SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 3 UNIT CALCULUS OF KIDNEY
Outside Hospital Ambulance SURG 3 UNIT CALCULUS OF KIDNEY

Outside Hospital Ambulance SURG 3 UNIT CALCULUS OF KIDNEY
Outside Hospital Ambulance SURG 3 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Self MED 2G UNIT APNEA OF NEWBORN NEC
Outside Hospital Self MED 2G UNIT APNEA OF NEWBORN NEC
Outside Hospital Self MED 2G UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Ambulance MED 1T UNIT SARCOIDOSIS
Clinic Referral Ambulance MED 1T UNIT SARCOIDOSIS
Emergency Room Ambulance MED 2G UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRACONDYL FX FEMUR-CLOSE
Emergency Room Ambulance MED 2G UNIT CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance MED 2G UNIT CHEST SWELLING/MASS/LUMP
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OVARIAN CYST NEC/NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONG CYSTIC LIVER DIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self MED 2G UNIT DUODENITIS W/O HEMORRHAGE
Clinic Referral Self MED 2G UNIT DUODENITIS W/O HEMORRHAGE
Clinic Referral Self MED 2G UNIT DUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX HUMERUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FX HUMERUS SHAFT-CLOSED

Emergency Room Ambulance MED 2G UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 2G UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Clinic Referral Self SURG 3 UNIT CHOLELITH W CHOLECYS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT NONTOX UNINODULAR GOITER
Clinic Referral Self SURG 3 UNIT NONTOX UNINODULAR GOITER
Clinic Referral Self SURG 3 UNIT NONTOX UNINODULAR GOITER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT APPENDICITIS NOS
Clinic Referral Ambulance MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Ambulance MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV

Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Outside Hospital Ambulance MED 1T UNIT SEVERE BIRTH ASPHYXIA W NEURO ABNL
Outside Hospital Ambulance MED 1T UNIT SEVERE BIRTH ASPHYXIA W NEURO ABNL
Outside Hospital Ambulance MED 1T UNIT SEVERE BIRTH ASPHYXIA W NEURO ABNL
Outside Hospital Ambulance MED 1T UNIT SEVERE BIRTH ASPHYXIA W NEURO ABNL
Outside Hospital Ambulance MED 1T UNIT SEVERE BIRTH ASPHYXIA W NEURO ABNL
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY SKIN DISORDER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS
Emergency Room Ambulance EMERGENCY SEROMA COMPLIC PROCEDURE
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance PICU ACUTE RESPIRATORY FAILURE
Outside Hospital Ambulance PICU ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-PELVIS
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-PELVIS
Clinic Referral Self REHAB UNIT JOINT CONTRACTURE-PELVIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance SURG 4 UNIT ATRESIA LARGE INTESTINE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT OSTEOGENESIS IMPERFECTA
Clinic Referral Self SURG 3 UNIT OSTEOGENESIS IMPERFECTA
Clinic Referral Self SURG 3 UNIT OSTEOGENESIS IMPERFECTA
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY TOOTH POSITION ANOMALY NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OSTEOGENESIS IMPERFECTA
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self MED 2T UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self MED 2T UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance SURG 3 UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance SURG 3 UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM

Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT NEUTROPENIA NOS
Clinic Referral Self MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE II UNCONTR UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE II UNCONTR UNCOMPL
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY BLADDER CALCULUS NEC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK

Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE

Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Physician Referral Self SURGERY CENTER
Physician Referral Self SURGERY CENTER
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Outside Hospital Ambulance SURG 4 UNIT ABD WALL ANOMALY NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK

Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS
Emergency Room Ambulance SURG 3 UNIT SYNOVITIS NOS
Emergency Room Ambulance MED 2G UNIT OPEN SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT OPEN SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT OPEN SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT OPEN SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self REHAB UNIT DISORDERS OF METAB NEC
Clinic Referral Self REHAB UNIT DISORDERS OF METAB NEC
Clinic Referral Self REHAB UNIT DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER COMPL TRANSPOS GREAT VES
Clinic Referral Self SURGERY CENTER COMPL TRANSPOS GREAT VES
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2G UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self MED 2G UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS

Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SCCA UNIT CONG AND HERED THROMBOCYTOPENIC PURPURA
Clinic Referral Self SCCA UNIT CONG AND HERED THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance MED 1T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 1T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Clinic Referral Ambulance SURGERY CENTER OPEN WOUND PALATE-COMPL
Clinic Referral Ambulance SURGERY CENTER OPEN WOUND PALATE-COMPL
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABRASION TRUNK
Emergency Room Ambulance EMERGENCY TRANS ARTHROPATHY-L/LEG
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEPATITIS IN VIRAL DIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY MALFUNC CARD DEV/GRF NEC
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE

Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL HEART BLOCK
Clinic Referral Self SURG 4 UNIT CONGENITAL HEART BLOCK
Clinic Referral Self SURG 4 UNIT CONGENITAL HEART BLOCK
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2T UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NOS
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NOS
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Physician Referral Self MED 1T UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 3 UNIT COMPLIC GU DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC GU DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC GU DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC GU DEVICE
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FOOT
Clinic Referral Self SCCA UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER

Outside Hospital Ambulance MED 2G UNIT WHOOPING COUGH NOS
Outside Hospital Ambulance MED 2G UNIT WHOOPING COUGH NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Outside Hospital Ambulance NICU MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Outside Hospital Ambulance NICU MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER DISL INTERPHALAN FOOT-CLOSE
Clinic Referral Self SURGERY CENTER DISL INTERPHALAN FOOT-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance SURG 3 UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-FOREARM
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-FOREARM
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY RETENTION OF URINE UNSPEC

Emergency Room Ambulance EMERGENCY DEHYDRATION
Physician Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Physician Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self MED 2T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self MED 2T UNIT CONSTIPATION NOS
Clinic Referral Self MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ADENOVIRUS INFECTION NOS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT INFECTION OF GASTROSTOMY
Emergency Room Ambulance MED 1T UNIT INFECTION OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY HERPETIC WHITLOW
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance SURG 4 UNIT GASTRITIS/DUODEN NOS W HEMORRH
Emergency Room Ambulance SURG 4 UNIT GASTRITIS/DUODEN NOS W HEMORRH
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF HIP
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF EYEBALL
Emergency Room Ambulance EMERGENCY REDNESS/DISCHARGE OF EYE
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance EMERGENCY ESSNTIAL THROMBOCYTHEMIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABNORMAL CLINICAL FINDING NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Physician Referral Ambulance MED 2G UNIT CONG CYSTIC LIVER DIS
Physician Referral Ambulance MED 2G UNIT CONG CYSTIC LIVER DIS
Physician Referral Ambulance MED 2G UNIT CONG CYSTIC LIVER DIS
Physician Referral Ambulance MED 2G UNIT CONG CYSTIC LIVER DIS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Clinic Referral Self SURG 3 UNIT CONGEN FACE/NECK ANOM NEC
Emergency Room Ambulance EMERGENCY ALOPECIA NOS
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE

Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Emergency Room Ambulance MED 1T UNIT CYANOSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MAXILLARY HYPOPLASIA
Clinic Referral Self SURGERY CENTER MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 1T UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURG 3 UNIT CYSTIC KIDN DISEASE,NOS
Clinic Referral Self SURGERY CENTER VITREOUS ANOMALIES
Clinic Referral Self SURGERY CENTER VITREOUS ANOMALIES

Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance SURG 4 UNIT HYPOSMOLALITY
Clinic Referral Ambulance SURG 4 UNIT HYPOSMOLALITY
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Physician Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Physician Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY POISONING-ANTICONVUL NEC/NOS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURG 3 UNIT DEVELOPMENT DISLOC JT PELVIS
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Emergency Room Ambulance MED 2T UNIT E COLI SEPTICEMIA
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Physician Referral Self SURGERY CENTER FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID

Clinic Referral Self SURG 3 UNIT MALIGN NEOPL THYROID
Physician Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Physician Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance MED 2G UNIT TRANSIENT HEMAT DIS NEC
Emergency Room Ambulance MED 2G UNIT TRANSIENT HEMAT DIS NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY ABNORMAL GLUCOSE NEC
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Outside Hospital Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2T UNIT ALLERGY, UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECT FOL INFUS/INJ/VAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY PAPILLEDEMA NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX FEMORAL CONDYLE-CLOSE
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS

Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 3 UNIT PITUITARY DISORDER NEC
Clinic Referral Self SURG 3 UNIT PITUITARY DISORDER NEC
Clinic Referral Self SURG 3 UNIT PITUITARY DISORDER NEC
Clinic Referral Self SURG 3 UNIT PITUITARY DISORDER NEC
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL THYROID
Clinic Referral Self SURGERY CENTER MALIGN NEOPL THYROID
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Clinic Referral Self SURG 3 UNIT TALIPES NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Emergency Room Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance MED 2G UNIT ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2G UNIT CHOLANGITIS
Clinic Referral Self MED 2G UNIT CHOLANGITIS
Clinic Referral Self MED 2G UNIT CHOLANGITIS
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance MED 2G UNIT VARICELLA UNCOMPLICATED
Emergency Room Ambulance MED 2G UNIT VARICELLA UNCOMPLICATED
Emergency Room Ambulance MED 2G UNIT VARICELLA UNCOMPLICATED
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER PREGLAUCOMA NOS
Clinic Referral Self SURGERY CENTER PREGLAUCOMA NOS
Clinic Referral Self SURGERY CENTER PREGLAUCOMA NOS
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC

Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Emergency Room Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Clinic Referral Ambulance SURG 4 UNIT VOMITING ALONE
Clinic Referral Ambulance SURG 4 UNIT VOMITING ALONE
Physician Referral Self SURGERY CENTER SYNOVITIS NOS
Physician Referral Self SURGERY CENTER SYNOVITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self REHAB UNIT PATHOLOGIC FX HUMERUS
Clinic Referral Self REHAB UNIT PATHOLOGIC FX HUMERUS
Clinic Referral Self REHAB UNIT PATHOLOGIC FX HUMERUS
Emergency Room Ambulance REHAB UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance REHAB UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT MENIERE’S DISEASE NOS
Clinic Referral Self SURG 3 UNIT MENIERE’S DISEASE NOS
Clinic Referral Self SURG 3 UNIT MENIERE’S DISEASE NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance SCCA UNIT ACQ HEMOLYTIC ANEMIA NOS
Emergency Room Ambulance SCCA UNIT ACQ HEMOLYTIC ANEMIA NOS
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Emergency Room Ambulance MED 2T UNIT HYPERTENSION NOS
Emergency Room Ambulance MED 2T UNIT HYPERTENSION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance EMERGENCY HEADACHE

Emergency Room Ambulance SURG 4 UNIT CYANOSIS
Emergency Room Ambulance SURG 4 UNIT CYANOSIS
Emergency Room Ambulance SURG 4 UNIT CYANOSIS
Emergency Room Ambulance SURG 4 UNIT CYANOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Ambulance MED 2G UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT COUGH
Emergency Room Ambulance MED 2G UNIT COUGH
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self SCCA UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SCCA UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HEAD NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF PALATE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONTUSION LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Outside Hospital Ambulance NICU CHOANAL ATRESIA
Outside Hospital Ambulance NICU CHOANAL ATRESIA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Outside Health Care Facility Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 3 UNIT FB TRACH/BRONCH/LUNG NEC
Emergency Room Ambulance SURG 3 UNIT FB TRACH/BRONCH/LUNG NEC
Emergency Room Ambulance SURG 3 UNIT FB TRACH/BRONCH/LUNG NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 3 UNIT MALFUNC OTHER DEVICE/GRAFT
Physician Referral Self SURG 3 UNIT RENAL ARTERY ATHEROSCLEROSIS
Physician Referral Self SURG 3 UNIT RENAL ARTERY ATHEROSCLEROSIS
Physician Referral Self SURG 3 UNIT RENAL ARTERY ATHEROSCLEROSIS
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE

Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance NICU WHOOPING COUGH NOS
Emergency Room Ambulance NICU WHOOPING COUGH NOS
Emergency Room Ambulance NICU WHOOPING COUGH NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY DISTRESS SYN
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance MED 2G UNIT PRIMARY APNEA OF NEWBORN
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE

Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY CHALAZION
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Outside Hospital Self SURG 3 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Self SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2T UNIT SHIGELLOSIS NOS
Emergency Room Ambulance MED 2T UNIT SHIGELLOSIS NOS
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance MED 2G UNIT GLUCOCORTICOID DEFICIENT
Emergency Room Ambulance MED 2G UNIT GLUCOCORTICOID DEFICIENT
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance MED 1T UNIT HYPOXEMIA
Emergency Room Ambulance MED 1T UNIT HYPOXEMIA
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Emergency Room Ambulance EMERGENCY NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST

Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Physician Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Physician Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT MYELITIS CAUSE NEC
Emergency Room Ambulance MED 2G UNIT MYELITIS CAUSE NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 4 UNIT COMPLIC-URINARY TRACT
Emergency Room Ambulance SURG 4 UNIT COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2T UNIT CROUP

Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 1T UNIT HYPERPOTASSEMIA
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF NECK
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Physician Referral Ambulance MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance MED 2G UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Emergency Room Ambulance EMERGENCY CONG HIP DEFORMITY NEC
Outside Hospital Ambulance NICU PERINATAL INFECTION NEC
Outside Hospital Ambulance NICU PERINATAL INFECTION NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE

Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ANGIONEUROTIC EDEMA
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Clinic Referral Self MED 2G UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT

Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Outside Hospital Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Outside Hospital Ambulance MED 2G UNIT PERINATAL CONDITION NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self REHAB UNIT OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY CONTUSION ABDOMINAL WALL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Clinic Referral Self SURG 3 UNIT BENIGN NEO PARATHYROID
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS

Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EPISTAXIS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Outside Health Care Facility Ambulance SURG 3 UNIT INTRACRANIAL ABSCESS
Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Outside Hospital Ambulance SURG 4 UNIT INFEC/INFLAM-PERITON DIALY CATH
Outside Hospital Ambulance SURG 4 UNIT INFEC/INFLAM-PERITON DIALY CATH
Outside Hospital Ambulance SURG 4 UNIT INFEC/INFLAM-PERITON DIALY CATH
Outside Hospital Ambulance SURG 4 UNIT INFEC/INFLAM-PERITON DIALY CATH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 4 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY POISONING-PENICILLINS
Emergency Room Ambulance EMERGENCY POISONING-PENICILLINS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance NICU RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY DISLOC SHOULDER NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV

Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND AUDITORY CANAL
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Clinic Referral Self SURG 3 UNIT FIBROMATOSES NEC
Clinic Referral Self SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Self SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Clinic Referral Self SURG 3 UNIT OSTEOMYELITIS NOS-L/LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY SKIN DISORDER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Physician Referral Ambulance SURG 3 UNIT FX SHAFT TIBIA-CLOSED
Physician Referral Ambulance SURG 3 UNIT FX SHAFT TIBIA-CLOSED
Physician Referral Ambulance SURG 3 UNIT FX SHAFT TIBIA-CLOSED
Physician Referral Ambulance SURG 3 UNIT FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Clinic Referral Self SURG 4 UNIT COMMON VENTRICLE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS

Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MALFUNC URETHRAL CATH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2T UNIT INFECTION AMPUTAT STUMP
Clinic Referral Self MED 2T UNIT INFECTION AMPUTAT STUMP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Physician Referral Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance SCCA UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND JAW-COMPLICAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY URINARY FREQUENCY
Admitted as transfer from another unitSelf PICU COMBINED IMMUNITY DEFIC
Admitted as transfer from another unitSelf PICU COMBINED IMMUNITY DEFIC
Admitted as transfer from another unitSelf PICU COMBINED IMMUNITY DEFIC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURGERY CENTER HYPERTRPH NASAL TURBINAT
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER MONOART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER MONOART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT BRAN-CHAIN AMIN-ACID DIS
Emergency Room Ambulance MED 1T UNIT BRAN-CHAIN AMIN-ACID DIS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER DENTAL ARCH ANOMALY NEC
Clinic Referral Self SURGERY CENTER DENTAL ARCH ANOMALY NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS

Emergency Room Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER VOCAL CORD/LARYNX POLYP
Clinic Referral Self SURGERY CENTER VOCAL CORD/LARYNX POLYP
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 4 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 4 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 4 UNIT CONG POSTURAL DEFORMITY
Clinic Referral Self SURG 4 UNIT CONG POSTURAL DEFORMITY
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Outside Hospital Ambulance MED 1T UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance MED 1T UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA

Emergency Room Ambulance MED 2T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY POISONING-VITAMINS NEC
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL POLYP
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL POLYP
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL POLYP
Outside Hospital Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURG 3 UNIT UNC BEH NEO BRAIN/SPINAL
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Outside Health Care Facility Ambulance PICU WEGENER’S GRANULOMATOSIS
Outside Health Care Facility Ambulance PICU WEGENER’S GRANULOMATOSIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER MALIG NEOPLASM SOFT TISSUE HEAD
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN

Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Outside Hospital Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Outside Hospital Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W MANIF NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Outside Hospital Ambulance PICU CARDIAC ARREST
Outside Hospital Ambulance PICU CARDIAC ARREST
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Physician Referral Self SURGERY CENTER BILIARY ATRESIA
Physician Referral Self SURGERY CENTER BILIARY ATRESIA
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDUCT HEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDUCT HEARING LOSS NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Outside Hospital Self SURG 4 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Self SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Emergency Room Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Emergency Room Ambulance MED 2G UNIT ACUTE MYELITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE MYELITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE MYELITIS NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURG 4 UNIT MALIGNANT NEOPLASM LIVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE

Clinic Referral Self SURGERY CENTER FX SHAFT RAD W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURG 3 UNIT SPINAL MUSCL ATROPHY NOS
Clinic Referral Self SURG 3 UNIT SPINAL MUSCL ATROPHY NOS
Clinic Referral Self SURG 3 UNIT SPINAL MUSCL ATROPHY NOS
Clinic Referral Self SURG 3 UNIT SPINAL MUSCL ATROPHY NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND TRUNK NEC-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND TRUNK NEC-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND TRUNK NEC-COMPL
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NEC
Clinic Referral Self SURGERY CENTER ACQ FINGER DEFORMITY NEC
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA EXTERN EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA EXTERN EAR
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER GENU VARUM
Clinic Referral Self SURGERY CENTER GENU VARUM
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Physician Referral Ambulance MED 1T UNIT ANOXIC BRAIN DAMAGE
Physician Referral Ambulance MED 1T UNIT ANOXIC BRAIN DAMAGE
Physician Referral Ambulance MED 1T UNIT ANOXIC BRAIN DAMAGE
Emergency Room Ambulance MED 2G UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance MED 2G UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance MED 2G UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION

Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self SURGERY CENTER GENU VALGUM
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN NEC
Clinic Referral Ambulance MED 1T UNIT OSTEOMYELITIS NOS-MULT
Clinic Referral Ambulance MED 1T UNIT OSTEOMYELITIS NOS-MULT
Clinic Referral Ambulance MED 1T UNIT OSTEOMYELITIS NOS-MULT
Clinic Referral Ambulance MED 1T UNIT OSTEOMYELITIS NOS-MULT
Clinic Referral Self SURGERY CENTER OSTEOCHONDROPATHY NEC
Clinic Referral Self SURGERY CENTER OSTEOCHONDROPATHY NEC
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 3 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 3 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY SPRAIN NOS
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABRASION NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE

Emergency Room Ambulance EMERGENCY SUPERF INJURY FOOT NEC-INFEC
Emergency Room Ambulance EMERGENCY PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY INJURY MLT SITE/SITE NEC
Emergency Room Ambulance EMERGENCY INJURY MLT SITE/SITE NEC
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SUBDURAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 2T UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self MED 2T UNIT RAPIDLY PROG NEPHRIT NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY INSECT BITE HIP AND LEG
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Clinic Referral Self SURGERY CENTER GANGLION OF JOINT
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Physician Referral Self SURGERY CENTER FOURTH NERVE PALSY
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA

Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance REHAB UNIT FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Physician Referral Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Physician Referral Ambulance MED 1T UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Outside Hospital Ambulance MED 2G UNIT NONTERATOGENIC ANOM NEC
Outside Hospital Ambulance MED 2G UNIT NONTERATOGENIC ANOM NEC
Outside Hospital Ambulance MED 2G UNIT NONTERATOGENIC ANOM NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC

Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance REHAB UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance REHAB UNIT ACUTE POSTOP PAIN NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 1T UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Ambulance MED 1T UNIT MECHANICAL COMPLICATN TRACHEOSTOMY
Clinic Referral Ambulance MED 1T UNIT MECHANICAL COMPLICATN TRACHEOSTOMY
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SCCA UNIT APLASTIC ANEMIA NOS
Clinic Referral Self SCCA UNIT APLASTIC ANEMIA NOS

Clinic Referral Self SCCA UNIT APLASTIC ANEMIA NOS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY SEBORRHEIC INFANTILE DERMATITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PSEUDOTUMOR CEREBRI
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-OPIATES NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP

Outside Hospital Ambulance NICU CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance NICU CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SICKLE-CELL DISEASE NOS
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance PICU CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance PICU CLOSE SKULL FX NEC W/O COMA
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES ARM
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES ARM
Emergency Room Ambulance MED 1T UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 1T UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR

Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURG 3 UNIT DISRUP INTERNAL OP WOUND
Clinic Referral Self SURG 3 UNIT DISRUP INTERNAL OP WOUND
Clinic Referral Self SURG 3 UNIT DISRUP INTERNAL OP WOUND
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance REHAB UNIT CAMPYLOBACTER ENTERITIS
Emergency Room Ambulance REHAB UNIT CAMPYLOBACTER ENTERITIS
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance MED 2T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2T UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM PAROTID
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM PAROTID
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM PAROTID
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 1T UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SCCA UNIT LYMPHADENITIS NOS
Emergency Room Ambulance SCCA UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS

Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Clinic Referral Self SURG 3 UNIT COMPRESSION OF VEIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF VEIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF VEIN
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Clinic Referral Self SURGERY CENTER TRACHEA AND BRONCH DIS NEC
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Clinic Referral Self SURGERY CENTER URETHRAL FISTULA
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Emergency Room Ambulance MED 2G UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance MED 2G UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER UNEQUAL LEG LENGTH
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Physician Referral Ambulance SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Physician Referral Ambulance SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Physician Referral Ambulance SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Physician Referral Ambulance SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance MED 2T UNIT VIRAL MENINGITIS NEC
Emergency Room Ambulance MED 2T UNIT VIRAL MENINGITIS NEC
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY SCABIES
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Transfer from Critical Access HospitalAmbulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self MED 2G UNIT LIVER DISORDERS NEC
Clinic Referral Self MED 2G UNIT LIVER DISORDERS NEC
Clinic Referral Self MED 2G UNIT LIVER DISORDERS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHRONIC MYRINGITIS
Clinic Referral Self SURGERY CENTER CHRONIC MYRINGITIS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION

Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance REHAB UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance REHAB UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance REHAB UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Physician Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Physician Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self MED 2G UNIT
Clinic Referral Self MED 2G UNIT
Clinic Referral Self MED 2G UNIT
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY SYNOVIAL CYST NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY INSECT BITE FOOT/TOE

Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRMIXED HEARING LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRMIXED HEARING LOSS,BILAT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURG 3 UNIT PSYMOTR EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Outside Hospital Ambulance MED 1T UNIT CONVULSIONS IN NEWBORN
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF FOOT NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM

Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER LOSS TEETH NEC
Clinic Referral Self SURGERY CENTER LOSS TEETH NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Outside Hospital Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Outside Hospital Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Outside Hospital Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Outside Hospital Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance OBSERVATION UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance OBSERVATION UNIT PERIAPICAL ABSCESS
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM

Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Outside Hospital Ambulance MED 2G UNIT DIS OF BILIARY TRACT NEC
Outside Hospital Ambulance MED 2G UNIT DIS OF BILIARY TRACT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2T UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance REHAB UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance REHAB UNIT FX NECK OF FEMUR NOS-CLOSE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Outside Hospital Ambulance MED 1T UNIT APNEA OF NEWBORN NEC
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Outside Hospital Ambulance MED 2G UNIT UNC BEHAV NEO LIVER
Outside Hospital Ambulance MED 2G UNIT UNC BEHAV NEO LIVER
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Outside Health Care Facility Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Outside Health Care Facility Ambulance SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2T UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CYSTIC FIBROS W/O ILEUS
Clinic Referral Self SURGERY CENTER CYSTIC FIBROS W/O ILEUS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT NONMED SUBST NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS NOS
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY REDNESS/DISCHARGE OF EYE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-ANKLE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY POISONING-HALLUCINOGENS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Physician Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self REHAB UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Self OBSERVATION UNIT CHR MUCOID OM SIMP/NOS
Physician Referral Self OBSERVATION UNIT CHR MUCOID OM SIMP/NOS
Physician Referral Self OBSERVATION UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS
Physician Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS
Physician Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance OBSERVATION UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Physician Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Physician Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Physician Referral Self MED 2G UNIT CHR NONSUP OM NOS/NEC
Emergency Room Ambulance OBSERVATION UNIT ACUTE URI NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE URI NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance SURG 4 UNIT PERICARDIAL DISEASE NOS
Clinic Referral Ambulance SURG 4 UNIT PERICARDIAL DISEASE NOS
Clinic Referral Ambulance SURG 4 UNIT PERICARDIAL DISEASE NOS
Clinic Referral Ambulance SURG 4 UNIT PERICARDIAL DISEASE NOS
Clinic Referral Ambulance SURG 4 UNIT PERICARDIAL DISEASE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURGERY CENTER CHANGES IN SKIN TEXTURE
Clinic Referral Self SURGERY CENTER CHANGES IN SKIN TEXTURE
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self REHAB UNIT CONG KNEE DEFORMITY
Clinic Referral Self REHAB UNIT CONG KNEE DEFORMITY
Clinic Referral Self REHAB UNIT CONG KNEE DEFORMITY
Clinic Referral Self OBSERVATION UNIT BILAT INGUINAL HERNIA
Clinic Referral Self OBSERVATION UNIT BILAT INGUINAL HERNIA
Clinic Referral Self OBSERVATION UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Outside Hospital Ambulance MED 2G UNIT HEMARTHROSIS-JOINT NEC
Outside Hospital Ambulance MED 2G UNIT HEMARTHROSIS-JOINT NEC
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self MED 2G UNIT INFANTILE SPASMS NOT INTRACTABLE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT RESPIRATORY COMP NEC
Emergency Room Ambulance OBSERVATION UNIT RESPIRATORY COMP NEC
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Ambulance SURG 3 UNIT ORTHOSTATIC HYPOTENSION
Clinic Referral Ambulance SURG 3 UNIT ORTHOSTATIC HYPOTENSION
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FACE

Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURG 4 UNIT MALIG NEOPL KIDNEY
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE RENAL FAILURE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance MED 1T UNIT GASTROSTOMY COMPLICATION NEC
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY POISONING-SULFONAMIDES
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Ambulance MED 2T UNIT CONSTIPATION NOS

Physician Referral Ambulance MED 2T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 2T UNIT DROWNING/NONFATAL SUBMER
Physician Referral Ambulance MED 2T UNIT DROWNING/NONFATAL SUBMER
Physician Referral Ambulance MED 2T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT HEMARTHROSIS-PELVIS
Emergency Room Ambulance MED 2G UNIT HEMARTHROSIS-PELVIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY URGENCY OF URINATION

Emergency Room Ambulance EMERGENCY FX FACIAL BONE NEC-CLOSE
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ANT DISLOC HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance MED 1T UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance MED 1T UNIT POISONING-ANTIDEPRESSANT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN TRACHEA
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN TRACHEA
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY IN TRACHEA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Self SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Self SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance MED 1T UNIT EPISTAXIS
Emergency Room Ambulance MED 1T UNIT EPISTAXIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY COMPLIC OTHR INTERN PROSTHE
Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CHRONIC RHINITIS
Emergency Room Ambulance MED 2G UNIT CHRONIC RHINITIS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY 1ST DEG BURN MULT SITE
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ASTHMA UNSPEC W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS

Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABRASION HIP AND LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance SURG 4 UNIT CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTROSTOMY COMPLICATION NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM

Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN STEM
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPOPLASIA
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM STOMACH
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM STOMACH
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self SURGERY CENTER EPIPHORA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance EMERGENCY TM JOINT DISORDER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self SURGERY CENTER STRIDOR
Clinic Referral Self SURGERY CENTER STRIDOR
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self SURGERY CENTER GENU VALGUM
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self MED 2G UNIT UNIVERSAL ULCERATIVE COLITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance MED 1T UNIT HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance MED 1T UNIT HERPETIC GINGIVOSTOMAT
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND FOREARM-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND FOREARM-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND FOREARM-COMPL
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND FOREARM-COMPL
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE

Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance MED 2T UNIT CHOLANGITIS
Emergency Room Ambulance MED 2T UNIT CHOLANGITIS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SKIN
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SKIN
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION SCAPUL REGION
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURG 4 UNIT ADULT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT ADULT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT ADULT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Outside Hospital Ambulance MED 2T UNIT MALARIA NOS
Outside Hospital Ambulance MED 2T UNIT MALARIA NOS
Outside Hospital Ambulance MED 2T UNIT MALARIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY OPEN WOUND MOUTH NEC
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT

Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance MED 2G UNIT MALIG NEO CEREBELLUM NOS
Outside Hospital Ambulance MED 2G UNIT MALIG NEO CEREBELLUM NOS
Outside Hospital Ambulance MED 2G UNIT MALIG NEO CEREBELLUM NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRINTESTINAL DISORDERS NEC
Emergency Room Ambulance MED 2G UNIT POISONING-BENZODIAZEPINE TRAN

Emergency Room Ambulance MED 2G UNIT POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self MED 1T UNIT DERMATOMYOSITIS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Clinic Referral Self SURGERY CENTER OTHR SPEC COMPLIC OF PROCEDURE NEC
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER CONG KNEE DEFORMITY

Clinic Referral Self SURGERY CENTER CONG KNEE DEFORMITY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Outside Hospital Ambulance MED 2G UNIT OMPHALITIS OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT OMPHALITIS OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT OMPHALITIS OF NEWBORN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABNORMAL GLUCOSE NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PERSN W FEARED COMPLAINT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER MONONEURITIS ARM NOS
Clinic Referral Self SURGERY CENTER MONONEURITIS ARM NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Clinic Referral Self SURGERY CENTER PSORIATIC ARTHROPATHY
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION

Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Outside Hospital Ambulance NICU LYMPHADENITIS NOS
Outside Hospital Ambulance NICU LYMPHADENITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Outside Health Care Facility Ambulance SURG 4 UNIT INFEC/INFLAM-VASC DEVICE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Physician Referral Self OUTPAT PROCEDURE CNTRLOWER LIMB VASC ANOMALY
Physician Referral Self OUTPAT PROCEDURE CNTRLOWER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Physician Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER OPEN WOUND FINGER W TENDON
Clinic Referral Self SURGERY CENTER OPEN WOUND FINGER W TENDON
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Clinic Referral Self SURGERY CENTER SKIN ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 1T UNIT ULCERATIVE PROCTITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT ASPERGILLOSIS
Clinic Referral Self SURG 4 UNIT ASPERGILLOSIS
Clinic Referral Self SURG 4 UNIT ASPERGILLOSIS

Clinic Referral Self SURG 4 UNIT ASPERGILLOSIS
Emergency Room Ambulance EMERGENCY THRUSH
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self REHAB UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self REHAB UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self REHAB UNIT LOWER LIMB ANOMALY NEC
Clinic Referral Self REHAB UNIT LOWER LIMB ANOMALY NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance MED 1T UNIT OMPHALITIS OF NEWBORN
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM MEDIASTINUM NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM MEDIASTINUM NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM MEDIASTINUM NOS
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Clinic Referral Self MED 2G UNIT HEMANGIOMA NEC
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-OPEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Emergency Room Ambulance MED 2T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2T UNIT ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ

Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY BLISTER HAND
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FOOT AND MOUTH DISEASE
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE ATOPIC CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY THROAT PAIN
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Clinic Referral Self SURGERY CENTER ANKYLOSIS OF TEETH
Clinic Referral Self SURGERY CENTER ANKYLOSIS OF TEETH
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self OUTPAT PROCEDURE CNTRMOUTH ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRMOUTH ANOMALY NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Outside Hospital Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Outside Hospital Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Outside Hospital Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Outside Hospital Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER ATRESIA LARGE INTESTINE
Clinic Referral Self SURGERY CENTER ATRESIA LARGE INTESTINE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER CALCULUS OF URETER
Clinic Referral Self SURGERY CENTER CALCULUS OF URETER
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS

Emergency Room Ambulance MED 1T UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance MED 1T UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BENIGN NEO TRUNK NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO TRUNK NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER POST SUBCAPS POL CATARCT
Clinic Referral Self SURGERY CENTER POST SUBCAPS POL CATARCT
Clinic Referral Self OUTPAT PROCEDURE CNTRSCAR AND FIBROSIS OF SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRSCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 1T UNIT PARINFLUENZA VIRAL PNEUM
Emergency Room Ambulance MED 1T UNIT PARINFLUENZA VIRAL PNEUM
Emergency Room Ambulance MED 1T UNIT PARINFLUENZA VIRAL PNEUM
Clinic Referral Self REHAB UNIT BUNION
Clinic Referral Self REHAB UNIT BUNION
Clinic Referral Self REHAB UNIT BUNION
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NEC
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC

Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self REHAB UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self REHAB UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self REHAB UNIT DIAPHRAGMATIC HERNIA
Clinic Referral Self REHAB UNIT DIAPHRAGMATIC HERNIA
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRDUODENITIS W/O HEMORRHAGE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM BREAST
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM BREAST
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 3 UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance MED 2G UNIT UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH

Emergency Room Ambulance MED 2T UNIT NEONATAL DEHYDRATION
Emergency Room Ambulance MED 2T UNIT NEONATAL DEHYDRATION
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER HYPERTROPIA
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM ORBIT
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPERPOTASSEMIA
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance PICU ENDOCRINE/NERV NEO NOS
Emergency Room Ambulance PICU ENDOCRINE/NERV NEO NOS
Emergency Room Ambulance PICU ENDOCRINE/NERV NEO NOS
Emergency Room Ambulance PICU ENDOCRINE/NERV NEO NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS

Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self MED 2G UNIT FOREIGN BODY BRONCHUS
Clinic Referral Self MED 2G UNIT FOREIGN BODY BRONCHUS
Clinic Referral Self MED 2G UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY GENERALIZED PAIN
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND SITE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTORRHEA NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Outside Hospital Ambulance MED 2G UNIT LISTERIOSIS
Outside Hospital Ambulance MED 2G UNIT LISTERIOSIS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRUNC BEHAV NEO INTESTINE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNC BEHAV NEO INTESTINE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA

Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY FX CLAVICL, ACROM END-CLOSE
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Outside Hospital Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Outside Hospital Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Outside Hospital Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Outside Hospital Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS NEC W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRGASTRITIS NEC W/O HEMORRH
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE

Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance MED 2G UNIT OPEN WOUND NOSE NOS-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND NOSE NOS-COMPL
Clinic Referral Self SURG 4 UNIT CHOLANGITIS
Clinic Referral Self SURG 4 UNIT CHOLANGITIS
Clinic Referral Self SURG 4 UNIT CHOLANGITIS
Clinic Referral Self SURG 4 UNIT CHOLANGITIS
Clinic Referral Self SURG 4 UNIT CHOLANGITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT FX CONDYL PROC MANDIB-CL
Emergency Room Ambulance MED 2G UNIT FX CONDYL PROC MANDIB-CL
Clinic Referral Self SURG 3 UNIT CHR THYROIDITIS NEC/NOS
Clinic Referral Self SURG 3 UNIT CHR THYROIDITIS NEC/NOS
Clinic Referral Self SURG 3 UNIT CHR THYROIDITIS NEC/NOS
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Ambulance MED 1T UNIT NWBRN FEEDING PROBLEMS
Clinic Referral Self SURG 3 UNIT OTHER SPEC DISORDER URINARY TRACT
Clinic Referral Self SURG 3 UNIT OTHER SPEC DISORDER URINARY TRACT
Clinic Referral Self SURG 3 UNIT OTHER SPEC DISORDER URINARY TRACT
Clinic Referral Ambulance SURG 4 UNIT HYPOXEMIA
Clinic Referral Ambulance SURG 4 UNIT HYPOXEMIA
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance MED 1T UNIT NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance MED 2T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2T UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Clinic Referral Self SURG 3 UNIT PECTUS EXCAVATUM
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance MED 2G UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance EMERGENCY MYELITIS CAUSE NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY OPEN WOUND ARM MULT/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance SURG 4 UNIT INTEST MALABSORPTION NEC
Clinic Referral Self MED 1T UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self MED 1T UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self MED 1T UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self REHAB UNIT FOREARM DEFORMITY NEC
Clinic Referral Self REHAB UNIT FOREARM DEFORMITY NEC
Clinic Referral Self REHAB UNIT FOREARM DEFORMITY NEC
Clinic Referral Self SURGERY CENTER BLADDER CALCULUS NEC

Clinic Referral Self SURGERY CENTER BLADDER CALCULUS NEC
Clinic Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Clinic Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Clinic Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Emergency Room Ambulance MED 2T UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance MED 2T UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance MED 2T UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ABD/PEL SWELL/MASS/LUMP OTH SITE
Clinic Referral Self SURGERY CENTER ABD/PEL SWELL/MASS/LUMP OTH SITE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Clinic Referral Self SURGERY CENTER CHR INTERSTIT CYSTITIS
Clinic Referral Self SURGERY CENTER CHR INTERSTIT CYSTITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Physician Referral Self SURG 4 UNIT ASCITES NEC
Physician Referral Self SURG 4 UNIT ASCITES NEC
Physician Referral Self SURG 4 UNIT ASCITES NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY UNILAT FEMORAL HERNIA
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP
Clinic Referral Self OUTPAT PROCEDURE CNTRANAL AND RECTAL POLYP
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance MED 2G UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE

Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 1T UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Emergency Room Ambulance MED 1T UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Emergency Room Ambulance MED 1T UNIT TRANSIENT CEREBRAL ISCHEMIA NOS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance SURG 3 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 3 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 3 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 3 UNIT MELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER SEXUAL PRECOCITY NEC
Clinic Referral Self SURGERY CENTER SEXUAL PRECOCITY NEC
Clinic Referral Self MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Clinic Referral Self MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY COUGH

Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self REHAB UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self REHAB UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self REHAB UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self REHAB UNIT OSTEOCHONDRIT DISSECANS
Clinic Referral Self REHAB UNIT OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FOOT
Outside Hospital Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Outside Hospital Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Outside Hospital Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Outside Hospital Ambulance MED 2G UNIT CEREBRAL HEM AT BIRTH
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONEUR HEAR LOSS ASYM
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONEUR HEAR LOSS ASYM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX HUMERUS, CONDYL NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS, CONDYL NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS, CONDYL NOS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Outside Hospital Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Outside Hospital Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Outside Hospital Ambulance MED 2G UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS

Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Clinic Referral Self SURGERY CENTER SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT GI INJURY NEC-OPEN
Emergency Room Ambulance SURG 3 UNIT GI INJURY NEC-OPEN
Emergency Room Ambulance SURG 3 UNIT GI INJURY NEC-OPEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Self SURGERY CENTER PERS HX CONGEN MALFORM NEC
Physician Referral Self SURGERY CENTER PERS HX CONGEN MALFORM NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self MED 2G UNIT MEMBRANOPROLIFER NEPHROSIS
Clinic Referral Self MED 2G UNIT MEMBRANOPROLIFER NEPHROSIS
Clinic Referral Self MED 2G UNIT MEMBRANOPROLIFER NEPHROSIS
Clinic Referral Self MED 2G UNIT MEMBRANOPROLIFER NEPHROSIS
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC

Clinic Referral Self SURG 4 UNIT OBSTRUCT HEART ANOM NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ABRASION FOOT AND TOE
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Outside Hospital Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Outside Hospital Ambulance SURG 4 UNIT SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Outside Hospital Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 1T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY PITYRIASIS ROSEA
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FOOT AND MOUTH DISEASE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Ambulance SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Ambulance SURGERY CENTER FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HEAD NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT AV BLOCK-2ND DEGREE NEC
Emergency Room Ambulance SURG 4 UNIT AV BLOCK-2ND DEGREE NEC
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance SURG 3 UNIT FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX DISTAL RADIUS NEC-CLOSE
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM LIP
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM LIP
Clinic Referral Self SURG 4 UNIT BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 4 UNIT BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURG 4 UNIT BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Clinic Referral Self SURG 3 UNIT MIXED HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT MIXED HEARING LOSS NOS
Clinic Referral Self SURG 3 UNIT MIXED HEARING LOSS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK
Emergency Room Ambulance MED 2G UNIT ANAPHYLACTIC SHOCK
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX

Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ATROPHY MANDIBLE, SEVERE
Clinic Referral Self SURG 3 UNIT ATROPHY MANDIBLE, SEVERE
Clinic Referral Self SURG 3 UNIT ATROPHY MANDIBLE, SEVERE
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self SURG 3 UNIT ACQ CAVOVARUS DEFORMITY
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT NOSE ANOMALY NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS
Clinic Referral Self REHAB UNIT FIT/ADJUST NONVASC CATH AFTERCARE
Clinic Referral Self REHAB UNIT FIT/ADJUST NONVASC CATH AFTERCARE
Clinic Referral Self REHAB UNIT FIT/ADJUST NONVASC CATH AFTERCARE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, MED CONDYL-CLOSE
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance SURG 4 UNIT HEMORRHAGE NOS
Emergency Room Ambulance SURG 4 UNIT HEMORRHAGE NOS

Emergency Room Ambulance SURG 4 UNIT HEMORRHAGE NOS
Emergency Room Ambulance SURG 4 UNIT HEMORRHAGE NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 2G UNIT CONVULSIONS IN NEWBORN
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CYANOSIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CHRONIC PANCREATITIS
Emergency Room Ambulance MED 2G UNIT CHRONIC PANCREATITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance MED 2G UNIT ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 1T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2T UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL TRUNK NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL TRUNK NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL TRUNK NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL TRUNK NOS
Clinic Referral Self SURG 3 UNIT MALIG NEOPL TRUNK NOS

Clinic Referral Self MED 1T UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self MED 1T UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self MED 1T UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self MED 1T UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Clinic Referral Self SURG 3 UNIT UNSPEC JAW ASYMMETRY/PROGNATHISM
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Physician Referral Ambulance SURG 4 UNIT STRICTURE OF ARTERY
Physician Referral Ambulance SURG 4 UNIT STRICTURE OF ARTERY
Physician Referral Ambulance SURG 4 UNIT STRICTURE OF ARTERY
Physician Referral Ambulance SURG 4 UNIT STRICTURE OF ARTERY
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ENURESIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Clinic Referral Self SURG 4 UNIT CONGENITAL CYSTIC LUNG
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOOT AND MOUTH DISEASE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY TOXIC EFFECT NONMED SUBST NEC
Emergency Room Ambulance EMERGENCY UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEMANGIOMA SKIN
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self REHAB UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Ambulance MED 2G UNIT SACROILIITIS NEC
Outside Hospital Ambulance MED 2G UNIT SACROILIITIS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY INFECTIOUS DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Clinic Referral Self PICU FEEDING PROBLEM
Clinic Referral Self PICU FEEDING PROBLEM
Clinic Referral Self PICU FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM

Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY FOOT AND MOUTH DISEASE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance MED 1T UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 1T UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Outside Hospital Ambulance MED 2G UNIT HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance MED 2G UNIT HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance MED 2G UNIT HYPOXIC-ISCHEMIC ENCEPH
Outside Hospital Ambulance MED 2G UNIT HYPOXIC-ISCHEMIC ENCEPH
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOREARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEADACHE

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL THALASS W CRISIS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 1T UNIT MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance MED 1T UNIT MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY FX LOW END FEMUR NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Physician Referral Ambulance MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Physician Referral Ambulance MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY 2ND DEG BURN HEAD NOS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY 2ND DEG BURN TRUNK NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance MED 1T UNIT
Emergency Room Ambulance SURG 3 UNIT INFECTIOUS ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT INFECTIOUS ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTR

Clinic Referral Self OUTPAT PROCEDURE CNTR
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT
Emergency Room Ambulance MED 2T UNIT
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Psych, Substance Abuse, or Rehab HospitalAmbulance REHAB UNIT

Psych, Substance Abuse, or Rehab HospitalAmbulance REHAB UNIT
Emergency Room Ambulance EMERGENCY INSECT BITE NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURG 3 UNIT CHR OSTEOMYELIT-UP/ARM
Clinic Referral Self SURG 3 UNIT CHR OSTEOMYELIT-UP/ARM
Clinic Referral Self SURG 3 UNIT CHR OSTEOMYELIT-UP/ARM
Clinic Referral Self SURG 3 UNIT CHR OSTEOMYELIT-UP/ARM
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY LACK OF COORDINATION
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Clinic Referral Self SURG 3 UNIT
Outside Hospital Ambulance PICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance PICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance PICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance PICU STG II NEC ENTEROCOL NB
Outside Hospital Ambulance PICU STG II NEC ENTEROCOL NB
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD
Emergency Room Ambulance SCCA UNIT LYMPHOSARCOMA HEAD

Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance SURG 3 UNIT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY IMPETIGO
Outside Hospital Self MED 2T UNIT LYMPHOMAS NEC HEAD
Outside Hospital Self MED 2T UNIT LYMPHOMAS NEC HEAD
Outside Hospital Self MED 2T UNIT LYMPHOMAS NEC HEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURG 3 UNIT LIPOMA SKIN NEC
Clinic Referral Self SURG 3 UNIT LIPOMA SKIN NEC
Clinic Referral Self SURG 3 UNIT LIPOMA SKIN NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SCCA UNIT
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CRACKED TOOTH
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)

Emergency Room Ambulance EMERGENCY POISONING-MEDICINAL AGT NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COMPLIC MED CARE NEC/NOS
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Outside Hospital Self SCCA UNIT
Outside Hospital Self SCCA UNIT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY FLATUL/ERUCTAT/GAS PAIN
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-ANKLE
Emergency Room Ambulance EMERGENCY ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SURG 4 UNIT VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance MED 2G UNIT CYANOTIC ATTACKS OF NEWBORN

Emergency Room Ambulance MED 2G UNIT CYANOTIC ATTACKS OF NEWBORN
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance SURG 4 UNIT EXT THROMBOS HEMORRHOID
Emergency Room Ambulance SURG 4 UNIT EXT THROMBOS HEMORRHOID
Emergency Room Ambulance SURG 4 UNIT EXT THROMBOS HEMORRHOID
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABRASION FINGER
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK

Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF TRUNK
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA WITH VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA WITH VOMITING
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PHARYNX
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF PHARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES

Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURGERY CENTER POSTSURG WOUND CLOSURE PLAN ENCNTR
Clinic Referral Self SURGERY CENTER POSTSURG WOUND CLOSURE PLAN ENCNTR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SCCA UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURG 4 UNIT CONGEN SUBAORTIC STENOSIS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY LACERATION OF EYE NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance MED 2T UNIT OSTEOMYELIT NOS-OTHER SITE
Emergency Room Ambulance EMERGENCY WOUND DISRUPTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE
Outside Hospital Ambulance SURG 3 UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance SURG 3 UNIT MECONIUM OBSTRUCTION
Outside Hospital Ambulance SURG 3 UNIT MECONIUM OBSTRUCTION
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER ACCRETIONS ON TEETH
Clinic Referral Self SURGERY CENTER ACCRETIONS ON TEETH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS

Clinic Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT DIARRHEA NOS
Clinic Referral Self MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2T UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY EXTERN GENITALS NEC
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY JOINT DIS NOS-UP/ARM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREARM
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NOS
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC

Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEARTBURN
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NEONATAL CANDIDA INFECTION
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance EMERGENCY ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Clinic Referral Self SURGERY CENTER JAW DISEASE NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF EYELID
Emergency Room Ambulance SURG 3 UNIT ABSCESS OF EYELID
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SCCA UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SCCA UNIT JUV RHEUM ARTHRITIS NOS
Clinic Referral Ambulance SCCA UNIT MALIGN NEO PINEAL GLAND
Clinic Referral Ambulance SCCA UNIT MALIGN NEO PINEAL GLAND

Clinic Referral Ambulance SCCA UNIT MALIGN NEO PINEAL GLAND
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Clinic Referral Self SURG 4 UNIT NEPHRITIS NOS
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance REHAB UNIT SEPTICEMIA NOS
Emergency Room Ambulance REHAB UNIT SEPTICEMIA NOS
Emergency Room Ambulance REHAB UNIT SEPTICEMIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURG 3 UNIT LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC

Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance MED 2G UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance MED 2G UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance MED 2G UNIT DISEASE OF LARYNX NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance MED 2G UNIT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Clinic Referral Self SURG 3 UNIT NEUROGENIC BOWEL
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA

Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance REHAB UNIT PERITONEAL ABSCESS
Emergency Room Ambulance REHAB UNIT PERITONEAL ABSCESS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER STRESS INCONTINENCE MALE
Clinic Referral Self SURGERY CENTER STRESS INCONTINENCE MALE
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT WHOOPING COUGH NOS
Emergency Room Ambulance MED 1T UNIT WHOOPING COUGH NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY MULTIPLE CONTUSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY TRUNK
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Emergency Room Ambulance EMERGENCY 1ST DEG BURN LEG NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Admitted as transfer from another unitSelf MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Admitted as transfer from another unitSelf MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Admitted as transfer from another unitSelf MED 1T UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY SCABIES
Outside Hospital Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Outside Hospital Ambulance MED 1T UNIT VIRAL ENCEPHALITIS NOS
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY CHRONIC SINUSITIS NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES

Clinic Referral Self SURGERY CENTER ACQ EQUINOVARUS
Clinic Referral Self SURGERY CENTER ACQ EQUINOVARUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Outside Hospital Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Outside Hospital Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 4 UNIT HEMATOMA COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 1T UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self MED 2G UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self MED 2G UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance MED 2G UNIT VASCULAR HAMARTOMAS
Outside Hospital Ambulance MED 2G UNIT VASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER WHEEZING
Clinic Referral Self SURGERY CENTER WHEEZING
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Emergency Room Ambulance EMERGENCY POISONING-ANTICONVUL NEC/NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT H ZOSTER OTITIS EXTERNA
Emergency Room Ambulance MED 1T UNIT H ZOSTER OTITIS EXTERNA
Emergency Room Ambulance SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURGERY CENTER PILONIDAL CYST W ABSCESS
Emergency Room Ambulance SURGERY CENTER PILONIDAL CYST W ABSCESS
Physician Referral Self OUTPAT PROCEDURE CNTR
Physician Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Outside Hospital Self MED 2G UNIT SPINA BIFIDA

Outside Hospital Self MED 2G UNIT SPINA BIFIDA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Emergency Room Ambulance EMERGENCY WOUND DISRUPTION NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance MED 2G UNIT DIS AMINO-ACID METAB NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL DISORDER NOS
Clinic Referral Ambulance SURG 4 UNIT INTESTINAL DISORDER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS

Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN RLQ
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN RLQ
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURG 4 UNIT CHRONIC PANCREATITIS
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT CATARACT NOS
Clinic Referral Self MED 2G UNIT CATARACT NOS
Clinic Referral Self MED 2G UNIT CATARACT NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self MED 2G UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self MED 2G UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self MED 2G UNIT LYMPHANGIOMA, ANY SITE
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEARING LOSS NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHIL GASTRT WO HEM
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHIL GASTRT WO HEM

Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER LACK OF COORDINATION
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Hospital Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 1T UNIT COUGH
Emergency Room Ambulance MED 1T UNIT COUGH
Clinic Referral Self SURGERY CENTER ANEURYSMAL BONE CYST
Clinic Referral Self SURGERY CENTER ANEURYSMAL BONE CYST

Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Emergency Room Ambulance SURG 4 UNIT NEUTROPENIA NOS
Clinic Referral Self SURGERY CENTER PART EPIL W INTR EPIL
Clinic Referral Self SURGERY CENTER PART EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2T UNIT NB HYPOXIA
Emergency Room Ambulance MED 2T UNIT NB HYPOXIA
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY GEN CONVUL EPI INTRACTABLE
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance SURG 3 UNIT TB OF VERTEBRA-UNSPEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT SPONDYLOLISTHESIS
Clinic Referral Self SURG 3 UNIT SPONDYLOLISTHESIS
Clinic Referral Self SURG 3 UNIT SPONDYLOLISTHESIS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Physician Referral Ambulance SURG 3 UNIT RENAL/PERIRENAL ABSCESS
Physician Referral Ambulance SURG 3 UNIT RENAL/PERIRENAL ABSCESS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST

Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Clinic Referral Self SURG 3 UNIT PROGR IDIOPATH SCOLIOSIS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self MED 2G UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self MED 2G UNIT WEGENER’S GRANULOMATOSIS
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Clinic Referral Self REHAB UNIT MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Clinic Referral Self REHAB UNIT MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Clinic Referral Self REHAB UNIT MECH COMPLIC COLOSTOMY/ENTEROSTOMY
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY INFECTIOUS ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF RIBS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-UP/ARM
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance MED 2G UNIT PORTAL VEIN THROMBOSIS
Emergency Room Ambulance MED 2G UNIT PORTAL VEIN THROMBOSIS
Emergency Room Ambulance MED 2G UNIT PORTAL VEIN THROMBOSIS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance MED 2T UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 4 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 3 UNIT CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURG 3 UNIT CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURG 3 UNIT CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HAIR DISEASES NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Clinic Referral Self SURG 3 UNIT BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT PORTAL HYPERTENSION

Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self REHAB UNIT FEEDING PROBLEM
Clinic Referral Self REHAB UNIT FEEDING PROBLEM
Clinic Referral Self REHAB UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ATTEN TO URINOSTOMY NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Clinic Referral Self SURG 3 UNIT FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Outside Hospital Ambulance MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Outside Hospital Ambulance MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY STRAIG AMIN-ACID MET NEC
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCES NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FX ARM MULT/NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY DISLOCATION JAW-CLOSED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Clinic Referral Ambulance SURG 3 UNIT HEADACHE
Clinic Referral Ambulance SURG 3 UNIT HEADACHE
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 3 UNIT PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURG 3 UNIT PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURG 3 UNIT PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SCCA UNIT PANCYTOPENIA
Emergency Room Ambulance SCCA UNIT PANCYTOPENIA
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance REHAB UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYPOTHYROIDSM
Emergency Room Ambulance MED 1T UNIT CONGENITAL HYPOTHYROIDSM
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Clinic Referral Self SURG 3 UNIT ACROCEPHALOSYNDACTYLY
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY SCARLET FEVER
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Outside Hospital Ambulance MED 2T UNIT CONVULSIONS NEC
Outside Hospital Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES

Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY CELLULITIS OF HAND
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY SEBORRHEIC DERMATITIS NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS

Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL TENDERNESS UNSP SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY POISONING-METHADONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Clinic Referral Self SURG 3 UNIT SPINA BIFIDA OCCULTA
Clinic Referral Self SURG 3 UNIT SPINA BIFIDA OCCULTA
Clinic Referral Self SURG 3 UNIT SPINA BIFIDA OCCULTA
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT AC INFECT POLYNEURITIS
Emergency Room Ambulance MED 2G UNIT AC INFECT POLYNEURITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT MUSCLE/LIGAMENT DIS NEC
Emergency Room Ambulance SURG 3 UNIT MUSCLE/LIGAMENT DIS NEC
Emergency Room Ambulance SURG 3 UNIT MUSCLE/LIGAMENT DIS NEC
Emergency Room Ambulance SURG 3 UNIT MUSCLE/LIGAMENT DIS NEC
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY ACUTE POSTOP PAIN NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS

Emergency Room Ambulance MED 2G UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT PERSISTENT VOMITING
Emergency Room Ambulance REHAB UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Physician Referral Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Physician Referral Ambulance MED 1T UNIT INFECT/PARASITE DIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF HIP
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Physician Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance MED 1T UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN METACARPOPHALANG
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CROUP

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER EPISTAXIS
Clinic Referral Self SURGERY CENTER EPISTAXIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRACT LYMP LEUK IN RELAPSE
Clinic Referral Self OUTPAT PROCEDURE CNTRACT LYMP LEUK IN RELAPSE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Clinic Referral Self SURGERY CENTER GENITAL ORGAN ANOM NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Clinic Referral Self SURG 3 UNIT MALIG NEO SPINAL CORD
Clinic Referral Self SURG 3 UNIT MALIG NEO SPINAL CORD
Clinic Referral Self SURG 3 UNIT MALIG NEO SPINAL CORD
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA

Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY EYE NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance SCCA UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance SCCA UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self REHAB UNIT PERIPH VASC ANOMALY UNSPEC SITE
Clinic Referral Self REHAB UNIT PERIPH VASC ANOMALY UNSPEC SITE
Clinic Referral Self REHAB UNIT PERIPH VASC ANOMALY UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance MED 2G UNIT ABN INVOLUN MOVEMENT NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Outside Hospital Ambulance SURG 4 UNIT ANOM DIGESTIVE SYST NEC
Emergency Room Ambulance SURG 4 UNIT SEPTICEMIA NOS
Emergency Room Ambulance SURG 4 UNIT SEPTICEMIA NOS
Emergency Room Ambulance SURG 4 UNIT SEPTICEMIA NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA

Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Outside Hospital Ambulance SURG 4 UNIT RENAL DYSPLASIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Physician Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance REHAB UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURGERY CENTER FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY HEMOPTYSIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY SACROILIITIS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY INFEC/INFLAM-VASC DEVICE
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN JOINT DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN JOINT DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC INTERN JOINT DEVICE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Emergency Room Ambulance REHAB UNIT ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance REHAB UNIT ANAPHYLACTIC SHOCK FROM PEANUTS

Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Clinic Referral Self MED 1T UNIT TRANSIENT ALTERATION OF AWARENESS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Ambulance MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Physician Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Physician Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Ambulance SCCA UNIT DEHYDRATION
Clinic Referral Ambulance SCCA UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC

Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURG 3 UNIT ATTEN TO ILEOSTOMY
Clinic Referral Self SURGERY CENTER ANODONTIA
Clinic Referral Self SURGERY CENTER ANODONTIA
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Emergency Room Ambulance REHAB UNIT HMPLG MGR WO NTRC WO ST
Emergency Room Ambulance REHAB UNIT HMPLG MGR WO NTRC WO ST
Emergency Room Ambulance REHAB UNIT HMPLG MGR WO NTRC WO ST
Emergency Room Ambulance REHAB UNIT HMPLG MGR WO NTRC WO ST
Emergency Room Ambulance REHAB UNIT HMPLG MGR WO NTRC WO ST
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2T UNIT SHIGELLOSIS NOS
Emergency Room Ambulance MED 2T UNIT SHIGELLOSIS NOS
Emergency Room Ambulance MED 2T UNIT SHIGELLOSIS NOS
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Emergency Room Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Emergency Room Ambulance SURG 3 UNIT LYMPHADENITIS NOS
Outside Hospital Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Outside Hospital Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Outside Hospital Self SURG 4 UNIT ATRESIA LARGE INTESTINE
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE

Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance SURG 3 UNIT FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ABNORMAL GLUCOSE NEC
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER DISLOCATION EAR OSSICLE
Clinic Referral Self SURGERY CENTER DISLOCATION EAR OSSICLE
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FACE
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FACE
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FACE
Emergency Room Ambulance REHAB UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ATRIAL FLUTTER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Emergency Room Ambulance REHAB UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance REHAB UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance REHAB UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance REHAB UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance MED 2G UNIT SICKLE-CELL/HB-C DIS W CRISIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Self SURG 3 UNIT MINIMAL CHANGE NEPHROSIS
Outside Hospital Self SURG 3 UNIT MINIMAL CHANGE NEPHROSIS
Outside Hospital Self SURG 3 UNIT MINIMAL CHANGE NEPHROSIS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC

Clinic Referral Self SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Outside Hospital Ambulance NICU AGENESIS OF LUNG
Outside Hospital Ambulance NICU AGENESIS OF LUNG
Emergency Room Ambulance EMERGENCY NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance MED 1T UNIT MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance MED 1T UNIT MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-COMPL
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY JOINT PAIN-FOREARM
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self REHAB UNIT BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self REHAB UNIT BENIGN NEO SOFT TISSUE LEG
Clinic Referral Self REHAB UNIT BENIGN NEO SOFT TISSUE LEG
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance SURG 4 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY LOCAL SKIN INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ADJUST FITTING CARDIAC DEV OTHER

Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY GENITAL WARTS NOS
Emergency Room Ambulance EMERGENCY INJURY NERVE SHLDR/ARM NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN LUMBAR REGION
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER COUGH
Clinic Referral Self SURGERY CENTER COUGH
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self REHAB UNIT CENT PERF TYMPANIC MEMB
Clinic Referral Self REHAB UNIT CENT PERF TYMPANIC MEMB
Clinic Referral Self REHAB UNIT CENT PERF TYMPANIC MEMB
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self OUTPAT PROCEDURE CNTR
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED

Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self REHAB UNIT MARGINAL PERF TYMP NEC
Clinic Referral Self REHAB UNIT MARGINAL PERF TYMP NEC
Clinic Referral Self REHAB UNIT MARGINAL PERF TYMP NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NEC
Clinic Referral Self REHAB UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self REHAB UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self REHAB UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self REHAB UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self REHAB UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Clinic Referral Self SURG 4 UNIT CORRECT TRANSPOS GRT VES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Self SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Self SURG 4 UNIT COARCTATION OF AORTA
Physician Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self REHAB UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY PARALYSIS NOS
Emergency Room Ambulance MED 2G UNIT NWBRN HEMOLYT DIS-ABO ISOIM
Emergency Room Ambulance MED 2G UNIT NWBRN HEMOLYT DIS-ABO ISOIM
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS

Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance MED 2G UNIT RETROPHARYNGEAL ABSCESS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance SCCA UNIT HEMARTHROSIS-L/LEG
Emergency Room Ambulance SCCA UNIT HEMARTHROSIS-L/LEG
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT SPEECH DISTURBANCE NEC
Emergency Room Ambulance MED 2T UNIT SPEECH DISTURBANCE NEC
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Outside Home Health Agency Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Outside Home Health Agency Self SURGERY CENTER PARTIAL ANOM PULM VEN CONNEC
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FX HUMERUS, LAT CONDYL-CLOSE
Clinic Referral Self SURG 4 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 4 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 4 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 4 UNIT HAMARTOSES NEC
Clinic Referral Self SURG 4 UNIT HAMARTOSES NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CYANOSIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF BUTTOCK
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Health Care Facility Ambulance EMERGENCY URIN TRACT INFECTION NOS
Outside Health Care Facility Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NEC
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NEC
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CONJUNCTIVA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY VISUAL DISTURBANCE NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self SURGERY CENTER TONGUE TIE
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURGERY CENTER ACQ EQUINUS DEFORMITY
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL HEMORR NOS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL HEMORR NOS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL HEMORR NOS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL HEMORR NOS
Emergency Room Ambulance SURG 3 UNIT INTRACRANIAL HEMORR NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self MED 2G UNIT ATTEN TO TRACHEOSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS

Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURGERY CENTER CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT TONGUE DISORDER NEC
Clinic Referral Self SURG 3 UNIT TONGUE DISORDER NEC
Clinic Referral Self SURG 3 UNIT TONGUE DISORDER NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNIVERSAL ULCERATIVE COLITIS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER SIALOLITHIASIS
Clinic Referral Self SURGERY CENTER SIALOLITHIASIS
Clinic Referral Self OUTPAT PROCEDURE CNTRNEURAL HEARNG LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRNEURAL HEARNG LOSS,BILAT
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 2T UNIT IRRITABLE COLON
Clinic Referral Self MED 2T UNIT IRRITABLE COLON
Clinic Referral Self MED 2T UNIT IRRITABLE COLON
Clinic Referral Self MED 2T UNIT IRRITABLE COLON
Clinic Referral Self MED 2T UNIT IRRITABLE COLON
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS
Emergency Room Ambulance MED 2T UNIT NEUTROPENIA NOS

Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance MED 2G UNIT FOREIGN BODY ESOPHAGUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Emergency Room Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Emergency Room Ambulance SURG 3 UNIT DISEASE OF LARYNX NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN MOUTH
Clinic Referral Self SURGERY CENTER DISORDER OF COCCYX NEC

Clinic Referral Self SURGERY CENTER DISORDER OF COCCYX NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDCTV HEAR LOSS,UNILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDCTV HEAR LOSS,UNILAT
Emergency Room Ambulance EMERGENCY SKIN HYPERTRO/ATROPH NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPERPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPERPLASIA
Clinic Referral Self SURG 3 UNIT MAXILLARY HYPERPLASIA
Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Physician Referral Ambulance PICU CHR PULMON HEART DIS NEC
Physician Referral Ambulance PICU CHR PULMON HEART DIS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER MYEL LEUK NOS IN RELAPSE
Clinic Referral Self SURGERY CENTER MYEL LEUK NOS IN RELAPSE
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY VENTRAL HERNIA NOS
Clinic Referral Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Clinic Referral Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Clinic Referral Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Clinic Referral Ambulance MED 1T UNIT ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-ANTACID/ANTIGASTRIC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN TRUNK
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SCCA UNIT SICKLE-CELL DISEASE NOS
Clinic Referral Self SCCA UNIT SICKLE-CELL DISEASE NOS
Emergency Room Ambulance EMERGENCY FX ALVEOLAR BORD MAND-CL
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER WISKOTT-ALDRICH SYNDROME
Clinic Referral Self SURGERY CENTER WISKOTT-ALDRICH SYNDROME
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY DISLOC SHOULDER NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB

Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Outside Hospital Ambulance MED 2G UNIT INTRACRANIAL ABSCESS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE

Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance REHAB UNIT SUPRCONDYL FX HUMERUS-CLOSE
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Outside Hospital Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SCCA UNIT STREPTOCOCCAL SEPTICEMIA
Clinic Referral Self SCCA UNIT STREPTOCOCCAL SEPTICEMIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Outside Hospital Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Outside Hospital Ambulance MED 1T UNIT AUTOIMMUNE DISEASE NEC
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL BONE
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL BONE
Clinic Referral Self REHAB UNIT UNCERTAIN BEHAV NEOPL BONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance SURG 3 UNIT CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY LYMPHANGIOMA, ANY SITE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance SCCA UNIT DEHYDRATION
Emergency Room Ambulance SCCA UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF GUM
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-PELVIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance SURG 4 UNIT NWBRN HYPOTHERMIA NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Emergency Room Ambulance MED 2G UNIT MESENTERIC LYMPHADENITIS
Clinic Referral Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)

Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self REHAB UNIT TALIPES CAVUS
Clinic Referral Self REHAB UNIT TALIPES CAVUS
Clinic Referral Self REHAB UNIT TALIPES CAVUS
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance REHAB UNIT SUPRACONDYL FX HUMERUS-OPEN
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS, CONDYL NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY PRESSURE ULCER, ANKLE
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ENTEROBIASIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 1T UNIT RECUR DISLOCAT-PELVIS
Emergency Room Ambulance MED 1T UNIT RECUR DISLOCAT-PELVIS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Outside Hospital Ambulance SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-SUSPECT COND NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Clinic Referral Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Clinic Referral Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Physician Referral Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Physician Referral Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance MED 2G UNIT CYANOSIS
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ABRASION NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND LATERAL ABDOMEN
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY VIRAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY CYSTITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self SURG 3 UNIT CONGENITAL URETEROCELE
Clinic Referral Self SURG 3 UNIT CONGENITAL URETEROCELE
Clinic Referral Self SURG 3 UNIT CONGENITAL URETEROCELE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRABNORMAL CLINICAL FINDING NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRABNORMAL CLINICAL FINDING NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC
Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC
Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC

Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC
Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC
Emergency Room Ambulance MED 2G UNIT NONINFECT LYMPH DIS NEC
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Clinic Referral Self SURGERY CENTER NONHEALING SURGICAL WOUND
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Clinic Referral Self SURGERY CENTER NONSENILE CATARACT NOS
Clinic Referral Self SURGERY CENTER NONSENILE CATARACT NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRPAIN IN LIMB
Clinic Referral Self OUTPAT PROCEDURE CNTRPAIN IN LIMB
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Outside Hospital Self NICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Self NICU PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LUNG DISEASE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LUNG DISEASE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LUNG DISEASE NEC
Clinic Referral Self OUTPAT PROCEDURE CNTROTHER LUNG DISEASE NEC
Outside Hospital Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Outside Hospital Ambulance SURG 4 UNIT REGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR

Clinic Referral Self OUTPAT PROCEDURE CNTRPAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-OPEN
Emergency Room Ambulance SURG 3 UNIT FX LOWER HUMERUS NEC-OPEN
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Clinic Referral Self SURGERY CENTER CHRONIC SINUSITIS NEC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER PULMONARY ARTERY ANOM
Clinic Referral Self SURGERY CENTER PULMONARY ARTERY ANOM
Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS
Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY CHRONIC RHINITIS
Emergency Room Ambulance EMERGENCY

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Clinic Referral Self OBSERVATION UNIT UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX DISTAL ULNA-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance REHAB UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY 2 DEG BURN BACK OF HAND
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 3 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 3 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 3 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY 2ND DEG BURN CHEST WALL
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Clinic Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT MALAISE AND FATIGUE NEC
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ

Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance OBSERVATION UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER UPPER LIMB VASC ANOMALY
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRNAUSEA ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self OBSERVATION UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self OBSERVATION UNIT FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self OBSERVATION UNIT FEMORAL EPIPHYSIOLYSIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Clinic Referral Self OBSERVATION UNIT FX LATERAL MALLEOLUS-CLOSE
Clinic Referral Self OBSERVATION UNIT FX LATERAL MALLEOLUS-CLOSE
Clinic Referral Self OBSERVATION UNIT FX LATERAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY OF ABDOMEN NEC
Emergency Room Ambulance MED 1T UNIT PANCYTOPENIA
Emergency Room Ambulance MED 1T UNIT PANCYTOPENIA
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS

Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 3 UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Outside Hospital Ambulance SURG 3 UNIT PERSIST POSTOP FISTULA
Outside Hospital Ambulance SURG 3 UNIT PERSIST POSTOP FISTULA
Outside Hospital Ambulance SURG 3 UNIT PERSIST POSTOP FISTULA
Outside Hospital Ambulance SURG 3 UNIT PERSIST POSTOP FISTULA
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS

Emergency Room Ambulance MED 2T UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance OBSERVATION UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance MED 2T UNIT REG ENTERITIS, LG INTEST
Emergency Room Ambulance MED 2T UNIT REG ENTERITIS, LG INTEST
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-HAND
Clinic Referral Self SURGERY CENTER CHR OSTEOMYELIT-HAND
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN LLQ
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CALCULUS OF URETER
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Clinic Referral Self REHAB UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY INSECT BITE FOREARM
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES

Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER MICROTIA
Clinic Referral Self SURGERY CENTER MICROTIA
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance SURG 3 UNIT INTERTROCHANTERIC FX-CLOSE
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Ambulance SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Clinic Referral Self MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Clinic Referral Self MED 2G UNIT NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT HERPES SIMPLEX NOS

Emergency Room Ambulance MED 2G UNIT HERPES SIMPLEX NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS ENTERITIS NOS
Emergency Room Ambulance EMERGENCY BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY PYOGENIC GRANULOMA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NOS
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NOS
Emergency Room Ambulance MED 2G UNIT SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MUSCLE WEAKNESS (GENERALIZED)
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance SCCA UNIT GRAM-NEG SEPTICEMIA NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC

Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN LUQ
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN LUQ
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Clinic Referral Self SURGERY CENTER FIBROMATOSES NEC
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER MALOCC-ANGLE’S CLASS II
Clinic Referral Self SURGERY CENTER MALOCC-ANGLE’S CLASS II
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER SOLITARY BONE CYST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA

Outside Health Care Facility Ambulance MED 2G UNIT FAILURE TO THRIVE
Outside Health Care Facility Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT OPEN WOUND HIP/THIGH-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND HIP/THIGH-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND HIP/THIGH-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND HIP/THIGH-COMPL
Emergency Room Ambulance MED 2G UNIT OPEN WOUND HIP/THIGH-COMPL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Physician Referral Self SURGERY CENTER OPEN WOUND FOOT-COMPL
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER AFT CARE HEAL TRAUM FRAC NEC
Clinic Referral Self SURGERY CENTER AFT CARE HEAL TRAUM FRAC NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Ambulance MED 2G UNIT DUODENITIS W/O HEMORRHAGE
Clinic Referral Ambulance MED 2G UNIT DUODENITIS W/O HEMORRHAGE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HERPETIC WHITLOW
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self REHAB UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 3 UNIT CONG ESOPH FISTULA/ATRES
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC

Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance SCCA UNIT DERMATITIS NOS
Emergency Room Ambulance SCCA UNIT DERMATITIS NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Clinic Referral Self SURGERY CENTER AFTCARE FOLLOW SURG FOR INJ AND TRAUMA
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE PROLIFERAT NEPHRITIS
Outside Hospital Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Hospital Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Hospital Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Hospital Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Outside Hospital Ambulance SURG 4 UNIT NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC

Outside Hospital Self MED 2G UNIT EXT ASTHMA W STATUS ASTH
Outside Hospital Self MED 2G UNIT EXT ASTHMA W STATUS ASTH
Outside Hospital Self MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER FX LATERAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX LATERAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY 2ND DEG BURN MULT SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY HERPES SIMPLEX NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Clinic Referral Self SURGERY CENTER HEMATURIA NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CONJUNCTIVA
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY POLYURIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ABNORMAL NEONATAL SCREENING
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY MULTIPLE FX HAND-CLOSED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY MOLLUSCUM CONTAGIOSUM
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-MULT JOINT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ
Emergency Room Ambulance EMERGENCY PRESSURE ULCER, SITE NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Physician Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS
Physician Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS

Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Physician Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Physician Referral Self SURGERY CENTER ACCOMMODATIVE ESOTROPIA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER NASAL SINUS POLYP NEC
Clinic Referral Self SURGERY CENTER NASAL SINUS POLYP NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Outside Hospital Ambulance PICU HEART FAILURE NOS
Outside Hospital Ambulance PICU HEART FAILURE NOS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURG 3 UNIT UNEQUAL LEG LENGTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self REHAB UNIT AFTERCARE FOLLOWING JOINT REPLACEMENT
Clinic Referral Self REHAB UNIT AFTERCARE FOLLOWING JOINT REPLACEMENT
Clinic Referral Self REHAB UNIT AFTERCARE FOLLOWING JOINT REPLACEMENT
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Clinic Referral Self SURGERY CENTER TALIPES EQUINOVARUS
Physician Referral Self SURGERY CENTER COMPRESSION OF VEIN
Physician Referral Self SURGERY CENTER COMPRESSION OF VEIN
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self REHAB UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self REHAB UNIT ACQ HIP DEFORMITY NEC
Physician Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Physician Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self OUTPAT PROCEDURE CNTRSURGERY FOLLOWUP NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRSURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY DISEASES OF LIPS
Outside Hospital Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Outside Hospital Ambulance MED 1T UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2T UNIT INFECT/PARASITE DIS NOS

Emergency Room Ambulance MED 2T UNIT INFECT/PARASITE DIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURGERY CENTER MALIG NEOPLASM SOFT TISSUE NOS
Clinic Referral Ambulance SURGERY CENTER MALIG NEOPLASM SOFT TISSUE NOS
Physician Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Physician Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Clinic Referral Self SCCA UNIT ACT LYMP LEUK IN RELAPSE
Physician Referral Self SURGERY CENTER CAPSULAR CATARACT
Physician Referral Self SURGERY CENTER CAPSULAR CATARACT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance SURG 3 UNIT ULCERATIVE COLITIS NOS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance SURG 3 UNIT NEC ENTEROCOLTIS NB NOS
Emergency Room Ambulance MED 2G UNIT NWBRN GI HEMORRHAGE
Emergency Room Ambulance MED 2G UNIT NWBRN GI HEMORRHAGE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN

Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT WHEEZING
Emergency Room Ambulance MED 1T UNIT WHEEZING
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance MED 2G UNIT PERINAT GI SYS DIS NEC
Emergency Room Ambulance MED 2G UNIT PERINAT GI SYS DIS NEC
Emergency Room Ambulance MED 2G UNIT PERINAT GI SYS DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI INTRACTABLE
Emergency Room Ambulance MED 1T UNIT GEN CONVUL EPI INTRACTABLE
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY PREPATELLAR BURSITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OBSERVATION UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self OBSERVATION UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self OBSERVATION UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT BRONCHITIS NOS
Emergency Room Ambulance MED 1T UNIT BRONCHITIS NOS
Physician Referral Self SURGERY CENTER HEMOPHAGOCYTIC SYNDROMES
Physician Referral Self SURGERY CENTER HEMOPHAGOCYTIC SYNDROMES
Emergency Room Ambulance EMERGENCY INJURY OF ABDOMEN NEC
Emergency Room Ambulance EMERGENCY OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE DACRYOCYSTITIS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 1T UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OBSERVATION-ACCIDENT NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Clinic Referral Self MED 2G UNIT ALLERGIC GASTROENTERITIS/COLITIS
Clinic Referral Self SURGERY CENTER EXT THROMBOS HEMORRHOID
Clinic Referral Self SURGERY CENTER EXT THROMBOS HEMORRHOID
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT EOSINOPHILIA
Emergency Room Ambulance MED 2G UNIT EOSINOPHILIA
Emergency Room Ambulance MED 2G UNIT EOSINOPHILIA
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Clinic Referral Self SURGERY CENTER DIS MID EAR/MASTOID NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self MED 2G UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE HEAD
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRSENSONRL HEAR LOSS,BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRLYMPHOMAS NEC ABDOM
Clinic Referral Self OUTPAT PROCEDURE CNTRLYMPHOMAS NEC ABDOM
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER OBSTR VENTRAL HERNIA NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH

Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Clinic Referral Self SURG 4 UNIT MALFUNC CARD DEV/GRF NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY CHR ALLRG CONJUNCTIV NEC
Emergency Room Ambulance EMERGENCY SEBORRHEIC DERMATITIS NOS
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Ambulance SURG 4 UNIT DIS BILIRUBIN EXCRETION
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC

Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance REHAB UNIT HERPES ZOSTER NOS
Emergency Room Ambulance REHAB UNIT HERPES ZOSTER NOS
Physician Referral Self SURGERY CENTER BACKACHE NOS
Physician Referral Self SURGERY CENTER BACKACHE NOS
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURG 4 UNIT PROTEINURIA
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Emergency Room Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 1T UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance MED 1T UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance MED 1T UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Clinic Referral Self MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ERYTHMA MULTIFORME MINOR
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FACE
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Outside Hospital Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Outside Hospital Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Outside Hospital Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Outside Hospital Ambulance SURG 3 UNIT INTRACEREBRAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Physician Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Ambulance MED 2G UNIT NEUTROPENIA NOS
Clinic Referral Ambulance MED 2G UNIT NEUTROPENIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND AUDITORY CANAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN

Emergency Room Ambulance EMERGENCY SWELLING OF LIMB
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY INJURY OF ABDOMEN NEC
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ELEV BL PRES W/O HYPERTN
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Clinic Referral Self SURG 3 UNIT BELL’S PALSY
Clinic Referral Self SURG 3 UNIT BELL’S PALSY
Clinic Referral Self SURG 3 UNIT BELL’S PALSY
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance MED 2G UNIT PALLOR
Emergency Room Ambulance MED 2G UNIT PALLOR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURG 3 UNIT HYPERTRPH NASAL TURBINAT
Clinic Referral Self SURG 3 UNIT HYPERTRPH NASAL TURBINAT
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self MED 2G UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Clinic Referral Self SURG 3 UNIT ACUTE TONSILLITIS
Clinic Referral Self SURG 3 UNIT ACUTE TONSILLITIS
Clinic Referral Self SURG 3 UNIT ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY PROTEINURIA
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS

Emergency Room Ambulance SCCA UNIT NEUTROPENIA NEC
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NEC
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance MED 2G UNIT CONGENITAL HYPOTHYROIDSM
Emergency Room Ambulance MED 2G UNIT CONGENITAL HYPOTHYROIDSM
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 3 UNIT PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURG 3 UNIT PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURG 3 UNIT PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Outside Hospital Ambulance MED 1T UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY TACHYPNEA
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY DEHYDRATION

Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN PHARYNX
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND FOREHEAD-COMPL
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self MED 2T UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION

Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance MED 2G UNIT ENTEROHEMORRHAGIC E. COLI
Emergency Room Ambulance MED 2G UNIT ENTEROHEMORRHAGIC E. COLI
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT ANAL AND RECTAL ABSCESS
Emergency Room Ambulance MED 2G UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance MED 2T UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Ambulance MED 2T UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance SCCA UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT SERUM REACTION NEC
Emergency Room Ambulance SURG 3 UNIT SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 4 UNIT VIRAL PNEUMONIA NEC
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT

Emergency Room Ambulance EMERGENCY EDEMA OF EYELID
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY ESOTROPIA NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance MED 2G UNIT REG ENTERIT SM/LG INTEST
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX FEMUR INTRCAPS NEC-CLOSE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Outside Hospital Ambulance SURG 4 UNIT CONG ESOPH FISTULA/ATRES
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TORUS FX RADIUS-CL/ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance SURG 4 UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance SURG 4 UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance SURG 4 UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA

Emergency Room Ambulance MED 2T UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURG 3 UNIT DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ALLERGIC GASTROENTERITIS/COLITIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER SPECIFIED EXAMINATION
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Physician Referral Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LUQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR
Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION ABDOMINAL WALL
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, SM INTEST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance REHAB UNIT OSTEOMYELITIS NOS-PELVIS
Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY PSYCHOPHYSIC VISUAL DIST
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Outside Health Care Facility Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Outside Health Care Facility Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Outside Health Care Facility Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Clinic Referral Self SURG 4 UNIT DOUBLE OUTLET RT VENTRIC
Physician Referral Self SURGERY CENTER SEBACEOUS CYST
Physician Referral Self SURGERY CENTER SEBACEOUS CYST

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 4 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance SURG 4 UNIT BRAIN CONDITIONS NEC
Emergency Room Ambulance SURG 4 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance SURG 4 UNIT CHR BLOOD LOSS ANEMIA
Emergency Room Ambulance SURG 4 UNIT CHR BLOOD LOSS ANEMIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance SURG 4 UNIT PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREARM

Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX OLECRAN PROC ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance SURG 4 UNIT CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self OUTPAT PROCEDURE CNTRRECTAL AND ANAL HEMORRHAGE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance EMERGENCY ANOREXIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF ARM
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF ARM
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER CHOANAL ATRESIA
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT

Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2T UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Physician Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY PELVIC FRACTURE NOS-CLOS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self OUTPAT PROCEDURE CNTRSCREENING MAL NEOP-COLON
Clinic Referral Self OUTPAT PROCEDURE CNTRSCREENING MAL NEOP-COLON
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self REHAB UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self REHAB UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self REHAB UNIT DEVELOPMENT DISLOC JT PELVIS
Clinic Referral Self SURGERY CENTER AORTIC VALVE DISORDER
Clinic Referral Self SURGERY CENTER AORTIC VALVE DISORDER
Emergency Room Ambulance EMERGENCY TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER FX DIST PHALANX, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX DIST PHALANX, HAND-CLOSE
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Ambulance MED 2G UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Ambulance MED 2G UNIT PYOGEN ARTHRITIS-ANKLE
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance MED 2T UNIT WHOOPING COUGH NOS
Emergency Room Ambulance MED 2T UNIT WHOOPING COUGH NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE

Emergency Room Ambulance PICU GRAND MAL STATUS
Emergency Room Ambulance PICU GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance MED 2G UNIT INTEST MALABSORPTION NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHOSPASM
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHOSPASM
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Clinic Referral Self SURGERY CENTER CRACKED TOOTH
Clinic Referral Self SURGERY CENTER CRACKED TOOTH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Clinic Referral Self SCCA UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT COUGH
Emergency Room Ambulance MED 2G UNIT COUGH
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER URGE INCONTINENCE
Clinic Referral Self SURGERY CENTER URGE INCONTINENCE
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY HYPOTHYROIDISM NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS

Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance SURG 3 UNIT PERITONSILLAR ABSCESS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NEPHROTIC SYNDROME NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Outside Hospital Ambulance SURG 3 UNIT STREPTOCOCCAL SEPTICEMIA
Outside Hospital Ambulance SURG 3 UNIT STREPTOCOCCAL SEPTICEMIA
Outside Hospital Ambulance SURG 3 UNIT STREPTOCOCCAL SEPTICEMIA
Outside Hospital Ambulance SURG 3 UNIT STREPTOCOCCAL SEPTICEMIA
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance MED 2G UNIT CONGENITAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT CONGENITAL PNEUMONIA
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH

Emergency Room Ambulance MED 2G UNIT ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance MED 2G UNIT ATTEN TO ENTEROSTOMY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPTIC NEURITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Clinic Referral Self SURG 3 UNIT CROWDING OF TEETH
Clinic Referral Self SURG 3 UNIT CROWDING OF TEETH
Clinic Referral Self SURG 3 UNIT CROWDING OF TEETH
Clinic Referral Self SURG 3 UNIT CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS

Emergency Room Ambulance EMERGENCY STRIDOR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY POISONING-BENZODIAZEPINE TRAN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURGERY CENTER ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURGERY CENTER ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRVOICE/RESONANCE DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRVOICE/RESONANCE DIS NEC
Clinic Referral Self PICU BENIGN NEO CEREBR MENINGES
Clinic Referral Self PICU BENIGN NEO CEREBR MENINGES
Clinic Referral Self PICU BENIGN NEO CEREBR MENINGES
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRSEBACEOUS CYST
Clinic Referral Self OUTPAT PROCEDURE CNTRSEBACEOUS CYST
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT CONGENITAL NEUTROPENIA

Emergency Room Ambulance MED 2T UNIT CONGENITAL NEUTROPENIA
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURGERY CENTER ACQ ANKLE-FOOT DEF NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT PAIN IN LIMB
Emergency Room Ambulance SCCA UNIT PAIN IN LIMB
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SCCA UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Clinic Referral Self OUTPAT PROCEDURE CNTRBRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 4 UNIT HIRSCHSPRUNG’S DISEASE
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Clinic Referral Self SURGERY CENTER RADICULAR CYST
Clinic Referral Self SURGERY CENTER RADICULAR CYST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS OF BODY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRGRAFT-VERSUS-HOST NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT URETERAL ANOMALY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN ARM
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN ARM
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 4 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance SCCA UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT ACROMEGALY AND GIGANTISM
Clinic Referral Self SURG 4 UNIT ACROMEGALY AND GIGANTISM
Clinic Referral Self SURG 4 UNIT ACROMEGALY AND GIGANTISM
Emergency Room Ambulance EMERGENCY TACHYPNEA
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN LEG
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS

Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY IRON DEFIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY CERVICALGIA
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO NEC
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO NEC
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO NEC
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO NEC
Clinic Referral Self SURG 3 UNIT SECONDARY MALIG NEO NEC
Emergency Room Ambulance EMERGENCY ATTEN TO TRACHEOSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURG 4 UNIT ULCERATIVE COLITIS NOS
Physician Referral Self SURG 4 UNIT ULCERATIVE COLITIS NOS
Physician Referral Self SURG 4 UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR
Outside Hospital Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Outside Hospital Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Outside Hospital Ambulance SURG 3 UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2T UNIT ASTHMA UNSPECIFIED WITH EXAC
Emergency Room Ambulance MED 2T UNIT ASTHMA UNSPECIFIED WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURGERY CENTER ATTEN TO URINOSTOMY NEC
Physician Referral Self SURGERY CENTER ATTEN TO URINOSTOMY NEC
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NOS
Clinic Referral Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS

Clinic Referral Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Ambulance SURG 3 UNIT ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SURGERY CENTER ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH
Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC
Clinic Referral Self SURGERY CENTER ENDOCRINE ANOMALY NEC
Clinic Referral Self SURGERY CENTER ENDOCRINE ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT NEONATAL HYPOGLYCEMIA
Outside Hospital Ambulance MED 1T UNIT NEONATAL HYPOGLYCEMIA
Outside Hospital Ambulance MED 1T UNIT NEONATAL HYPOGLYCEMIA
Outside Hospital Ambulance MED 1T UNIT NEONATAL HYPOGLYCEMIA
Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY TORUS FRACTURE OF RADIUS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Clinic Referral Self SURGERY CENTER ENURESIS NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY GENERALIZED HYPERHIDROSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURG 4 UNIT AFTERCARE FOLLOWING ORGAN TRANSPLANT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CARDIOMEGALY
Clinic Referral Self SURGERY CENTER CARDIOMEGALY
Clinic Referral Self SURGERY CENTER MONONEURITIS ARM NOS
Clinic Referral Self SURGERY CENTER MONONEURITIS ARM NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURG 3 UNIT CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURG 3 UNIT CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURG 3 UNIT CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES

Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Physician Referral Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Physician Referral Ambulance SURG 4 UNIT ABNORMAL COAGULATION PROFILE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER BENIGN NEO NASAL CAV/SINUS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER TALIPES CAVUS
Clinic Referral Self SURGERY CENTER TALIPES CAVUS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURG 3 UNIT CERVICAL SPINAL STENOSIS
Clinic Referral Self SURG 3 UNIT CERVICAL SPINAL STENOSIS
Clinic Referral Self SURG 3 UNIT CERVICAL SPINAL STENOSIS
Clinic Referral Self SURG 3 UNIT CERVICAL SPINAL STENOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURG 3 UNIT EXOSTOSIS OF JAW
Clinic Referral Self SURG 3 UNIT EXOSTOSIS OF JAW
Clinic Referral Self SURG 3 UNIT EXOSTOSIS OF JAW
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT VIRAL PNEUMONIA NOS
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Self REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Emergency Room Ambulance SURG 4 UNIT CONGESTIVE HEART FAILURE NOS
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT MALIG NEO SPINAL CORD
Clinic Referral Self SCCA UNIT MALIG NEO SPINAL CORD
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Clinic Referral Self SURGERY CENTER INGROWING NAIL
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SCCA UNIT MALIGN NEOPL ADRENAL
Clinic Referral Self SURGERY CENTER TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURGERY CENTER TEAR MED MENISC KNEE-CURRENT
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Outside Health Care Facility Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND
Physician Referral Ambulance MED 2T UNIT COUGH
Physician Referral Ambulance MED 2T UNIT COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC

Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF FACE
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF FACE
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 4 UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance SURG 4 UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE POSTOP PAIN NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self SURGERY CENTER FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance EMERGENCY COXSACKIE VIRUS INFEC NOS
Emergency Room Ambulance EMERGENCY APNEA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC

Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY OSTEOCHONDRIT DISSECANS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER SALIVARY GLAND MUCOCELE
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LIP
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LIP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 3 UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Clinic Referral Self SURG 3 UNIT CHRONIC AIRWAY OBSTRUCTION NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER COUGH
Clinic Referral Self SURGERY CENTER COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self MED 2T UNIT UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Emergency Room Ambulance SURG 3 UNIT UMBILICAL HERNIA W OBSTR
Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED
Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC

Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRENTEROSTOMY COMPLICATN NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRENTEROSTOMY COMPLICATN NEC
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURGERY CENTER UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self OUTPAT PROCEDURE CNTRFAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PERFORAT TYMPAN MEMB NOS
Clinic Referral Self REHAB UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self REHAB UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self REHAB UNIT ENTEROSTOMY COMPLICATN NEC
Clinic Referral Self REHAB UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF FACE NEC
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF FACE NEC
Emergency Room Ambulance SURG 3 UNIT OPEN WOUND OF FACE NEC
Clinic Referral Self REHAB UNIT STENOSIS OF LARYNX
Clinic Referral Self REHAB UNIT STENOSIS OF LARYNX
Clinic Referral Self REHAB UNIT STENOSIS OF LARYNX
Clinic Referral Self REHAB UNIT STENOSIS OF LARYNX
Clinic Referral Self REHAB UNIT STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT OTHER SPECIFIED DIS DUE TO VIRUSES
Emergency Room Ambulance MED 1T UNIT OTHER SPECIFIED DIS DUE TO VIRUSES
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Clinic Referral Self SURG 4 UNIT SINOATRIAL NODE DYSFUNCT
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Clinic Referral Self SURGERY CENTER NASAL AND SINUS DIS NEC

Clinic Referral Self SURGERY CENTER NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Clinic Referral Self SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FX CONDYL PROC MANDIB-CL
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY SPRAIN OF FOOT NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY TOXIC EFFECT LATEX
Outside Hospital Ambulance MED 2G UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance MED 2G UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance MED 2G UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Outside Hospital Self NICU CONG PYLORIC STENOSIS
Outside Hospital Self NICU CONG PYLORIC STENOSIS
Outside Hospital Self NICU CONG PYLORIC STENOSIS
Outside Hospital Self NICU CONG PYLORIC STENOSIS
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 1T UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE
Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE
Emergency Room Ambulance SURG 4 UNIT HYPOPOTASSEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOPOTASSEMIA
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance MED 2G UNIT THROMBOPHLEBITIS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Clinic Referral Self SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Clinic Referral Self SURG 3 UNIT OPEN WOUND KNEE/LEG-COMPL
Emergency Room Ambulance EMERGENCY ABRASION NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS

Emergency Room Ambulance SURG 4 UNIT GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ANEMIA NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Physician Referral Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY STREPTOCOCCAL MENINGITIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DISLOCAT KNEE NOS-CLOSED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT H.INFLUENZAE PNEUMONIA
Emergency Room Ambulance MED 2G UNIT H.INFLUENZAE PNEUMONIA
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self SURG 4 UNIT RAPIDLY PROG NEPHRIT NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 2G UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT LIP-IMCOMPL
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Physician Referral Self SURG 4 UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT RHABDOMYOLYSIS
Emergency Room Ambulance MED 2T UNIT RHABDOMYOLYSIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance SURG 3 UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance SURG 3 UNIT NWBRN TEMP REGULAT DIS NEC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTHER PSORIASIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX BIMALLEOLAR-CLOSED
Clinic Referral Ambulance SURG 4 UNIT ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Ambulance SURG 4 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Clinic Referral Self SURG 4 UNIT MALFUNC OTHER DEVICE/GRAFT
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 1T UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY PTERYGIUM NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT TYPHOID FEVER
Emergency Room Ambulance MED 1T UNIT TYPHOID FEVER
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Physician Referral Ambulance MED 1T UNIT OTHER PSORIASIS

Physician Referral Ambulance MED 1T UNIT OTHER PSORIASIS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance MED 1T UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 1T UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 1T UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Clinic Referral Self SURG 4 UNIT CHOLELITHIASIS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY APNEA
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE

Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX UP FEMUR EPIPHY-CLOSE
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance MED 2G UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 4 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 4 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Clinic Referral Self SURG 4 UNIT MYASTHEN GRAVIS W/O ACUTE EXAC
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR

Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Physician Referral Ambulance MED 2G UNIT PERSISTENT VOMITING
Physician Referral Ambulance MED 2G UNIT PERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY INSECT BITE HEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-ANKLE
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Clinic Referral Self SURGERY CENTER CONGENITAL URETEROCELE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TIS THORAX
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER LYMPHADENITIS NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Self SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Self SURG 3 UNIT BRAIN NEOPLASM NOS
Clinic Referral Self SURG 3 UNIT BRAIN NEOPLASM NOS
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL

Clinic Referral Self SURGERY CENTER TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURGERY CENTER TEAR MED MENISC KNEE-CURRENT
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance REHAB UNIT CERVICALGIA
Emergency Room Ambulance REHAB UNIT CERVICALGIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRJUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Outside Hospital Ambulance SURG 3 UNIT SWELLING IN HEAD AND NECK
Outside Hospital Ambulance SURG 3 UNIT SWELLING IN HEAD AND NECK
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT

Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Clinic Referral Self SURGERY CENTER EXOTROPIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURGERY CENTER COMMON VENTRICLE
Clinic Referral Self SURGERY CENTER COMMON VENTRICLE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE II-UNCOMPL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance EMERGENCY NERVE/MUSCULSKEL SYM NEC
Clinic Referral Self SURGERY CENTER RECUR DISLOCAT-SHLDER
Clinic Referral Self SURGERY CENTER RECUR DISLOCAT-SHLDER
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY HYPOGLYCEMIA NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC

Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance SURG 3 UNIT FX RADIUS HEAD-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX RADIUS HEAD-CLOSED
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER MUSCLE WEAKNESS (GENERALIZED)
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 4 UNIT DIS OF GALLBLADDER NEC
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY NONSP ABN FD-LUNG FIELD
Emergency Room Ambulance MED 2G UNIT CROUP
Emergency Room Ambulance MED 2G UNIT CROUP
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE

Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Clinic Referral Self SURGERY CENTER MADELUNG’S DEFORMITY
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT CONGENITAL INFEC NEC
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Outside Hospital Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Clinic Referral Self SURGERY CENTER SEBACEOUS CYST
Emergency Room Ambulance EMERGENCY LUMBAGO
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER NONUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER JOINT PAIN-PELVIS
Clinic Referral Self SURGERY CENTER JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER OTHER TISSUE GRAFT MALFUNC
Clinic Referral Self SURGERY CENTER OTHER TISSUE GRAFT MALFUNC

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER GANGLION NOS
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,W OBSTR
Emergency Room Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,W OBSTR
Emergency Room Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,W OBSTR
Emergency Room Ambulance SURG 3 UNIT CALC GB/CBD,NO INFECTN,W OBSTR
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER FX PHALANX, FOOT-CLOSED
Clinic Referral Self SURGERY CENTER FX PHALANX, FOOT-CLOSED
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance MED 2G UNIT FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Clinic Referral Self SURG 4 UNIT OTHER LUNG DISEASE NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Clinic Referral Self SURGERY CENTER ACQ HEAD DEFORMITY OTHER SPEC
Clinic Referral Self SURGERY CENTER ACQ HEAD DEFORMITY OTHER SPEC
Emergency Room Ambulance EMERGENCY NEUTROPENIA NOS
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance MED 2G UNIT RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CIRCULATORY DISEASE NEC
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY EDEMA
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABD/PEL SWELL/MASS/LUMP UNSP SITE
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Clinic Referral Self OUTPAT PROCEDURE CNTRCOMPLIC BONE MARROW TRANSPL
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance MED 2G UNIT MUCOCUTAN LYMPH NODE SYN
Clinic Referral Self SURG 3 UNIT BILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT BILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT BILAT CLEFT PALATE-INC
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, CONDYL NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, CONDYL NOS-CLOSE
Outside Hospital Ambulance NICU CONGENITAL HYDROCEPHALUS
Outside Hospital Ambulance NICU CONGENITAL HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 3 UNIT BILAT CLEFT LIP-INCOMPL
Clinic Referral Self SURG 4 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Self SURG 4 UNIT FX ANKLE NOS-CLOSED
Clinic Referral Self SURG 4 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Clinic Referral Self SURGERY CENTER CROWDING OF TEETH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance SURG 3 UNIT INTEST ADHES W OBSTR POST OP/INFECT
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS
Clinic Referral Self SURGERY CENTER CONGENITAL PTOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER EXUDATIVE RETINOPATHY
Clinic Referral Self SURGERY CENTER EXUDATIVE RETINOPATHY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance PICU HYPOXEMIA
Emergency Room Ambulance PICU HYPOXEMIA
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY EPILEPSY NOS INTRACTABLE
Clinic Referral Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Clinic Referral Ambulance MED 1T UNIT CEREB DEGEN IN CHILD NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS

Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 1T UNIT RESPIRATORY ABNORM NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Outside Hospital Ambulance MED 2G UNIT METABOLISM DISORDER NOS
Outside Hospital Ambulance MED 2G UNIT METABOLISM DISORDER NOS
Outside Hospital Ambulance MED 2G UNIT METABOLISM DISORDER NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance MED 1T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Outside Hospital Ambulance SURG 4 UNIT TETRALOGY OF FALLOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT HYPOXEMIA
Emergency Room Ambulance MED 2G UNIT HYPOXEMIA
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY BELL’S PALSY
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS

Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance REHAB UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY DYSURIA
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Outside Hospital Ambulance SURG 4 UNIT TOT ANOM PULM VEN CONNEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance MED 2G UNIT JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 2G UNIT H.INFLUENZAE PNEUMONIA
Clinic Referral Self MED 2G UNIT H.INFLUENZAE PNEUMONIA
Clinic Referral Self MED 2G UNIT H.INFLUENZAE PNEUMONIA
Clinic Referral Self MED 2G UNIT H.INFLUENZAE PNEUMONIA
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 4 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMATOMA COMPLIC PROCEDURE
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY

Clinic Referral Self SCCA UNIT MALIG NEOPL KIDNEY
Emergency Room Ambulance SURG 3 UNIT HEMANGIOMA NEC
Emergency Room Ambulance SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 4 UNIT ATRIAL FLUTTER
Emergency Room Ambulance SURG 4 UNIT ATRIAL FLUTTER
Emergency Room Ambulance SURG 4 UNIT ATRIAL FLUTTER
Emergency Room Ambulance SURG 4 UNIT ATRIAL FLUTTER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Outside Hospital Ambulance MED 1T UNIT FOOD/VOMIT PNEUMONITIS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CERVICALGIA
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY HEADACHE

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W COMA NOS
Emergency Room Ambulance EMERGENCY CONTUSION SHOULDER REG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT GAS/VAPOR NEC
Emergency Room Ambulance MED 2G UNIT TOXIC EFFECT GAS/VAPOR NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER POLYART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EYELID
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER TRACHEOSTOMY COMPLICATION NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES

Clinic Referral Self SURG 4 UNIT INCONTINENCE OF FECES
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ECZEMA HERPETICUM
Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance MED 2G UNIT APNEA
Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 1T UNIT ABSCESS OF EYELID
Emergency Room Ambulance SURG 3 UNIT PANCREAS, TAIL INJ-CLOSE
Emergency Room Ambulance SURG 3 UNIT PANCREAS, TAIL INJ-CLOSE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Outside Hospital Ambulance PICU RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance PICU RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER STRICTURE OF URETER
Clinic Referral Self SURGERY CENTER STRICTURE OF URETER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Clinic Referral Self SURGERY CENTER EAR ANOMALIES NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER OTHER FUNCTIONAL DISORDER BLADDER
Clinic Referral Self SURGERY CENTER OTHER FUNCTIONAL DISORDER BLADDER
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS

Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance MED 2T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2T UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 2G UNIT ABNORMAL LIVER FUNCTION STUDY
Clinic Referral Self MED 2G UNIT ABNORMAL LIVER FUNCTION STUDY
Clinic Referral Self MED 2G UNIT ABNORMAL LIVER FUNCTION STUDY
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL ABSCESS
Clinic Referral Self SURGERY CENTER ANAL AND RECTAL ABSCESS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Clinic Referral Self REHAB UNIT TEAR LAT MENISC KNEE-CURRENT
Emergency Room Ambulance SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC

Emergency Room Ambulance SURG 4 UNIT ENTEROSTOMY COMPLICATN NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Physician Referral Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self PICU HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self PICU HYPOPLASTIC LEFT HEART SYND
Clinic Referral Self PICU HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY OPEN WOUND SITE NOS-COMPL
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY CYSTITIS NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-OPEN
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MONTEGGIA’S FX-CLOSED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Emergency Room Ambulance SCCA UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Clinic Referral Self SURG 3 UNIT SCAR AND FIBROSIS OF SKIN
Emergency Room Ambulance EMERGENCY HEADACHE
Outside Hospital Ambulance NICU CONGENITAL INFEC NEC
Outside Hospital Ambulance NICU CONGENITAL INFEC NEC
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance OBSERVATION UNIT APPAR LIFE THREAT-INFANT
Emergency Room Ambulance OBSERVATION UNIT APPAR LIFE THREAT-INFANT
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX

Emergency Room Ambulance SURG 4 UNIT ABSCESS OF APPENDIX
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL RETINA
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL RETINA
Clinic Referral Self SURG 4 UNIT MALIGN NEOPL RETINA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SURG 3 UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Ambulance SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Ambulance SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Ambulance SURG 3 UNIT PORTAL HYPERTENSION
Clinic Referral Ambulance SURG 3 UNIT PORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC

Clinic Referral Self OUTPAT PROCEDURE CNTREXAM EARS AND HEARING NEC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Clinic Referral Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE II W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT PORTAL HYPERTENSION
Emergency Room Ambulance MED 1T UNIT PORTAL HYPERTENSION
Emergency Room Ambulance MED 1T UNIT PORTAL HYPERTENSION
Emergency Room Ambulance OBSERVATION UNIT NEUTROPENIA NOS
Emergency Room Ambulance OBSERVATION UNIT NEUTROPENIA NOS
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance OBSERVATION UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance OBSERVATION UNIT PERIAPICAL ABSCESS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V

Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Clinic Referral Self SURGERY CENTER ANEURYSM OF CORONARY VESSELS
Emergency Room Ambulance OBSERVATION UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance OBSERVATION UNIT CLOSE SKULL FX NEC W/O COMA
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SCCA UNIT LYMPHOMAS NEC HEAD
Clinic Referral Self SCCA UNIT LYMPHOMAS NEC HEAD
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT NWBRN BREAST ENGORGEMENT
Emergency Room Ambulance MED 2G UNIT NWBRN BREAST ENGORGEMENT
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY DYSURIA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER PAIN IN LIMB
Clinic Referral Self SURGERY CENTER PAIN IN LIMB
Clinic Referral Self SURGERY CENTER FACIAL NERVE INJ-BIRTH

Clinic Referral Self SURGERY CENTER FACIAL NERVE INJ-BIRTH
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURGERY CENTER CONGEN SUBAORTIC STENOSIS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT VIRAL MENINGITIS NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM
Emergency Room Ambulance MED 1T UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance MED 1T UNIT DIS UREA CYCLE METABOL
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS
Emergency Room Ambulance EMERGENCY SEBORRHEIC DERMATITIS NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY CYANOSIS

Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Clinic Referral Self REHAB UNIT HEMANGIOMA NOS
Clinic Referral Self REHAB UNIT HEMANGIOMA NOS
Clinic Referral Self REHAB UNIT HEMANGIOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY NONHEALING SURGICAL WOUND
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY HEPATITIS NOS
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY TUBERCULIN TEST REACTION NO TBC
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY JUV OSTEOCHONDROSIS LEG
Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY HAND INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY DISORDERS OF EAR NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY 2ND DEG BURN PALM

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ANOREXIA
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY REFLEX SYMPATH DYSTRPHY LOWER LIMB
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Physician Referral Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Physician Referral Ambulance MED 2T UNIT PYELONEPHRITIS NOS
Outside Hospital Ambulance NICU PERINATAL CONDITION NEC
Outside Hospital Ambulance NICU PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Clinic Referral Self MED 2G UNIT ARTERITIS NOS
Clinic Referral Self MED 2G UNIT ARTERITIS NOS
Clinic Referral Self SURG 4 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT DISEASE OF PHARYNX NEC
Clinic Referral Self SURG 3 UNIT DISEASE OF PHARYNX NEC
Clinic Referral Self SURG 3 UNIT DISEASE OF PHARYNX NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 4 UNIT COMPRESSION OF VEIN
Emergency Room Ambulance SURG 4 UNIT COMPRESSION OF VEIN
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY ADENOIDS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Clinic Referral Self MED 1T UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance MED 2T UNIT NEONATAL CONJUNCTIVITIS
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Clinic Referral Self SURG 4 UNIT CALCULUS OF KIDNEY
Emergency Room Ambulance SURG 4 UNIT TACHYCARDIA NOS
Emergency Room Ambulance SURG 4 UNIT TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS LESIONS

Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS LESIONS
Clinic Referral Self SURG 3 UNIT BRACHIAL PLEXUS LESIONS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 4 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT CONG SKULL/FACE/JAW DEF
Clinic Referral Self SURG 3 UNIT CONG SKULL/FACE/JAW DEF
Clinic Referral Self SURG 3 UNIT CONG SKULL/FACE/JAW DEF
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 3 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SURG 3 UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONTUSION LEG NOS
Emergency Room Ambulance EMERGENCY NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJ HAND NEC
Physician Referral Ambulance SCCA UNIT NONINFEC GASTROENTERIT NEC
Physician Referral Ambulance SCCA UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ANAL FISSURE
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT APPAR LIFE THREAT-INFANT
Emergency Room Ambulance MED 1T UNIT APPAR LIFE THREAT-INFANT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FX FIBULA NOS-CLOSED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX RADIUS SHAFT-CLOSED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY MONTEGGIA’S FX-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ENCEPHALOCELE

Clinic Referral Self SURG 3 UNIT ENCEPHALOCELE
Clinic Referral Self SURG 3 UNIT ENCEPHALOCELE
Clinic Referral Self SURG 3 UNIT ENCEPHALOCELE
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Clinic Referral Self SURG 3 UNIT COMPLIC NERVOUS SYSTM DEVICE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Outside Hospital Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-OPEN
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-OPEN
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-OPEN
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-OPEN
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance MED 2G UNIT OTITIS MEDIA NOS
Outside Hospital Ambulance MED 2G UNIT OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 1T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY DISEASE OF NAIL NOS
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2T UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SCCA UNIT DEHYDRATION
Clinic Referral Self SCCA UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT SUPPUR OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT SUPPUR OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FB IN INTESTINE AND COLON
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP

Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self MED 1T UNIT PART EPIL W/O INTR EPIL
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 1T UNIT FEBRILE CONVULSIONS NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Clinic Referral Self SURGERY CENTER NEONATAL NASOLACRML OBST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT NEONATAL CONJUNCTIVITIS
Emergency Room Ambulance MED 2T UNIT NEONATAL CONJUNCTIVITIS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN EPIGASTRIC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY TORUS FX RADIUS-CL/ALONE

Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self SURG 3 UNIT VESICOURET REFLX W NEPHROPAT BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEOPLASM LG BOWEL
Clinic Referral Self MED 1T UNIT RESP SYSTEM DISEASE NEC
Clinic Referral Self MED 1T UNIT RESP SYSTEM DISEASE NEC
Clinic Referral Self MED 1T UNIT RESP SYSTEM DISEASE NEC
Clinic Referral Self MED 1T UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER LENS PROSTHESIS MALFUNC
Clinic Referral Self SURGERY CENTER LENS PROSTHESIS MALFUNC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Clinic Referral Self SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Clinic Referral Self SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Clinic Referral Self SURG 3 UNIT BENIGN NEO CEREBR MENINGES
Physician Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Physician Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Physician Referral Self SURGERY CENTER ESOTROPIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL STRICTURE
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2T UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 2T UNIT JOINT PAIN-PELVIS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM

Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Outside Hospital Ambulance PICU HYPOPLASTIC LEFT HEART SYND
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF LEG
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURG 4 UNIT OSTIUM PRIMUM DEFECT
Clinic Referral Self SURG 4 UNIT OSTIUM PRIMUM DEFECT
Clinic Referral Self SURG 4 UNIT OSTIUM PRIMUM DEFECT
Clinic Referral Self SURG 4 UNIT OSTIUM PRIMUM DEFECT
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Emergency Room Ambulance MED 1T UNIT FEVER NOS
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT CONG HIP DEFORMITY NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance MED 2G UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance MED 2G UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT ALLERGIC PURPURA
Emergency Room Ambulance MED 1T UNIT ALLERGIC PURPURA
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY TORUS FX RADIUS-CL/ALONE
Emergency Room Ambulance EMERGENCY TORUS FX RADIUS-CL/ALONE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT ABDOMINAL PAIN UNSPEC SITE
Physician Referral Ambulance MED 2G UNIT CHR OSTEOMYELIT-PELVIS
Physician Referral Ambulance MED 2G UNIT CHR OSTEOMYELIT-PELVIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Outside Hospital Ambulance MED 1T UNIT HEMOPTYSIS
Outside Hospital Ambulance MED 1T UNIT HEMOPTYSIS
Outside Hospital Ambulance MED 1T UNIT HEMOPTYSIS
Outside Hospital Ambulance MED 1T UNIT HEMOPTYSIS
Clinic Referral Self SCCA UNIT BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SCCA UNIT BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SCCA UNIT BENIGN NEO NASAL CAV/SINUS
Clinic Referral Self SURGERY CENTER MALIG NEO CEREBELLUM NOS
Clinic Referral Self SURGERY CENTER MALIG NEO CEREBELLUM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER CATARACT NOS
Clinic Referral Self SURGERY CENTER CATARACT NOS
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NEC
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NEC
Clinic Referral Ambulance REHAB UNIT CONSTIPATION NEC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED

Emergency Room Ambulance MED 2G UNIT ACUTE NECROSIS OF LIVER
Emergency Room Ambulance MED 2G UNIT ACUTE NECROSIS OF LIVER
Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY BRONCHITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY JOINT EFFUSION-UP/ARM
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Outside Hospital Ambulance SURG 4 UNIT COMPL TRANSPOS GREAT VES
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance MED 2G UNIT LUMBAR PUNCTURE REACTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY POISONING-PROPIONIC ACID DERIV
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY DIARRHEA NOS

Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEPATITIS NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CHILLS (WITHOUT FEVER)
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY CARBUNCLE, SITE NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BLEPHARITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Clinic Referral Self OUTPAT PROCEDURE CNTRPORTAL HYPERTENSION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK

Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Clinic Referral Self SURGERY CENTER TRIGGER FINGER
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY WHEEZING
Admitted as transfer from another unitAmbulance MED 1T UNIT ENCEPHALOPATHY NEC
Admitted as transfer from another unitAmbulance MED 1T UNIT ENCEPHALOPATHY NEC
Admitted as transfer from another unitAmbulance MED 1T UNIT ENCEPHALOPATHY NEC
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SURGERY CENTER MALUNION OF FRACTURE
Clinic Referral Self SCCA UNIT ACUTE URI NOS
Clinic Referral Self SCCA UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance REHAB UNIT CELLULITIS OF HAND
Emergency Room Ambulance REHAB UNIT CELLULITIS OF HAND
Emergency Room Ambulance SURG 3 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance SURG 3 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance MED 1T UNIT MYONEURAL DISORDERS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self OUTPAT PROCEDURE CNTRFEEDING PROBLEM
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS
Clinic Referral Self SURGERY CENTER POLYDACTYLY, FINGERS

Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance PICU HYPERPOTASSEMIA
Emergency Room Ambulance PICU HYPERPOTASSEMIA
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Physician Referral Self MED 1T UNIT PORTAL HYPERTENSION
Physician Referral Self MED 1T UNIT PORTAL HYPERTENSION
Physician Referral Self MED 1T UNIT PORTAL HYPERTENSION
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA SKIN
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Clinic Referral Self SURG 4 UNIT RECUR UNILAT INGUIN HERN
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance MED 2G UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance MED 2G UNIT CONCUSSION W LOC UP TO 30 MIN
Emergency Room Ambulance MED 2T UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance MED 2T UNIT BACTEREMIA OF NEWBORN
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 4 UNIT FX RADIUS W ULNA NOS-OPEN
Emergency Room Ambulance SURG 4 UNIT FX RADIUS W ULNA NOS-OPEN
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 4 UNIT PERITONEAL DISORDER NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAINFUL RESPIRATION
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC

Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SCCA UNIT BURKITT’S TUMOR MULT
Clinic Referral Self SCCA UNIT BURKITT’S TUMOR MULT
Clinic Referral Self SCCA UNIT BURKITT’S TUMOR MULT
Clinic Referral Self SCCA UNIT BURKITT’S TUMOR MULT
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER GENU VALGUM
Clinic Referral Self SURGERY CENTER GENU VALGUM
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Self SURG 3 UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SURG 3 UNIT FEVER IN OTHER DISEASES
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-LUMBAR
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-LUMBAR
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-LUMBAR
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER CHRONIC LYMPHADENITIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Clinic Referral Self SURGERY CENTER RECTAL AND ANAL STENOSIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER CLEFT LIP NOS
Clinic Referral Self SURGERY CENTER CLEFT LIP NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY VILLONOD SYNOVIT-PELVIS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance EMERGENCY HEADACHE
Outside Health Care Facility Self SURG 3 UNIT FX FEMUR SHAFT-CLOSED

Outside Health Care Facility Self SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Outside Health Care Facility Self SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Clinic Referral Self SURGERY CENTER MYELODYSPLASTIC SYND NOS
Clinic Referral Self SURGERY CENTER MYELODYSPLASTIC SYND NOS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance REHAB UNIT ORBITAL CELLULITIS
Emergency Room Ambulance REHAB UNIT ORBITAL CELLULITIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND
Emergency Room Ambulance EMERGENCY FLU DT IDEN AVIAN VIRUS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURG 3 UNIT RECUR DISLOCAT-L/LEG
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG

Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF EYEBALL
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ABN FIND-STOOL CONTENTS-OCC BLOOD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SPASM OF MUSCLE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY)
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE

Emergency Room Ambulance EMERGENCY MALIGN NEOPL ADRENAL
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Clinic Referral Self SURG 4 UNIT PAROX VENTRIC TACHYCARD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Clinic Referral Self SURG 3 UNIT DISORDERS OF EAR NEC
Clinic Referral Self SURG 3 UNIT DISORDERS OF EAR NEC
Clinic Referral Self SURG 3 UNIT DISORDERS OF EAR NEC
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Outside Hospital Ambulance MED 2G UNIT CONGENITAL URETEROCELE
Outside Hospital Ambulance MED 2G UNIT CONGENITAL URETEROCELE
Outside Hospital Ambulance MED 2G UNIT CONGENITAL URETEROCELE
Outside Hospital Ambulance MED 2G UNIT CONGENITAL URETEROCELE
Outside Hospital Ambulance MED 2G UNIT CONGENITAL URETEROCELE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Outside Hospital Ambulance SCCA UNIT SEC MALIG NEO BRAIN/SPINE
Outside Hospital Ambulance SCCA UNIT SEC MALIG NEO BRAIN/SPINE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF

Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Emergency Room Ambulance MED 2G UNIT OTHER PULMONARY INSUFF
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Outside Hospital Ambulance MED 1T UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Ambulance SURG 3 UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Ambulance SURG 3 UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER PRIM CARDIOMYOPATHY NEC
Clinic Referral Self SURGERY CENTER PRIM CARDIOMYOPATHY NEC
Outside Hospital Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Outside Hospital Ambulance MED 1T UNIT ACUTE AND CHRONIC RESPIRATY FAILURE
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self REHAB UNIT OSTEODYSTROPHY NEC
Clinic Referral Self REHAB UNIT OSTEODYSTROPHY NEC
Clinic Referral Self REHAB UNIT OSTEODYSTROPHY NEC
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF TRUNK
Outside Hospital Ambulance MED 2G UNIT HYDROPS FETALIS NO ISOIM
Outside Hospital Ambulance MED 2G UNIT HYDROPS FETALIS NO ISOIM

Outside Hospital Ambulance MED 2G UNIT HYDROPS FETALIS NO ISOIM
Outside Hospital Ambulance MED 2G UNIT HYDROPS FETALIS NO ISOIM
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Self SURG 4 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 4 UNIT GASTROSCHISIS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX NECK OF FEMUR NOS-CLOSE
Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURG 4 UNIT ANOMALIES OF FOOT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Clinic Referral Self MED 1T UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Physician Referral Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Physician Referral Ambulance SURG 3 UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT HYDRONEPHROSIS
Emergency Room Ambulance SURG 3 UNIT HYDRONEPHROSIS
Emergency Room Ambulance SURG 3 UNIT HYDRONEPHROSIS
Emergency Room Ambulance SURG 3 UNIT HYDRONEPHROSIS
Emergency Room Ambulance EMERGENCY DYSURIA
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURG 3 UNIT CONJOINED TWINS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER TOTAL TRAUMATIC CATARACT
Clinic Referral Self SURGERY CENTER TOTAL TRAUMATIC CATARACT
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SCCA UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2T UNIT LYMPHADENITIS NOS
Outside Health Care Facility Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Outside Health Care Facility Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Outside Health Care Facility Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Outside Hospital Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Outside Hospital Ambulance MED 2G UNIT SALMONELLA ENTERITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Outside Hospital Ambulance MED 2G UNIT NB FEEDING PROBLEMS
Outside Hospital Ambulance MED 2G UNIT NB FEEDING PROBLEMS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Clinic Referral Self SURGERY CENTER NASAL BONE FX-CLOSED
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Clinic Referral Self SURG 3 UNIT BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self REHAB UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY POISONING-PROPIONIC ACID DERIV
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance EMERGENCY FX RADIUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY SCABIES
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY DYSURIA
Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MALFUNC URETHRAL CATH
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 4 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 4 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURG 4 UNIT BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self MED 2G UNIT HYPERTROPHY TONSILS
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC DEV OTHER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC DEV OTHER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC DEV OTHER
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self MED 1T UNIT GEN CONVUL EPI W/O MENTN INTRACT
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS

Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER FOREIGN BODY MIDDLE EAR
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Outside Hospital Ambulance SURG 4 UNIT CEREBROVASCULAR ANOMALY
Outside Hospital Ambulance SURG 4 UNIT CEREBROVASCULAR ANOMALY
Outside Hospital Ambulance SURG 4 UNIT CEREBROVASCULAR ANOMALY
Outside Hospital Ambulance SURG 4 UNIT CEREBROVASCULAR ANOMALY
Outside Hospital Ambulance SURG 4 UNIT CEREBROVASCULAR ANOMALY
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKULL/FACE BONE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SCCA UNIT MALIGN NEOPL ORBIT
Clinic Referral Self SCCA UNIT MALIGN NEOPL ORBIT
Clinic Referral Self SCCA UNIT MALIGN NEOPL ORBIT
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Self SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY ABRASION FOREARM
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Physician Referral Ambulance SURG 4 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN
Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self REHAB UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self REHAB UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self REHAB UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Outside Hospital Ambulance SURG 4 UNIT E COLI SEPTICEMIA
Outside Hospital Ambulance SURG 4 UNIT E COLI SEPTICEMIA
Outside Hospital Ambulance SURG 4 UNIT E COLI SEPTICEMIA
Outside Hospital Ambulance SURG 4 UNIT E COLI SEPTICEMIA
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Clinic Referral Self SURGERY CENTER ANOMALIES OF TOES NEC
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Emergency Room Ambulance SURG 3 UNIT DEHYDRATION
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA

Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance MED 1T UNIT CNS DEMYELINATION NOS
Emergency Room Ambulance MED 1T UNIT CNS DEMYELINATION NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ORAL APHTHAE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance MED 2G UNIT ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance MED 2G UNIT ABN INVOLUN MOVEMENT NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Clinic Referral Self SURGERY CENTER ORTHOPEDIC AFTERCARE NEC
Physician Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Physician Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Physician Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Physician Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Physician Referral Ambulance SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER POSTINFLAM PULM FIBROSIS
Clinic Referral Self SURGERY CENTER POSTINFLAM PULM FIBROSIS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Outside Hospital Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Outside Hospital Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SURG 3 UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Outside Hospital Ambulance PICU MILD HYPOX-ISCHEM ENCEPH
Outside Hospital Ambulance PICU MILD HYPOX-ISCHEM ENCEPH
Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS
Emergency Room Ambulance EMERGENCY SKIN DISORDERS NEC
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC

Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLICATN TRACHEOSTOMY
Clinic Referral Self SURGERY CENTER MECHANICAL COMPLICATN TRACHEOSTOMY
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Physician Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Physician Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Physician Referral Ambulance MED 2G UNIT DYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Self SURGERY CENTER SPRAIN CRUCIATE LIG KNEE
Clinic Referral Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Clinic Referral Ambulance SURG 3 UNIT INTESTINAL FIXATION ANOM
Emergency Room Ambulance EMERGENCY NB FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABNORMAL CLINICAL FINDING NEC
Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PROPHYLACTIC MEASURE NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT OPEN WOUND OF CHEEK
Emergency Room Ambulance MED 2G UNIT OPEN WOUND OF CHEEK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Clinic Referral Self SURGERY CENTER POSTOP URETHRAL STRICTUR
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER JOINT PAIN-MULT JTS
Clinic Referral Self SURGERY CENTER JOINT PAIN-MULT JTS
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Clinic Referral Self SURGERY CENTER ERYTHEMATOUS COND NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER DENTAL DISORDER NEC
Clinic Referral Self SURGERY CENTER DENTAL DISORDER NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY UNSPEC SITE

Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 4 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN PROST DEV
Outside Hospital Ambulance MED 2G UNIT HEADACHE
Outside Hospital Ambulance MED 2G UNIT HEADACHE
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance MED 2G UNIT INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY ENURESIS NOS
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURGERY CENTER ANAL FISTULA
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Clinic Referral Self SURG 3 UNIT NONUNION OF FRACTURE
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance MED 2T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CROUP
Physician Referral Self SURGERY CENTER CHR OSTEOMYELIT-MULT
Physician Referral Self SURGERY CENTER CHR OSTEOMYELIT-MULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INGROWING NAIL
Emergency Room Ambulance EMERGENCY LUMBAGO
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC

Emergency Room Ambulance MED 2G UNIT ACUTE TRACHEITIS NO OBSTRUC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance MED 1T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 1T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE
Emergency Room Ambulance EMERGENCY GENITAL WARTS NOS
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Clinic Referral Self SURG 3 UNIT MANDIBULAR HYPOPLASIA
Emergency Room Ambulance EMERGENCY PALPITATIONS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 4 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance MED 1T UNIT AC INFECT POLYNEURITIS
Emergency Room Ambulance MED 1T UNIT AC INFECT POLYNEURITIS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Clinic Referral Self SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance PICU INFECT/PARASITE DIS NOS
Emergency Room Ambulance PICU INFECT/PARASITE DIS NOS
Emergency Room Ambulance PICU INFECT/PARASITE DIS NOS
Emergency Room Ambulance PICU INFECT/PARASITE DIS NOS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 1T UNIT GRAND MAL STATUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM
Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM

Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM
Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM
Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM
Clinic Referral Self SURG 4 UNIT COR TRIATRIATUM
Emergency Room Ambulance EMERGENCY SYNOVITIS NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Physician Referral Ambulance SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance MED 2G UNIT ACUTE APPENDICITIS NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Physician Referral Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Clinic Referral Self SURGERY CENTER COMPLIC HEART TRANSPLANT
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Outside Hospital Ambulance MED 2T UNIT PERINATAL CHR RESP DIS
Outside Hospital Ambulance MED 2T UNIT PERINATAL CHR RESP DIS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY UNDIAGNOSED CARDIAC MURMURS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT

Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DERMATITIS NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PLANTAR WART
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF NECK
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HERPANGINA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FX CARPAL BONE NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY DISLOC ACROMIOCLAVIC-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY AC GINGIVITIS,NONPLAQUE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURG 4 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 4 UNIT OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC

Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Clinic Referral Self SURG 3 UNIT MALIG NEO BRAIN NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE W/O CRISIS
Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE W/O CRISIS
Clinic Referral Self SURGERY CENTER CHRONIC ADENOIDITIS
Clinic Referral Self SURGERY CENTER CHRONIC ADENOIDITIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG
Emergency Room Ambulance MED 2T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance MED 2T UNIT VIRAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 4 UNIT BILAT CLFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance SURG 3 UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Clinic Referral Self SURG 4 UNIT PATENT DUCTUS ARTERIOSUS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Emergency Room Ambulance SURG 3 UNIT BACTEREMIA NOS
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE

Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY INJURY TRUNK SITE NEC
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Emergency Room Ambulance MED 1T UNIT APNEA
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURG 3 UNIT LUMB/LUMBOSAC DISC DEGEN
Clinic Referral Self SURG 3 UNIT LUMB/LUMBOSAC DISC DEGEN
Clinic Referral Self SURG 3 UNIT LUMB/LUMBOSAC DISC DEGEN
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Clinic Referral Self SURG 3 UNIT HEMANGIOMA NEC
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SCCA UNIT COMPLIC INTERN ORTHO DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY
Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX UP RADIUS NEC/NOS-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Ambulance SURG 4 UNIT CHEST PAIN NOS
Clinic Referral Ambulance SURG 4 UNIT CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY DYSURIA
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT COUGH
Emergency Room Ambulance MED 1T UNIT COUGH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FX HUMERUS NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Clinic Referral Self SURG 3 UNIT ENDOCRINE ANOMALY NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION OF EYE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ENURESIS NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self SURG 3 UNIT CENTRAL NERV SYSTEM COMPLIC
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Clinic Referral Self REHAB UNIT ACQ CAVOVARUS DEFORMITY
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Clinic Referral Self SURG 4 UNIT MALIG NEOPLASM SOFT TIS PELVIS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS

Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance MED 1T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY MYALGIA AND MYOSITIS NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance SCCA UNIT AC MYL LEUK WO ACHV RMSN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY MALFUNC OTHER DEVICE/GRAFT
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance SURG 3 UNIT SPLEEN PARENCHYMA LACERATN-CLOSED
Emergency Room Ambulance SURG 3 UNIT SPLEEN PARENCHYMA LACERATN-CLOSED
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPEND W PERITONITIS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Emergency Room Ambulance MED 2G UNIT PNEUMOCOCCAL PNEUMONIA
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Clinic Referral Self SURG 4 UNIT CHR PULMON HEART DIS NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance PICU CARDIAC ARREST
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance SCCA UNIT HYPERCALCEMIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance SURG 4 UNIT PLEURAL EFFUSION NOS
Emergency Room Ambulance EMERGENCY OTORRHEA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SCCA UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES

Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA
Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FX FEMUR NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY POISONING-AROM ANALGESICS NEC

Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NEC
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHAMARTOSES NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRHAMARTOSES NEC
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS
Clinic Referral Self SURGERY CENTER AFTER-CATARACT NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Clinic Referral Self SURGERY CENTER BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Clinic Referral Self REHAB UNIT OTHER ACQ LIMB DEFORMITY
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance SCCA UNIT ASEPT NECROSIS BONE NEC
Emergency Room Ambulance SCCA UNIT ASEPT NECROSIS BONE NEC
Emergency Room Ambulance SCCA UNIT ASEPT NECROSIS BONE NEC
Emergency Room Ambulance SCCA UNIT ASEPT NECROSIS BONE NEC
Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Physician Referral Ambulance MED 2G UNIT CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT VIRAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRULCERATIVE COLITIS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS, FINGER NOS
Emergency Room Ambulance MED 2G UNIT CELLULITIS, FINGER NOS
Clinic Referral Self SURGERY CENTER CORTICAL/ZONULAR CATARAC
Clinic Referral Self SURGERY CENTER CORTICAL/ZONULAR CATARAC
Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN

Emergency Room Ambulance MED 2G UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCUS GROUP A PNEUMONIA
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCUS GROUP A PNEUMONIA
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCUS GROUP A PNEUMONIA
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCUS GROUP A PNEUMONIA
Emergency Room Ambulance MED 2G UNIT STREPTOCOCCUS GROUP A PNEUMONIA
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER OLD DISRUPT ANT CRUCIATE
Clinic Referral Self SURGERY CENTER OLD DISRUPT ANT CRUCIATE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Clinic Referral Self SURG 4 UNIT CONGEN TRICUSP ATRES/STEN
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT GRAND MAL STATUS
Physician Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Physician Referral Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY THRUSH
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance MED 2G UNIT URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF DIGIT NOS
Emergency Room Ambulance EMERGENCY CLOSE SKULL FRACTURE NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS

Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Physician Referral Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Physician Referral Ambulance MED 2T UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER LENS PROSTHESIS MALFUNC
Clinic Referral Self SURGERY CENTER LENS PROSTHESIS MALFUNC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA OF ATTIC
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance MED 2G UNIT DEHYDRATION
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY MASTOCYTOMA NOS
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2T UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY GASTROINTEST HEMORR NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC GU DEVICE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE

Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY DERMATITIS NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY)
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC

Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY FEVER IN OTHER DISEASES
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURGERY CENTER LOWER LIMB VASC ANOMALY
Clinic Referral Self SURGERY CENTER LOWER LIMB VASC ANOMALY
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER BENIGN NEOPLASM ORBIT
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF NECK
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURG 3 UNIT SALIVARY GLAND MUCOCELE
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 4 UNIT FX RADIUS NECK-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX RADIUS NECK-CLOSED
Emergency Room Ambulance SURG 4 UNIT FX RADIUS NECK-CLOSED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURG 4 UNIT RENAL FAILURE NOS
Clinic Referral Self SURG 4 UNIT RENAL FAILURE NOS
Clinic Referral Self SURG 4 UNIT RENAL FAILURE NOS
Clinic Referral Self SURG 4 UNIT RENAL FAILURE NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY NAUSEA ALONE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance MED 2G UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS

Physician Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NEC
Physician Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NEC
Physician Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NEC
Physician Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NEC
Physician Referral Ambulance SURG 3 UNIT MALIG NEO BRAIN NEC
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self OUTPAT PROCEDURE CNTREOSINOPHILIC ESOPHAGITIS
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NOS
Clinic Referral Self SURGERY CENTER SYNOV/TEND/BURSA DIS NOS
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Clinic Referral Self SURG 3 UNIT LARYNGOTRACH ANOMALY NEC
Emergency Room Ambulance EMERGENCY TORUS FX RADIUS-CL/ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Clinic Referral Ambulance SURG 4 UNIT COMPLIC RENAL DIALYS DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Emergency Room Ambulance MED 1T UNIT DROWNING/NONFATAL SUBMER
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Outside Hospital Ambulance SURG 4 UNIT PERITONITIS NOS
Outside Hospital Ambulance SURG 4 UNIT PERITONITIS NOS
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Ambulance SURG 4 UNIT END STAGE RENAL DISEASE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Emergency Room Ambulance SURG 3 UNIT ACUTE OSTEOMYELITIS-L/LEG
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB

Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY INFANTILE SPASMS INTRACTABLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Outside Hospital Ambulance SURG 4 UNIT ANOMALIES OF DIAPHRAGM
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self OUTPAT PROCEDURE CNTRATROPHIC GASTRITIS W/O HEMORRH
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Physician Referral Self SURGERY CENTER JOINT PAIN-PELVIS
Physician Referral Self SURGERY CENTER JOINT PAIN-PELVIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Outside Health Care Facility Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Physician Referral Ambulance SURG 4 UNIT COMPLIC OTHR VASCUL DEVICE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURG 4 UNIT MALIG RENOVASC HYPERTENS
Physician Referral Self SURG 4 UNIT MALIG RENOVASC HYPERTENS
Physician Referral Self SURG 4 UNIT MALIG RENOVASC HYPERTENS
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Self SURGERY CENTER SIMPLE CHRONIC BRONCHITIS
Clinic Referral Self SURGERY CENTER SIMPLE CHRONIC BRONCHITIS
Clinic Referral Self SURGERY CENTER SIMPLE CHRONIC BRONCHITIS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER SPRAIN OF HAND NOS
Clinic Referral Self SURGERY CENTER SPRAIN OF HAND NOS
Emergency Room Ambulance MED 2G UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance MED 2G UNIT CONGENITAL QUADRIPLEGIA
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Clinic Referral Self SURG 4 UNIT COMPLIC HRT VALVE PROSTHESIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 1T UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY IMPETIGO
Emergency Room Ambulance MED 2G UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance MED 2G UNIT PART EPIL W INTR EPIL
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NEC
Clinic Referral Self SURGERY CENTER URETHRAL STRICTURE NEC
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Physician Referral Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Physician Referral Ambulance MED 2G UNIT HYPOGLYCEMIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Clinic Referral Ambulance INPATIENT PSYCH

Clinic Referral Ambulance INPATIENT PSYCH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Outside Hospital Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Outside Hospital Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Outside Hospital Ambulance MED 2G UNIT PERINATAL INFECTION NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance SURG 3 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY IRON DEF ANEMIA DIETARY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT CHR STOMACH ULC W HEM
Emergency Room Ambulance MED 2G UNIT CHR STOMACH ULC W HEM
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY ELEV BL PRES W/O HYPERTN
Emergency Room Ambulance EMERGENCY FX SHAFT RAD W ULNA-CLOSE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Clinic Referral Self OUTPAT PROCEDURE CNTRESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance SURG 3 UNIT MECKEL’S DIVERTICULUM
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY LOSS TEETH TRAUMA
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER ASEPTIC NECROSIS FEMUR
Clinic Referral Self SURGERY CENTER ASEPTIC NECROSIS FEMUR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA
Clinic Referral Self SURG 3 UNIT MICROTIA

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Clinic Referral Self SCCA UNIT MALIGN NEOPL THYROID
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Clinic Referral Self SURGERY CENTER HAMARTOSES NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self PICU UNSPEC DENTAL CARIES
Clinic Referral Self PICU UNSPEC DENTAL CARIES
Clinic Referral Self PICU UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 4 UNIT CONVULSIONS NEC
Physician Referral Ambulance SURG 4 UNIT CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Hospital Ambulance MED 2G UNIT SPIN BIF W HYDRCEPH-LUMB
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Outside Health Care Facility Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance EMERGENCY OPEN WOUND EXTERN EAR NOS
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance MED 2G UNIT VOMITING ALONE

Emergency Room Ambulance MED 2G UNIT VOMITING ALONE
Emergency Room Ambulance EMERGENCY CLOSED SKULL VAULT FX
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER DISEASES OF LIPS
Clinic Referral Self SURGERY CENTER DISEASES OF LIPS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Physician Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Physician Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Physician Referral Self SURGERY CENTER PYOGENIC GRANULOMA
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES LEG
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance SURG 3 UNIT COMPLIC-DIGESTIVE SYSTEM
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 4 UNIT MAL HYP KID W CR KID V
Outside Hospital Ambulance SURG 4 UNIT MAL HYP KID W CR KID V
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS
Emergency Room Ambulance MED 1T UNIT ACUTE PANCREATITIS

Clinic Referral Self SURGERY CENTER CATARACT NOS
Clinic Referral Self SURGERY CENTER CATARACT NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Clinic Referral Self SURGERY CENTER CONDUCT HEARING LOSS NOS
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Clinic Referral Self SURG 4 UNIT ANOMALIES OF AORTIC ARCH
Emergency Room Ambulance EMERGENCY CONTUSION OF UPPER ARM
Emergency Room Ambulance MED 2T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2T UNIT FLU DT IDEN H1N1 VIRUS
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC
Physician Referral Ambulance SURG 4 UNIT AORTIC VALVE DISORDER
Physician Referral Ambulance SURG 4 UNIT AORTIC VALVE DISORDER
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SCCA UNIT HEREDITARY SPHEROCYTOSIS
Emergency Room Ambulance SCCA UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY PALPITATIONS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Clinic Referral Self SURGERY CENTER CHR ETHMOIDAL SINUSITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS

Emergency Room Ambulance SURG 3 UNIT PARAPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance MED 2T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABRASION HEAD
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Outside Hospital Ambulance PICU PATENT DUCTUS ARTERIOSUS
Outside Hospital Ambulance PICU PATENT DUCTUS ARTERIOSUS

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance SURG 4 UNIT CHOLELITH W ACUTE GB DIS-NO OBSTR
Emergency Room Ambulance SURG 4 UNIT CHOLELITH W ACUTE GB DIS-NO OBSTR
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC
Outside Hospital Ambulance NICU BILIOUS EMESIS
Outside Hospital Ambulance NICU BILIOUS EMESIS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Outside Hospital Ambulance SURG 3 UNIT URIN TRACT INFECTION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS
Physician Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Physician Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Physician Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Physician Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Physician Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Clinic Referral Ambulance MED 2G UNIT ULCERATIVE COLITIS NOS
Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE

Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-ANKLE
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Physician Referral Ambulance SCCA UNIT IMMUNITY DEFICIENCY NOS
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Clinic Referral Self SURG 4 UNIT HYP KID NOS W CR KID V
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX HUMERUS, LAT CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Outside Hospital Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Outside Hospital Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Outside Hospital Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Outside Hospital Ambulance MED 2T UNIT URINARY TRACT INFECTION OF NEWBORN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Outside Hospital Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Outside Hospital Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Outside Hospital Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Outside Hospital Self SURG 4 UNIT CONGEN AORTA VALVULAR STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Emergency Room Ambulance SURG 3 UNIT INTESTINAL OBSTRUCT NOS
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM
Outside Hospital Ambulance MED 1T UNIT CHRONIC RESPIRATORY FAILURE

Outside Hospital Ambulance MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Outside Hospital Ambulance MED 1T UNIT CHRONIC RESPIRATORY FAILURE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 1T UNIT EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SCCA UNIT LYMPH/HEMATPOITC TIS NEC
Clinic Referral Self SCCA UNIT LYMPH/HEMATPOITC TIS NEC
Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT LARYNGEAL SPASM
Emergency Room Ambulance MED 2G UNIT LARYNGEAL SPASM
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT FX MEDIAL MALLEOLUS-CLOSE
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Clinic Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 4 UNIT CHRONIC HEPATITIS NEC
Clinic Referral Self SURG 4 UNIT CHRONIC HEPATITIS NEC
Clinic Referral Self SURG 4 UNIT CHRONIC HEPATITIS NEC
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST

Clinic Referral Self MED 2G UNIT CYSTIC FIBROSIS W PULM MANIFEST
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance MED 2G UNIT WHEEZING
Emergency Room Ambulance EMERGENCY HEMATURIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT
Emergency Room Ambulance SURG 4 UNIT HEMATEMESIS
Emergency Room Ambulance SURG 4 UNIT HEMATEMESIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Clinic Referral Ambulance SURG 4 UNIT ACUTE URI NOS
Clinic Referral Ambulance SURG 4 UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY TOXIC EFFECT CORROSIVE AROMAT
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 3 UNIT DISORDERS OF METAB NEC
Clinic Referral Self SURG 3 UNIT DISORDERS OF METAB NEC
Clinic Referral Self SURG 3 UNIT DISORDERS OF METAB NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance MED 2G UNIT CELLULITIS OF FOOT
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC
Outside Hospital Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST
Outside Hospital Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM

Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDCTV HEAR LOSS, BILAT
Clinic Referral Self OUTPAT PROCEDURE CNTRCONDCTV HEAR LOSS, BILAT
Clinic Referral Self SCCA UNIT FEVER NOS
Clinic Referral Self SCCA UNIT FEVER NOS
Outside Hospital Ambulance NICU NONINFECT LYMPH DIS NEC
Outside Hospital Ambulance NICU NONINFECT LYMPH DIS NEC
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Outside Hospital Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Outside Hospital Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Outside Hospital Ambulance MED 2G UNIT NERVE/MUSCULSKEL SYM NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Clinic Referral Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Ambulance SURG 4 UNIT PERINAT GI SYS DIS NEC
Clinic Referral Ambulance SURG 4 UNIT PERINAT GI SYS DIS NEC
Emergency Room Ambulance EMERGENCY TIETZE’S DISEASE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR

Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Clinic Referral Self SURG 3 UNIT MOYAMOYA DISEASE
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF LEG
Emergency Room Ambulance SURG 4 UNIT CELLULITIS OF LEG
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE
Clinic Referral Self SURGERY CENTER FB LEFT DURING PROCEDURE
Clinic Referral Self SURGERY CENTER FB LEFT DURING PROCEDURE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Emergency Room Ambulance MED 2G UNIT ACIDOSIS
Outside Hospital Ambulance MED 2G UNIT PERSISTENT FETAL CIRCULATION
Outside Hospital Ambulance MED 2G UNIT PERSISTENT FETAL CIRCULATION
Outside Hospital Ambulance MED 2G UNIT PERSISTENT FETAL CIRCULATION
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Outside Hospital Ambulance SURG 4 UNIT VENTRICULAR SEPT DEFECT
Emergency Room Ambulance MED 1T UNIT OTHER SICKLE-CELL DIS W CRISIS
Emergency Room Ambulance MED 1T UNIT OTHER SICKLE-CELL DIS W CRISIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN

Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Ambulance SURG 4 UNIT ABN BLOOD CHEMISTRY NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREGIONAL ENTERITIS NOS
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Physician Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Physician Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Physician Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Clinic Referral Self SURGERY CENTER FEMORAL EPIPHYSIOLYSIS
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Outside Hospital Ambulance REHAB UNIT REHABILITATION PROC NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Clinic Referral Self SURGERY CENTER VENTRAL HERNIA NEC
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance MED 2T UNIT NEONATAL CANDIDA INFECTION
Emergency Room Ambulance MED 2T UNIT NEONATAL CANDIDA INFECTION
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Clinic Referral Self SURG 3 UNIT NEUROGENIC BLADDER NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 4 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FRACTURE ULNA NOS-CLOSED
Emergency Room Ambulance EMERGENCY ACQ NASOLACRML STENOSIS
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY SIALOADENITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX HUMERUS, MED CONDYL-CLOSE
Emergency Room Ambulance EMERGENCY INCONTINENCE W/O SENSORY AWARENESS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY NASAL AND SINUS DIS NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FOREIGN BODY IN LARYNX
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABNORMAL CLINICAL FINDING NEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC

Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF PHARYNX
Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY NB FEEDING PROBLEMS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY JOINT PAIN-ANKLE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT MUCOPOLYSACCHARIDOSIS
Clinic Referral Self MED 1T UNIT RAPIDLY PROG NEPHRIT NOS
Clinic Referral Self MED 1T UNIT RAPIDLY PROG NEPHRIT NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT INTESTINAL FISTULA
Clinic Referral Self SURG 3 UNIT INTESTINAL FISTULA
Clinic Referral Self SURG 3 UNIT INTESTINAL FISTULA
Clinic Referral Self SURG 3 UNIT INTESTINAL FISTULA
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Clinic Referral Self SURG 4 UNIT FAILURE TO THRIVE
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2T UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Outside Hospital Ambulance SURG 3 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 3 UNIT GASTROSCHISIS
Outside Hospital Ambulance SURG 3 UNIT GASTROSCHISIS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance REHAB UNIT PYOGEN ARTHRITIS-PELVIS
Clinic Referral Self SURG 4 UNIT EBSTEIN’S ANOMALY
Clinic Referral Self SURG 4 UNIT EBSTEIN’S ANOMALY
Clinic Referral Self SURG 4 UNIT EBSTEIN’S ANOMALY
Clinic Referral Self SURG 4 UNIT EBSTEIN’S ANOMALY
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Clinic Referral Self MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Outside Hospital Ambulance MED 2G UNIT RESPIRATORY FAILURE OF NEWBORN
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self MED 2G UNIT PERSISTENT VOMITING
Clinic Referral Self MED 2G UNIT PERSISTENT VOMITING
Clinic Referral Self MED 2G UNIT PERSISTENT VOMITING
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Clinic Referral Self SURG 3 UNIT MALIG NEO TEMPORAL LOBE
Emergency Room Ambulance EMERGENCY NB FEEDING PROBLEMS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Clinic Referral Self SURG 3 UNIT IDIOPATHIC SCOLIOSIS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Clinic Referral Self SURG 3 UNIT ACQ HIP DEFORMITY NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance SURG 4 UNIT MUCOCUTAN LYMPH NODE SYN
Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY DERMATITIS NOS

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL TENDERNESS UNSP SITE
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance MED 1T UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance MED 1T UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Ambulance INPATIENT PSYCH
Clinic Referral Ambulance INPATIENT PSYCH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU DT IDEN AVIAN VIRUS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACETONURIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTHER BACK SYMPTOMS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC

Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance SURG 3 UNIT BRONCHITIS NOS
Emergency Room Ambulance MED 2T UNIT ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance MED 2T UNIT ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 1T UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 1T UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 1T UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance MED 1T UNIT PYOGEN ARTHRITIS-PELVIS
Emergency Room Ambulance EMERGENCY CONG FACTOR VIII DIORD
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FINGER INJURY NOS
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE

Emergency Room Ambulance MED 2G UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance MED 2G UNIT APLASTIC ANEMIA NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF TOE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEMARTHROSIS-L/LEG
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN OTHER SPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Outside Hospital Ambulance PICU PNEUMOCOCCAL SEPTICEMIA
Outside Hospital Ambulance PICU PNEUMOCOCCAL SEPTICEMIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN LLQ
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS

Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Clinic Referral Ambulance SURG 4 UNIT DRUG INDUCED NEUTROPENIA
Clinic Referral Ambulance SURG 4 UNIT DRUG INDUCED NEUTROPENIA
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Emergency Room Ambulance SURG 4 UNIT SYNOVITIS NEC
Emergency Room Ambulance SURG 4 UNIT SYNOVITIS NEC
Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance MED 2T UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY JUV OSTEOCHONDROSIS LEG
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HIP AND THIGH INJURY NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance MED 2G UNIT MECHANICAL COMPLIC OF GASTROSTOMY
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY ORAL APHTHAE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEEDING PROBLEM
Clinic Referral Ambulance MED 2G UNIT CYCLIC NEUTROPENIA
Clinic Referral Ambulance MED 2G UNIT CYCLIC NEUTROPENIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY IRIDOCYCLITIS NOS
Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY PREPATELLAR BURSITIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY EXCS CRY CHLD,ADOL,ADULT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY BRONCHUS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2T UNIT CLOSE SKULL BASE FX W/O COMA
Emergency Room Ambulance MED 2T UNIT CLOSE SKULL BASE FX W/O COMA
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Clinic Referral Self SURGERY CENTER CEREBROVASCULAR ANOMALY
Clinic Referral Self SURGERY CENTER CEREBROVASCULAR ANOMALY
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Clinic Referral Self OUTPAT PROCEDURE CNTRHEMANGIOMA SKIN
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER FOREIGN BODY IN NOSE
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY

Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE APICAL PERIODONTITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY ERYTHMA MULTIFORME MINOR
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self OUTPAT PROCEDURE CNTRSEBACEOUS CYST
Clinic Referral Self OUTPAT PROCEDURE CNTRSEBACEOUS CYST
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY HAND, FOOT AND MOUTH DIS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Ambulance SURGERY CENTER MALFUNC VASC DEVICE/GRAF
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURG 3 UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDYSPHAGIA NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Clinic Referral Self SURGERY CENTER BRANCH CLEFT SINUS/FISTU
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Emergency Room Ambulance MED 2G UNIT COMPLX FEBRILE CONVULSNS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES

Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance MED 2G UNIT TOXIC SHOCK SYNDROME
Emergency Room Ambulance SURG 4 UNIT KIDNEY LACERATION-CLOSED
Emergency Room Ambulance SURG 4 UNIT KIDNEY LACERATION-CLOSED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT HEREDITARY SPHEROCYTOSIS
Emergency Room Ambulance SURG 3 UNIT HEREDITARY SPHEROCYTOSIS
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Clinic Referral Self OUTPAT PROCEDURE CNTRVASCULAR HAMARTOMAS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance EMERGENCY MALFUNC URETHRAL CATH
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER DIS EXTERNAL EAR NEC
Clinic Referral Self SURGERY CENTER DIS EXTERNAL EAR NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self OUTPAT PROCEDURE CNTRBENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Clinic Referral Self SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY SERUM REACTION NEC
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID
Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE

Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Emergency Room Ambulance SURG 3 UNIT ACUTE RESPIRATORY FAILURE
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS
Physician Referral Ambulance REHAB UNIT DRUG DERMATITIS NOS
Physician Referral Ambulance REHAB UNIT DRUG DERMATITIS NOS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRNONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SCCA UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS SPINE
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS SPINE
Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS SPINE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING
Physician Referral Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Physician Referral Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Physician Referral Self SURGERY CENTER POSTINFLAM PULM FIBROSIS
Physician Referral Self SURGERY CENTER POSTINFLAM PULM FIBROSIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Physician Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Physician Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Physician Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Physician Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC

Physician Referral Ambulance SURG 4 UNIT PRIM CARDIOMYOPATHY NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Clinic Referral Self MED 2G UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY MALFUN NEURO DEVICE/GRAF
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND FINGER-COMPL
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY OTHER POSTOP INFECTION
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Clinic Referral Self SURGERY CENTER UNILAT ING HERNIA W OBST
Emergency Room Ambulance EMERGENCY FEVER NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF HAND(S)
Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER LYMPHOMAS NEC MULT
Clinic Referral Self SURGERY CENTER LYMPHOMAS NEC MULT
Clinic Referral Self SURGERY CENTER LYMPHOMAS NEC MULT
Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CONTUSION OF CHEST WALL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA
Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA

Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY TACHYCARDIA NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Admitted as transfer from another unitSelf OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Admitted as transfer from another unitSelf OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY WHEEZING
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self SURG 3 UNIT ANAL FISTULA
Clinic Referral Self SURG 3 UNIT ANAL FISTULA
Clinic Referral Self SURG 3 UNIT ANAL FISTULA
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Clinic Referral Self OUTPAT PROCEDURE CNTRFIT/ADJUST VASC CATHETER AFTERCARE
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self REHAB UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self REHAB UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self REHAB UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self SURG 3 UNIT SPINAL STENOSIS-THORACIC
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Emergency Room Ambulance EMERGENCY CHEST SWELLING/MASS/LUMP
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR

Clinic Referral Self SURG 3 UNIT CHOLESTEATOMA MIDDLE EAR
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Clinic Referral Self SURGERY CENTER DISORDERS OF METAB NEC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 3 UNIT ANOMALIES OF DIAPHRAGM
Clinic Referral Self SURG 3 UNIT ANOMALIES OF DIAPHRAGM
Clinic Referral Self SURG 3 UNIT ANOMALIES OF DIAPHRAGM
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Clinic Referral Self SURG 4 UNIT ADJUST FITTING CARDIAC PACEMAKER
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER TALIPES NOS
Clinic Referral Self SURGERY CENTER TALIPES NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Clinic Referral Self SURG 4 UNIT CONGENITAL PULMON VALVE STENOS
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Emergency Room Ambulance REHAB UNIT CELLULITIS OF LEG
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Clinic Referral Self SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Emergency Room Ambulance SURG 4 UNIT HYPOCALCEMIA
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT OTHR CONG MULTI SYSTEM SYND
Clinic Referral Self SURG 3 UNIT OTHR CONG MULTI SYSTEM SYND

Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURG 3 UNIT DIS OF GALLBLADDER NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF BACK NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Physician Referral Self SURG 3 UNIT CHOLEDOCHOLITHIASIS NOS
Physician Referral Self SURG 3 UNIT CHOLEDOCHOLITHIASIS NOS
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK
Emergency Room Ambulance EMERGENCY PITYRIASIS VERSICOLOR
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Emergency Room Ambulance MED 1T UNIT ESOPHAGEAL REFLUX
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Clinic Referral Self SURG 4 UNIT MALFUNC PROSTH HRT VALVE
Emergency Room Ambulance MED 1T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 1T UNIT FLU DT IDEN H1N1 VIRUS
Outside Hospital Ambulance SURG 4 UNIT ACUTE KIDNEY FAILURE NOS
Outside Hospital Ambulance SURG 4 UNIT ACUTE KIDNEY FAILURE NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS

Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance SURG 3 UNIT FOREIGN BODY ESOPHAGUS
Emergency Room Ambulance EMERGENCY FEVER NOS
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Physician Referral Ambulance SURG 4 UNIT BILIARY ATRESIA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Emergency Room Ambulance SURG 3 UNIT PNEUMOCOCCAL MENINGITIS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT RESP SYSTEM DISEASE NEC
Emergency Room Ambulance MED 1T UNIT RESP SYSTEM DISEASE NEC
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Physician Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 3 UNIT ACUTE APPEND W PERITONITIS
Clinic Referral Self SURG 3 UNIT ACUTE APPEND W PERITONITIS
Outside Hospital Self MED 2T UNIT MALIG NEO BRAIN NOS
Outside Hospital Self MED 2T UNIT MALIG NEO BRAIN NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER
Clinic Referral Self SURGERY CENTER
Emergency Room Ambulance EMERGENCY OTORRHEA NEC
Emergency Room Ambulance EMERGENCY ERYTHEMA INFECTIOSUM
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Clinic Referral Self SURGERY CENTER ANOMALOUS AV EXCITATION
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE
Emergency Room Ambulance SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance SURGERY CENTER CALCULUS OF KIDNEY

Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 1T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance SURG 4 UNIT MELENA, BLOOD IN STOOL
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance MED 2G UNIT FEEDING PROBLEM
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER VOCAL PARAL BILAT PART
Clinic Referral Self SURGERY CENTER VOCAL PARAL BILAT PART
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY BURN NOS PALM
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Physician Referral Ambulance SURG 4 UNIT CHRONIC KIDNEY DISEASE, STAGE IV (SEV)
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 1T UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Outside Hospital Ambulance NICU CONG CENT ALVEO HYPOVENT SYND
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF RESPIRAT SYST, NEC
Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF RESPIRAT SYST, NEC
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Outside Hospital Ambulance NICU RESPIRATORY PROBS AFTER BIRTH NEC
Outside Hospital Ambulance NICU RESPIRATORY PROBS AFTER BIRTH NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT
Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT

Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance SURG 4 UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS
Emergency Room Ambulance EMERGENCY SCABIES
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self MED 2G UNIT ACUTE URI NOS
Clinic Referral Self MED 2G UNIT ACUTE URI NOS
Clinic Referral Self MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance SURG 4 UNIT ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK-SERUM
Emergency Room Ambulance EMERGENCY OPEN WOUND OF MOUTH NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance SURG 4 UNIT CONSTIPATION NOS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
Emergency Room Ambulance EMERGENCY POISONING-MEDICINAL AGT NEC
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR
Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW

Emergency Room Ambulance EMERGENCY DENTAL DISORDER NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND KNEE/LEG/ANKLE
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Clinic Referral Self MED 1T UNIT
Clinic Referral Self MED 1T UNIT

Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURG 3 UNIT PERIPH VASC ANOMALY OTHR SPEC SITE
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Clinic Referral Self MED 1T UNIT EPILEPSY NOS W/O MENTN INTRACTABLE
Admitted as transfer from another unitSelf SCCA UNIT BURKITT’S TUMOR MULT
Admitted as transfer from another unitSelf SCCA UNIT BURKITT’S TUMOR MULT
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS
Emergency Room Ambulance EMERGENCY BROKEN TOOTH-UNCOMPLIC
Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY DIARRHEA NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF BUTTOCK
Outside Hospital Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Outside Hospital Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance EMERGENCY OTALGIA NOS
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURG 4 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, FINGER NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, FINGER NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS, FINGER NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO

Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Clinic Referral Self SURGERY CENTER INFEC/INFLAM-INTERN ORTHO DEV
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA
Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance SURG 4 UNIT NEPHRITIS NEC
Emergency Room Ambulance SURG 4 UNIT NEPHRITIS NEC
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURG 3 UNIT REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER PERINATAL CONDITION NEC
Clinic Referral Self SURGERY CENTER PERINATAL CONDITION NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2T UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Emergency Room Ambulance MED 2G UNIT RHABDOMYOLYSIS
Physician Referral Ambulance INPATIENT PSYCH OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Physician Referral Ambulance INPATIENT PSYCH OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance SURG 4 UNIT CLOSED SKULL VLT FX W/O COMA

Emergency Room Ambulance SURG 4 UNIT CLOSED SKULL VLT FX W/O COMA
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance MED 2G UNIT DISORDERS MITOCHONDRIAL METABOL
Emergency Room Ambulance SURG 3 UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance SURG 3 UNIT PSEUDOTUMOR CEREBRI
Emergency Room Ambulance SURG 3 UNIT PSEUDOTUMOR CEREBRI
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Physician Referral Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 1T UNIT EXTERNAL OPHTHALMOPLEGIA
Emergency Room Ambulance MED 1T UNIT EXTERNAL OPHTHALMOPLEGIA
Emergency Room Ambulance MED 1T UNIT EXTERNAL OPHTHALMOPLEGIA
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS
Outside Hospital Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Outside Hospital Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Outside Hospital Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Outside Hospital Ambulance SURG 4 UNIT CONGENITAL OBSTRUC RENAL UVJ
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL PNEUMONIA NOS
Clinic Referral Self SURGERY CENTER DISEASE OF PHARYNX NEC
Clinic Referral Self SURGERY CENTER DISEASE OF PHARYNX NEC
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 2T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC
Clinic Referral Self SURGERY CENTER INCISIONAL HERNIA
Clinic Referral Self SURGERY CENTER INCISIONAL HERNIA
Clinic Referral Self SURGERY CENTER INCISIONAL HERNIA

Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF
Emergency Room Ambulance EMERGENCY CONVULSIONS NEC
Emergency Room Ambulance MED 1T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 1T UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Emergency Room Ambulance EMERGENCY SEBORRHEIC INFANTILE DERMATITIS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance SURG 4 UNIT FEVER NOS
Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS
Clinic Referral Self SURGERY CENTER KELOID SCAR
Clinic Referral Self SURGERY CENTER KELOID SCAR
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE
Emergency Room Ambulance EMERGENCY SPONTANEOUS ECCHYMOSES
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Outside Hospital Ambulance SURG 4 UNIT INTEST POSTOP NONABSORB
Emergency Room Ambulance SURG 4 UNIT POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance SURG 4 UNIT POSTSURG AFTERCARE OTHER SPECIFIED
Emergency Room Ambulance EMERGENCY FX CONDYL PROC MANDIB-CL
Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS
Emergency Room Ambulance EMERGENCY COMMUNIC DIS CONTACT NEC
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK

Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURG 4 UNIT BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURG 4 UNIT BENIGN NEO SOFT TISSUE ARM
Clinic Referral Self SURG 4 UNIT BENIGN NEO SOFT TISSUE ARM
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY CROUP
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY COUGH
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Clinic Referral Self SURGERY CENTER OLD FB IN SOFT TISSUE
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY LAC EYELID SKN/PERIOCULR
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY ABNORMAL URINE FINDINGS NEC
Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS
Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY CHEST PAIN NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY DELAY CONJUGAT JAUND NOS
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY FX ARM MULT/NOS-CLOSED
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY GASTRITIS/DUODEN NOS W/O HEMORRH
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Clinic Referral Self SURG 4 UNIT BRANCHIAL CLEFT CYST
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER POSTSURG AFTERCARE OTHER SPECIFIED
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURG 3 UNIT RENAL VASC ANOMALY
Clinic Referral Self SURG 3 UNIT RENAL VASC ANOMALY
Clinic Referral Self SURG 3 UNIT RENAL VASC ANOMALY
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS
Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS

Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Physician Referral Ambulance MED 1T UNIT
Physician Referral Ambulance MED 1T UNIT
Emergency Room Ambulance EMERGENCY FEVER NOS
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURG 3 UNIT TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Clinic Referral Self SCCA UNIT BACTEREMIA NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN
Emergency Room Ambulance EMERGENCY GENERALIZED PAIN
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Emergency Room Ambulance MED 2G UNIT INFLUENZA WITH PNEUMONIA
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self REHAB UNIT MECH COMP ORTHO DEV/ GRAFT NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE

Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Clinic Referral Self SCCA UNIT MALIG NEO TESTIS NEC
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Clinic Referral Self SURG 3 UNIT ANEURYSMAL BONE CYST
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ALLERG ALVEOL/PNEUM NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Clinic Referral Self OUTPAT PROCEDURE CNTRUNSPEC DENTAL CARIES
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Clinic Referral Self SURG 3 UNIT CONG VARUS FOOT DEF NEC
Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self SURG 3 UNIT SENSORNEUR HEAR LOSS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self OUTPAT PROCEDURE CNTRREG ENTERITIS, LG INTEST
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NEC
Clinic Referral Self SURGERY CENTER MUSCLE/LIGAMENT DIS NEC
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Clinic Referral Self OUTPAT PROCEDURE CNTRMELENA, BLOOD IN STOOL
Emergency Room Ambulance EMERGENCY HEMATEMESIS
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD

Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Outside Hospital Ambulance SURG 4 UNIT VOLVULUS OF INTESTINE
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2G UNIT HB-SS DISEASE WITH CRISIS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance SURG 4 UNIT RETROPHARYNGEAL ABSCESS
Emergency Room Ambulance EMERGENCY DEHYDRATION
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Emergency Room Ambulance MED 1T UNIT FETAL/NEONATAL JAUND NOS
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Admitted as transfer from another unitAmbulance REHAB UNIT REHABILITATION PROC NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance SURG 3 UNIT IRON DEFIC ANEMIA NOS
Emergency Room Ambulance SURG 3 UNIT IRON DEFIC ANEMIA NOS
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 3 UNIT CHONDRODYSTROPHY
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC
Emergency Room Ambulance EMERGENCY SPRAIN ELBOW/FOREARM NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Emergency Room Ambulance MED 2G UNIT ACUTE URI NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Emergency Room Ambulance EMERGENCY SPRAIN OF WRIST NOS
Emergency Room Ambulance MED 1T UNIT TONGUE ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT TONGUE ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT TONGUE ANOMALY NEC
Emergency Room Ambulance MED 1T UNIT TONGUE ANOMALY NEC

Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Emergency Room Ambulance MED 2T UNIT CYANOTIC ATTACKS OF NEWBORN
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Clinic Referral Self SURGERY CENTER POLYDACTYLY, TOES
Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Clinic Referral Self OUTPAT PROCEDURE CNTRATTEN TO GASTROSTOMY
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Clinic Referral Self SURG 3 UNIT CONTRACTURE OF TENDON
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance MED 1T UNIT CROUP
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance SURG 3 UNIT INFLAM DISEASE OF BREAST
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Emergency Room Ambulance MED 2G UNIT FEVER NOS
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 4 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 4 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURG 4 UNIT FIT/ADJUST PROSTHESIS NEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Emergency Room Ambulance MED 2G UNIT ACUTE MAXILLARY SINUSITIS
Emergency Room Ambulance MED 2G UNIT ACUTE MAXILLARY SINUSITIS
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE

Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Clinic Referral Self SURGERY CENTER STENOSIS OF LARYNX
Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG
Emergency Room Ambulance EMERGENCY VOMITING ALONE
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Emergency Room Ambulance MED 2G UNIT CLOSE SKULL FX NEC W/O COMA
Clinic Referral Self SURGERY CENTER FX ANKLE NOS-CLOSED
Clinic Referral Self SURGERY CENTER FX ANKLE NOS-CLOSED
Emergency Room Ambulance EMERGENCY CONTUSION OF BUTTOCK
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Clinic Referral Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Clinic Referral Ambulance MED 2G UNIT CONG PYLORIC STENOSIS
Emergency Room Ambulance EMERGENCY STREP SORE THROAT
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS
Emergency Room Ambulance EMERGENCY CARDIAC DYSRHYTHMIA NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY BACKACHE NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NEC
Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB
Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES
Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS
Emergency Room Ambulance EMERGENCY FLU DT IDEN H1N1 VIRUS
Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH

Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY WHEEZING
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK
Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
Emergency Room Ambulance EMERGENCY CONSTIPATION NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY COUGH
Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY HEADACHE
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION
Emergency Room Ambulance EMERGENCY URTICARIA NOS
Emergency Room Ambulance EMERGENCY EPISTAXIS
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY FEVER NOS
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS

Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self OUTPAT PROCEDURE CNTRCELIAC DISEASE
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self OUTPAT PROCEDURE CNTRVOMITING ALONE
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY APNEA
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER SUPERNUMERARY TEETH
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Clinic Referral Self OUTPAT PROCEDURE CNTRPERSISTENT VOMITING
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NOS
Clinic Referral Self SURG 4 UNIT CLEFT PALATE AND LIP NOS
Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS
Clinic Referral Self SURGERY CENTER TALIPES NOS
Clinic Referral Self SURGERY CENTER TALIPES NOS
Clinic Referral Self MED 1T UNIT ADRENAL DISORDER NOS
Clinic Referral Self MED 1T UNIT ADRENAL DISORDER NOS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Clinic Referral Self SURG 3 UNIT ACQ EQUINOVARUS
Emergency Room Ambulance EMERGENCY GASTROSTOMY COMPLICATION NEC
Emergency Room Ambulance EMERGENCY DEHYDRATION
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Clinic Referral Self SURG 3 UNIT FX UPPER END TIBIA-CLOSE
Emergency Room Ambulance EMERGENCY CROUP
Emergency Room Ambulance EMERGENCY CONTUSION OF BACK
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Clinic Referral Self SURGERY CENTER EPILEPSY NOS INTRACTABLE
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS

Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Clinic Referral Self OUTPAT PROCEDURE CNTRDIARRHEA NOS
Emergency Room Ambulance EMERGENCY CELLULITIS OF NECK
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance EMERGENCY PAIN IN LIMB
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN PROST DEV
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self OUTPAT PROCEDURE CNTRABDOMINAL PAIN UNSPEC SITE
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Clinic Referral Self SURG 4 UNIT BONE AND CARTILAGE DIS NEC
Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURGERY CENTER BENIGN NEO LOWER JAW BONE
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Clinic Referral Self SURGERY CENTER CYSTS OF JAWS NEC
Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Emergency Room Ambulance MED 2T UNIT CROUP
Emergency Room Ambulance MED 2T UNIT CROUP
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
Emergency Room Ambulance EMERGENCY ACUTE URI NOS
Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC
Clinic Referral Self SURGERY CENTER VESICOUR
Sheet: inpatientData
Admit Source
Admit Type
Clinical Unit
Diagnosis Primary
Discharge Datetime
Episode Start Datetime
Episode Month
Gender
PROCEDURE (ICD9) PRIMARY
Religion
Age
Age (text)
Hospital LOS Bed Days
Hospital LOS (text)
Emergency Room
Ambulance
EMERGENCY
39815.975
Jan
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
39815.975
Jan
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
39815.975
Jan
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
39821.875
Jan
M
Emergency Room
Ambulance
EMERGENCY
39821.94930555556
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39825.52847222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39825.52847222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39827.32847222222
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39827.32847222222
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39827.32847222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39827.80416666667
Jan
M
Clinic Referral
Self
SURGERY CENTER
39829.37291666667
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39829.37291666667
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39829.37291666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39830.43263888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39831.592361111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39832.561111111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39832.64513888889
Jan
M
Emergency Room
Ambulance
EMERGENCY
39832.725
Jan
F
Emergency Room
Ambulance
EMERGENCY
39832.87569444445
Jan
F
Clinic Referral
Self
SURGERY CENTER
39833.38263888889
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39833.38263888889
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39833.38263888889
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39833.51944444444
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39833.51944444444
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39833.51944444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39835.80069444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39835.861805555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39835.861805555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39835.861805555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39835.861805555556
Jan
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39836.40555555555
Jan
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39836.40555555555
Jan
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39836.40555555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39838.65694444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39839.603472222225
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39840.538194444445
Jan
M
Emergency Room
Ambulance
EMERGENCY
39841.626388888886
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39844.552083333336
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39845.756944444445
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39847.467361111114
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39847.467361111114
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39847.467361111114
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39848.32708333333
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39848.32708333333
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39848.32708333333
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39848.365277777775
Feb
F
Other Religion
Clinic Referral
Self
SURGERY CENTER
39848.365277777775
Feb
F
Other Religion
Clinic Referral
Self
SURGERY CENTER
39848.365277777775
Feb
F
Other Religion
Clinic Referral
Self
SURGERY CENTER
39848.365277777775
Feb
F
Other Religion
Physician Referral
Self
SURGERY CENTER
39849.361805555556
Feb
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39849.361805555556
Feb
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39849.361805555556
Feb
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39849.55902777778
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39849.86875
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
39853.330555555556
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
39853.330555555556
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
39854.27569444444
Feb
M
Christian
Clinic Referral
Self
SURGERY CENTER
39854.294444444444
Feb
M
Jehovah’s Witness
Clinic Referral
Self
SURGERY CENTER
39854.294444444444
Feb
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
39855.788194444445
Feb
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39855.78888888889
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39855.78888888889
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39857.26458333333
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
39857.26458333333
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
39857.26458333333
Feb
F
Christian
Emergency Room
Ambulance
EMERGENCY
39858.68541666667
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39860.82638888889
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39861.39861111111
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39861.39861111111
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39862.345138888886
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39862.345138888886
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39862.345138888886
Feb
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39862.395833333336
Feb
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39862.395833333336
Feb
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39862.395833333336
Feb
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39862.68263888889
Feb
M
Baptist
Physician Referral
Self
SURGERY CENTER
39862.68263888889
Feb
M
Baptist
Physician Referral
Self
SURGERY CENTER
39862.68263888889
Feb
M
Baptist
Emergency Room
Ambulance
EMERGENCY
39862.86736111111
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39864.458333333336
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39866.51736111111
Feb
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39866.85555555556
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39867.794444444444
Feb
F
Emergency Room
Ambulance
EMERGENCY
39869.79305555556
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39870.51597222222
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39870.51736111111
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39871.347916666666
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39871.347916666666
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39871.347916666666
Feb
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39871.66527777778
Feb
F
Emergency Room
Ambulance
EMERGENCY
39871.66527777778
Feb
F
Emergency Room
Ambulance
EMERGENCY
39871.74791666667
Feb
M
Emergency Room
Ambulance
EMERGENCY
39872.770833333336
Feb
F
Other Religion
Physician Referral
Self
SURGERY CENTER
39874.40694444445
Mar
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39874.40694444445
Mar
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39874.40694444445
Mar
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39874.55069444444
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39874.55069444444
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39874.55069444444
Mar
M
No Religious Preference
Clinic Referral
Ambulance
INPATIENT PSYCH
39875.45694444444
Mar
F
No Religious Preference
Clinic Referral
Ambulance
INPATIENT PSYCH
39875.45694444444
Mar
F
No Religious Preference
Clinic Referral
Ambulance
INPATIENT PSYCH
39875.45694444444
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39875.79027777778
Mar
M
Emergency Room
Ambulance
EMERGENCY
39875.8875
Mar
M
Islam
Clinic Referral
Self
SURGERY CENTER
39877.34097222222
Mar
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39877.34097222222
Mar
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39877.34097222222
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39880.705555555556
Mar
M
Clinic Referral
Ambulance
SURG 4 UNIT
39885.67361111111
Mar
F
No Religious Preference
Clinic Referral
Ambulance
SURG 4 UNIT
39885.67361111111
Mar
F
No Religious Preference
Clinic Referral
Ambulance
SURG 4 UNIT
39885.67361111111
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39886.4625
Mar
M
Emergency Room
Ambulance
EMERGENCY
39886.60972222222
Mar
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39886.736805555556
Mar
M
Ambulance
EMERGENCY
39887.736805555556
Mar
M
Emergency Room
Ambulance
EMERGENCY
39887.754166666666
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39887.88958333333
Mar
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39888.584027777775
Mar
M
Emergency Room
Ambulance
EMERGENCY
39890.805555555555
Mar
M
Christian
Emergency Room
Ambulance
EMERGENCY
39892.47777777778
Mar
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39892.63055555556
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39895.29722222222
Mar
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39895.29722222222
Mar
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39895.29722222222
Mar
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39899.626388888886
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39900.94027777778
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39904.78680555556
Apr
M
Islam
Emergency Room
Ambulance
EMERGENCY
39904.78680555556
Apr
M
Islam
Clinic Referral
Self
SURGERY CENTER
39905.28888888889
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39905.28888888889
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39905.28888888889
Apr
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39906.33194444444
Apr
M
Christian
Physician Referral
Self
SURGERY CENTER
39906.33194444444
Apr
M
Christian
Physician Referral
Self
SURGERY CENTER
39906.33194444444
Apr
M
Christian
Clinic Referral
Self
SURGERY CENTER
39911.28402777778
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39911.28402777778
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39911.28402777778
Apr
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39912.34652777778
Apr
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
39913.57847222222
Apr
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39914.592361111114
Apr
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39915.64166666667
Apr
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39916.55625
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39919.558333333334
Apr
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39919.558333333334
Apr
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39919.558333333334
Apr
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39919.558333333334
Apr
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39919.558333333334
Apr
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39923.075694444444
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39925.49375
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39925.49375
Apr
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39925.49375
Apr
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39926.28680555556
Apr
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39926.28680555556
Apr
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
39926.28680555556
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39926.37013888889
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39926.37013888889
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39926.37013888889
Apr
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39926.42361111111
Apr
F
Protestant
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39926.42361111111
Apr
F
Protestant
Emergency Room
Ambulance
EMERGENCY
39928.927777777775
Apr
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39929.44305555556
Apr
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39930.381944444445
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39930.381944444445
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39930.381944444445
Apr
F
No Religious Preference
Clinic Referral
Ambulance
SURGERY CENTER
39930.47083333333
Apr
F
No Religious Preference
Clinic Referral
Ambulance
SURGERY CENTER
39930.47083333333
Apr
F
No Religious Preference
Clinic Referral
Ambulance
SURGERY CENTER
39930.47083333333
Apr
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39930.802083333336
Apr
F
Christian
Clinic Referral
Self
SURGERY CENTER
39931.259722222225
Apr
F
Jehovah’s Witness
Clinic Referral
Self
SURGERY CENTER
39931.259722222225
Apr
F
Jehovah’s Witness
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39931.32430555556
Apr
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39931.32430555556
Apr
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39931.32430555556
Apr
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39932.84861111111
Apr
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39932.93263888889
Apr
M
Jehovah’s Witness
Clinic Referral
Ambulance
SURG 4 UNIT
39933.69513888889
Apr
M
Latter Day Saints
Clinic Referral
Ambulance
SURG 4 UNIT
39933.69513888889
Apr
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
39933.96527777778
Apr
F
Christian
Clinic Referral
Self
SURGERY CENTER
39934.34583333333
May
F
Christian
Clinic Referral
Self
SURGERY CENTER
39934.34583333333
May
F
Christian
Clinic Referral
Self
SURGERY CENTER
39934.34583333333
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
39936.16736111111
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39936.42847222222
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
39936.58819444444
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39936.694444444445
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39936.694444444445
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39937.743055555555
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39937.743055555555
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39937.743055555555
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39937.743055555555
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39938.558333333334
May
F
Buddhist
Emergency Room
Ambulance
EMERGENCY
39938.558333333334
May
F
Buddhist
Physician Referral
Self
SURGERY CENTER
39940.28055555555
May
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39940.28055555555
May
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
39940.28055555555
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39940.50486111111
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39941.46527777778
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39941.46527777778
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39941.46527777778
May
M
No Religious Preference
Outside Health Care Facility
Ambulance
INPATIENT PSYCH
39941.49652777778
May
M
Outside Health Care Facility
Ambulance
INPATIENT PSYCH
39941.49652777778
May
M
Emergency Room
Ambulance
EMERGENCY
39941.66736111111
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39943.42986111111
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39943.552777777775
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
39944.558333333334
May
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39945.322916666664
May
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39945.322916666664
May
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39945.322916666664
May
F
Roman Catholic
Admitted as transfer from another unit
Ambulance
INPATIENT PSYCH
39946.98402777778
May
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39947.24930555555
May
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39947.24930555555
May
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39947.24930555555
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39948.373611111114
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39948.373611111114
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39948.373611111114
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39948.54791666667
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39948.54791666667
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
39948.54791666667
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39949.32847222222
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39952.96319444444
May
M
Clinic Referral
Self
SURGERY CENTER
39953.43263888889
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39953.43263888889
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39953.43263888889
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39957.99791666667
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
39957.99791666667
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
39958.58472222222
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39958.9875
May
F
Clinic Referral
Self
SURGERY CENTER
39959.271527777775
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39959.271527777775
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39959.271527777775
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39962.51944444444
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39962.51944444444
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39962.51944444444
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39965.575
Jun
M
Emergency Room
Ambulance
EMERGENCY
39965.575
Jun
M
Baptist
Emergency Room
Ambulance
EMERGENCY
39965.96527777778
Jun
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39967.10277777778
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39967.40347222222
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39967.40347222222
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39967.40347222222
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39967.45347222222
Jun
M
Patient Refused
Clinic Referral
Self
SURGERY CENTER
39967.45347222222
Jun
M
Patient Refused
Clinic Referral
Self
SURGERY CENTER
39967.45347222222
Jun
M
Patient Refused
Clinic Referral
Self
SURGERY CENTER
39969.368055555555
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39969.368055555555
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39969.368055555555
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39969.709027777775
Jun
M
Protestant
Clinic Referral
Self
SURGERY CENTER
39972.24513888889
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39972.24513888889
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39972.24513888889
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39972.438888888886
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39972.438888888886
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39972.438888888886
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39974.275
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39974.275
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39974.275
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39975.28472222222
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39975.28472222222
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39975.28472222222
Jun
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39976.31527777778
Jun
M
Emergency Room
Ambulance
EMERGENCY
39979.49652777778
Jun
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39980.79861111111
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39981.72361111111
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39982.54652777778
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39982.54652777778
Jun
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39982.54652777778
Jun
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39983.350694444445
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39985.42222222222
Jun
M
Baptist
Emergency Room
Ambulance
EMERGENCY
39985.42222222222
Jun
M
Baptist
Emergency Room
Ambulance
EMERGENCY
39985.486805555556
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
39989.28125
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39989.28125
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
39989.28125
Jun
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39990.61388888889
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40002.43541666667
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40002.43541666667
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40002.43541666667
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40003.56805555556
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40003.56805555556
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40003.56805555556
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40004.27013888889
Jul
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40004.27013888889
Jul
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40004.27013888889
Jul
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40005.25833333333
Jul
M
Emergency Room
Ambulance
EMERGENCY
40005.65902777778
Jul
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40005.808333333334
Jul
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40009.42291666667
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40009.42291666667
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40009.42291666667
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40010.51527777778
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40010.51527777778
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40010.51527777778
Jul
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40012.76666666667
Jul
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40014.80347222222
Jul
M
Emergency Room
Ambulance
EMERGENCY
40015.549305555556
Jul
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40016.33263888889
Jul
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40016.33263888889
Jul
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40016.33263888889
Jul
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40020.572916666664
Jul
F
Emergency Room
Ambulance
INPATIENT PSYCH
40020.85486111111
Jul
F
No Religious Preference
Emergency Room
Ambulance
INPATIENT PSYCH
40020.85486111111
Jul
F
No Religious Preference
Emergency Room
Ambulance
INPATIENT PSYCH
40020.85486111111
Jul
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40021.33541666667
Jul
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40021.33541666667
Jul
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40021.33541666667
Jul
F
Roman Catholic
Court/Law Enforcement
Self
SURGERY CENTER
40021.37222222222
Jul
F
Christian
Court/Law Enforcement
Self
SURGERY CENTER
40021.37222222222
Jul
F
Christian
Court/Law Enforcement
Self
SURGERY CENTER
40021.37222222222
Jul
F
Christian
Emergency Room
Ambulance
EMERGENCY
40023.001388888886
Jul
F
Clinic Referral
Self
SURGERY CENTER
40026.43402777778
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40026.43402777778
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40026.43402777778
Aug
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40026.643055555556
Aug
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40028.41805555556
Aug
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40028.41805555556
Aug
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40028.41805555556
Aug
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40030.11319444444
Aug
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40032.29583333333
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40032.29583333333
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40032.29583333333
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40035.288194444445
Aug
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.288194444445
Aug
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.288194444445
Aug
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.549305555556
Aug
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.549305555556
Aug
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.549305555556
Aug
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40035.575694444444
Aug
M
Islam
Clinic Referral
Self
SURGERY CENTER
40035.575694444444
Aug
M
Islam
Clinic Referral
Self
SURGERY CENTER
40035.575694444444
Aug
M
Islam
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40036.277083333334
Aug
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40036.277083333334
Aug
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40036.277083333334
Aug
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40037.424305555556
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40037.424305555556
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40037.424305555556
Aug
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40041.63263888889
Aug
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40042.53888888889
Aug
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40042.53888888889
Aug
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40042.53888888889
Aug
M
Other Religion
Admitted as transfer from another unit
Self
INPATIENT PSYCH
40046.94097222222
Aug
F
No Religious Preference
Admitted as transfer from another unit
Self
INPATIENT PSYCH
40046.94097222222
Aug
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40047.91875
Aug
F
Emergency Room
Ambulance
EMERGENCY
40048.802083333336
Aug
F
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Outside Hospital
Ambulance
PICU
TETRALOGY OF FALLOT
40049.50486111111
Aug
M
Tot Repair Tetral Fallot
Christian
Emergency Room
Ambulance
EMERGENCY
40051.916666666664
Aug
M
Emergency Room
Ambulance
EMERGENCY
40051.916666666664
Aug
M
Physician Referral
Self
SURGERY CENTER
40053.33888888889
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40053.33888888889
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40053.33888888889
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40053.33888888889
Aug
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40053.342361111114
Aug
F
Christian
Clinic Referral
Self
SURGERY CENTER
40053.342361111114
Aug
F
Christian
Clinic Referral
Self
SURGERY CENTER
40053.342361111114
Aug
F
Christian
Clinic Referral
Self
SURGERY CENTER
40066.46944444445
Sep
M
Christian
Clinic Referral
Self
SURGERY CENTER
40066.46944444445
Sep
M
Christian
Clinic Referral
Self
SURGERY CENTER
40066.46944444445
Sep
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40070.29305555556
Sep
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40070.29305555556
Sep
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40070.29305555556
Sep
F
Christian
Emergency Room
Ambulance
EMERGENCY
40070.84583333333
Sep
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40071.58263888889
Sep
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40071.58263888889
Sep
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40071.58263888889
Sep
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40072.46388888889
Sep
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40072.46388888889
Sep
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40072.46388888889
Sep
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40072.73819444444
Sep
F
Presbyterian
Clinic Referral
Self
SURGERY CENTER
40074.40625
Sep
M
Protestant
Clinic Referral
Self
SURGERY CENTER
40074.40625
Sep
M
Protestant
Clinic Referral
Self
SURGERY CENTER
40074.40625
Sep
M
Protestant
Clinic Referral
Self
SURGERY CENTER
40077.28402777778
Sep
M
Christian
Clinic Referral
Self
SURGERY CENTER
40077.28402777778
Sep
M
Christian
Clinic Referral
Self
SURGERY CENTER
40077.28402777778
Sep
M
Christian
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40078.32013888889
Sep
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40078.32013888889
Sep
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40078.32013888889
Sep
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40078.46319444444
Sep
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40078.46319444444
Sep
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40078.46319444444
Sep
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40083.04513888889
Sep
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40085.063888888886
Sep
F
Emergency Room
Ambulance
EMERGENCY
40089.67361111111
Oct
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40091.33819444444
Oct
F
Christian
Clinic Referral
Self
SURGERY CENTER
40091.33819444444
Oct
F
Christian
Clinic Referral
Self
SURGERY CENTER
40091.33819444444
Oct
F
Christian
Clinic Referral
Self
SURGERY CENTER
40091.40625
Oct
F
Christian
Clinic Referral
Self
SURGERY CENTER
40091.40625
Oct
F
Christian
Clinic Referral
Self
SURGERY CENTER
40091.40625
Oct
F
Christian
Physician Referral
Self
SURGERY CENTER
40091.575694444444
Oct
F
Episcopal
Physician Referral
Self
SURGERY CENTER
40091.575694444444
Oct
F
Episcopal
Physician Referral
Self
SURGERY CENTER
40091.575694444444
Oct
F
Episcopal
Clinic Referral
Self
SURGERY CENTER
40093.34930555556
Oct
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40093.34930555556
Oct
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40093.34930555556
Oct
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40101.20416666667
Oct
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40104.47083333333
Oct
F
Jewish
Emergency Room
Ambulance
EMERGENCY
40104.63333333333
Oct
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40106.05972222222
Oct
M
Christian
Emergency Room
Ambulance
EMERGENCY
40106.36111111111
Oct
M
Emergency Room
Ambulance
EMERGENCY
40106.92847222222
Oct
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40108.575694444444
Oct
F
Christian
Emergency Room
Ambulance
EMERGENCY
40108.90625
Oct
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40110.60138888889
Oct
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40111.361805555556
Oct
F
Baptist
Emergency Room
Ambulance
EMERGENCY
40112.53194444445
Oct
M
Emergency Room
Ambulance
EMERGENCY
40112.532638888886
Oct
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40112.54583333333
Oct
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40112.54583333333
Oct
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40112.54583333333
Oct
M
No Religious Preference
Outside Hospital
Ambulance
INPATIENT PSYCH
40112.78680555556
Oct
M
Christian
Outside Hospital
Ambulance
INPATIENT PSYCH
40112.78680555556
Oct
M
Christian
Outside Hospital
Ambulance
INPATIENT PSYCH
40112.78680555556
Oct
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40113.55069444444
Oct
M
Methodist
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40113.55069444444
Oct
M
Methodist
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40113.55069444444
Oct
M
Methodist
Clinic Referral
Self
SURGERY CENTER
40113.57430555556
Oct
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40113.57430555556
Oct
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40113.57430555556
Oct
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40113.66458333333
Oct
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40114.34861111111
Oct
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40114.34861111111
Oct
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40114.34861111111
Oct
M
Christian
Emergency Room
Ambulance
EMERGENCY
40115.82638888889
Oct
M
Christian
Clinic Referral
Self
SURGERY CENTER
40119.30902777778
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40119.30902777778
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40119.30902777778
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40120.26388888889
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40120.26388888889
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40120.26388888889
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40120.26388888889
Nov
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40120.705555555556
Nov
M
Greek Orthodox
Emergency Room
Ambulance
EMERGENCY
40120.73541666667
Nov
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40121.294444444444
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40121.294444444444
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40121.294444444444
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40121.3
Nov
F
Buddhist
Clinic Referral
Self
SURGERY CENTER
40121.3
Nov
F
Buddhist
Clinic Referral
Self
SURGERY CENTER
40121.3
Nov
F
Buddhist
Clinic Referral
Self
SURGERY CENTER
40121.41527777778
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40121.41527777778
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40121.42847222222
Nov
F
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40121.42847222222
Nov
F
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40123.381944444445
Nov
F
Lutheran
Clinic Referral
Self
SURGERY CENTER
40123.381944444445
Nov
F
Lutheran
Clinic Referral
Self
SURGERY CENTER
40124.291666666664
Nov
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40124.291666666664
Nov
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40124.333333333336
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40124.333333333336
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40126.39236111111
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40126.39236111111
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40126.54722222222
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40126.54722222222
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40126.552777777775
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40126.552777777775
Nov
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40127.16111111111
Nov
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40127.30486111111
Nov
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40127.30486111111
Nov
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40127.30486111111
Nov
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40127.53125
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40127.53125
Nov
M
Christian
Clinic Referral
Self
SURGERY CENTER
40127.53125
Nov
M
Christian
Emergency Room
Ambulance
EMERGENCY
40127.561111111114
Nov
F
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40128.48055555556
Nov
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40128.48055555556
Nov
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40128.48055555556
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40129.441666666666
Nov
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40129.441666666666
Nov
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40129.441666666666
Nov
M
Other Religion
Emergency Room
Ambulance
EMERGENCY
40130.135416666664
Nov
F
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40130.27361111111
Nov
M
Latter Day Saints
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40130.27361111111
Nov
M
Latter Day Saints
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40130.27361111111
Nov
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40131.76666666667
Nov
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40133.3125
Nov
F
Christian
Clinic Referral
Self
SURGERY CENTER
40133.3125
Nov
F
Christian
Clinic Referral
Self
SURGERY CENTER
40133.3125
Nov
F
Christian
Clinic Referral
Self
SURGERY CENTER
40133.45347222222
Nov
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40133.45347222222
Nov
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40133.45347222222
Nov
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40135.28958333333
Nov
F
Islam
Clinic Referral
Self
SURGERY CENTER
40135.28958333333
Nov
F
Islam
Clinic Referral
Self
SURGERY CENTER
40135.28958333333
Nov
F
Islam
Clinic Referral
Self
SURGERY CENTER
40135.48541666667
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40135.48541666667
Nov
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40135.48541666667
Nov
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40136.31527777778
Nov
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40136.31527777778
Nov
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40136.31527777778
Nov
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40136.31527777778
Nov
M
Christian
Physician Referral
Self
SURGERY CENTER
40137.31736111111
Nov
F
Episcopal
Physician Referral
Self
SURGERY CENTER
40137.31736111111
Nov
F
Episcopal
Physician Referral
Self
SURGERY CENTER
40137.31736111111
Nov
F
Episcopal
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40137.41805555556
Nov
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40137.41805555556
Nov
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40137.41805555556
Nov
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40137.47430555556
Nov
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40137.549305555556
Nov
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40137.549305555556
Nov
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40137.549305555556
Nov
F
Patient Refused
Emergency Room
Ambulance
EMERGENCY
40137.58263888889
Nov
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40137.58263888889
Nov
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40144.52361111111
Nov
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40147.388194444444
Nov
M
Hindu
Clinic Referral
Self
SURGERY CENTER
40147.388194444444
Nov
M
Hindu
Clinic Referral
Self
SURGERY CENTER
40147.388194444444
Nov
M
Hindu
Clinic Referral
Self
SURGERY CENTER
40148.25069444445
Dec
M
Islam
Clinic Referral
Self
SURGERY CENTER
40148.25069444445
Dec
M
Islam
Clinic Referral
Self
SURGERY CENTER
40148.25069444445
Dec
M
Islam
Clinic Referral
Self
SURGERY CENTER
40150.27222222222
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40150.27222222222
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40150.27222222222
Feb
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40150.28333333333
Feb
F
Protestant
Physician Referral
Self
SURGERY CENTER
40150.28333333333
Feb
F
Protestant
Physician Referral
Self
SURGERY CENTER
40150.28333333333
Feb
F
Protestant
Clinic Referral
Self
SURGERY CENTER
40150.55694444444
Feb
F
Baptist
Clinic Referral
Self
SURGERY CENTER
40150.55694444444
Feb
F
Baptist
Clinic Referral
Self
SURGERY CENTER
40150.55694444444
Feb
F
Baptist
Clinic Referral
Self
SURGERY CENTER
40154.30416666667
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40154.30416666667
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40154.30416666667
Feb
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40154.31597222222
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40154.31597222222
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40154.31597222222
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40154.89513888889
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40157.23888888889
Feb
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40157.51944444444
Feb
F
Baptist
Physician Referral
Self
SURGERY CENTER
40157.51944444444
Feb
F
Baptist
Clinic Referral
Self
SURGERY CENTER
40161.59444444445
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
40161.59444444445
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
40161.59444444445
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
40162.29236111111
Feb
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40162.29236111111
Feb
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40162.29236111111
Feb
F
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40162.316666666666
Feb
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40162.316666666666
Feb
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40162.316666666666
Feb
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40163.342361111114
Feb
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.356944444444
Feb
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.356944444444
Feb
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.356944444444
Feb
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.427083333336
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.427083333336
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.427083333336
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40164.427083333336
Feb
M
No Religious Preference
Outside Hospital
Self
SURGERY CENTER
40165.25486111111
Feb
M
No Religious Preference
Outside Hospital
Self
SURGERY CENTER
40165.25486111111
Feb
M
No Religious Preference
Outside Hospital
Self
SURGERY CENTER
40165.25486111111
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40168.43402777778
Feb
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40168.43402777778
Feb
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40168.43402777778
Feb
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40169.53333333333
Feb
M
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40169.53333333333
Feb
M
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40169.53333333333
Feb
M
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40170.38125
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40170.38125
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40170.38125
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40170.615277777775
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40170.615277777775
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40175.40555555555
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40175.40555555555
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40175.40555555555
Feb
M
No Religious Preference
Physician Referral
Ambulance
INPATIENT PSYCH
40176.63888888889
Feb
M
7th Day Adventist
Physician Referral
Ambulance
INPATIENT PSYCH
40176.63888888889
Feb
M
7th Day Adventist
Physician Referral
Ambulance
INPATIENT PSYCH
40176.63888888889
Feb
M
7th Day Adventist
Clinic Referral
Self
SURGERY CENTER
40177.52847222222
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40177.52847222222
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40177.52847222222
Feb
F
No Religious Preference
Physician Referral
Self
SCCA UNIT
40180.49444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40183.46041666667
Jan
F
Clinic Referral
Self
SURGERY CENTER
40183.47638888889
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40183.47638888889
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40183.47638888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40183.774305555555
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40183.774305555555
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40186.6125
Jan
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40190.29583333333
Jan
M
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40190.29583333333
Jan
M
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40190.29583333333
Jan
M
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40191.36875
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40191.36875
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40191.36875
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40191.552777777775
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40191.552777777775
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40191.552777777775
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40191.552777777775
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40192.368055555555
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40192.368055555555
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40192.368055555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40192.60763888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
40192.60763888889
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40193.501388888886
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40193.501388888886
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40193.501388888886
Jan
F
No Religious Preference
Self
SCCA UNIT
40193.677083333336
Jan
F
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40194.55902777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40195.75208333333
Jan
F
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40196.447916666664
Jan
M
Emergency Room
Ambulance
EMERGENCY
40196.447916666664
Jan
M
Emergency Room
Ambulance
EMERGENCY
40196.475694444445
Jan
M
Emergency Room
Ambulance
EMERGENCY
40196.592361111114
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40198.39166666667
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
40198.39166666667
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
40198.39166666667
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
40199.3125
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40199.3125
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
40199.3125
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
40201.56597222222
Jan
F
Emergency Room
Ambulance
EMERGENCY
40201.56597222222
Jan
F
Emergency Room
Ambulance
EMERGENCY
40203.84444444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40204.42083333333
Jan
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40207.361805555556
Jan
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40207.361805555556
Jan
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40207.361805555556
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
40207.552777777775
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40207.552777777775
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40207.552777777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40207.75
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40208.256944444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40211.62291666667
Feb
F
Emergency Room
Ambulance
EMERGENCY
40211.62291666667
Feb
F
Emergency Room
Ambulance
EMERGENCY
40211.90347222222
Feb
F
Christian
Clinic Referral
Self
SURGERY CENTER
40212.353472222225
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40212.353472222225
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40212.353472222225
Feb
M
No Religious Preference
Admitted as transfer from another unit
Self
REHAB UNIT
40212.44375
Feb
M
Roman Catholic
Admitted as transfer from another unit
Self
REHAB UNIT
40212.44375
Feb
M
Roman Catholic
Admitted as transfer from another unit
Self
REHAB UNIT
40212.44375
Feb
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40214.38333333333
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40215.263194444444
Feb
M
Buddhist
Emergency Room
Ambulance
EMERGENCY
40215.263194444444
Feb
M
Buddhist
Clinic Referral
Self
SURGERY CENTER
40219.29513888889
Feb
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40219.29513888889
Feb
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40219.29513888889
Feb
M
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40220.259722222225
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40220.259722222225
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40220.259722222225
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40221.26875
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40221.26875
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40221.26875
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40222.32916666667
Feb
M
Christian
Emergency Room
Ambulance
EMERGENCY
40222.59722222222
Feb
F
Emergency Room
Ambulance
EMERGENCY
40226.31875
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40226.31875
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40226.42569444444
Feb
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40226.48472222222
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40226.48472222222
Feb
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40226.48472222222
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40227.94861111111
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40227.94861111111
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40228.77291666667
Feb
F
Emergency Room
Ambulance
EMERGENCY
40228.77291666667
Feb
F
Clinic Referral
Self
SURGERY CENTER
40231.46666666667
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40231.46666666667
Feb
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40231.46666666667
Feb
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40231.56041666667
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40231.56041666667
Feb
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40232.03888888889
Feb
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40232.66458333333
Feb
M
Other Religion
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40233.45763888889
Feb
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40233.45763888889
Feb
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40233.45763888889
Feb
M
Christian
Emergency Room
Ambulance
EMERGENCY
40233.958333333336
Feb
M
Emergency Room
Ambulance
EMERGENCY
40237.45625
Feb
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40237.45625
Feb
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40238.24652777778
Mar
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40238.24652777778
Mar
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40238.24652777778
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40239.404861111114
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40239.404861111114
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40239.404861111114
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40240.34097222222
Mar
F
Christian
Clinic Referral
Self
SURGERY CENTER
40240.34097222222
Mar
F
Christian
Clinic Referral
Self
SURGERY CENTER
40240.34097222222
Mar
F
Christian
Emergency Room
Ambulance
EMERGENCY
40240.48125
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40240.48125
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40242.44930555556
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40242.44930555556
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40242.44930555556
Mar
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40244.865277777775
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40244.865277777775
Mar
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40245.399305555555
Mar
F
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40245.399305555555
Mar
F
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40245.399305555555
Mar
F
Patient Refused
Emergency Room
Ambulance
EMERGENCY
40247.915972222225
Mar
M
Christian
Emergency Room
Ambulance
EMERGENCY
40249.575694444444
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40249.79861111111
Mar
M
Emergency Room
Ambulance
EMERGENCY
40250.93541666667
Mar
F
Emergency Room
Ambulance
EMERGENCY
40251.13125
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40251.13125
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40254.29722222222
Mar
F
Christian
Clinic Referral
Self
SURGERY CENTER
40254.29722222222
Mar
F
Christian
Clinic Referral
Self
SURGERY CENTER
40254.29722222222
Mar
F
Christian
Emergency Room
Ambulance
EMERGENCY
40254.37777777778
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40254.37777777778
Mar
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40254.58125
Mar
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40255.25902777778
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40255.25902777778
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40255.25902777778
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40256.32638888889
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40256.44583333333
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40256.53958333333
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40256.53958333333
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40256.53958333333
Mar
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40256.72152777778
Mar
M
Roman Catholic
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
NECROTIZING FASCIITIS
40257.19513888889
Mar
M
Exc Wound Debridement
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40257.740277777775
Mar
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40259.549305555556
Mar
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40259.549305555556
Mar
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40259.549305555556
Mar
F
No Religious Preference
Physician Referral
Ambulance
INPATIENT PSYCH
40259.70972222222
Mar
F
Unitarian Universalist
Physician Referral
Ambulance
INPATIENT PSYCH
40259.70972222222
Mar
F
Unitarian Universalist
Physician Referral
Ambulance
INPATIENT PSYCH
40259.70972222222
Mar
F
Unitarian Universalist
Emergency Room
Ambulance
EMERGENCY
40259.944444444445
Mar
F
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40261.104166666664
Mar
M
No Religious Preference
Clinic Referral
Self
SCCA UNIT
40261.70347222222
Mar
M
No Religious Preference
Clinic Referral
Self
SCCA UNIT
40261.70347222222
Mar
M
No Religious Preference
Physician Referral
Self
SCCA UNIT
40261.885416666664
Mar
F
Latter Day Saints
Clinic Referral
Ambulance
SCCA UNIT
40261.89861111111
Mar
F
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
40263.53402777778
Mar
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40263.53402777778
Mar
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40263.53402777778
Mar
F
Patient Refused
Clinic Referral
Self
SURGERY CENTER
40266.38680555556
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40266.38680555556
Mar
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40266.38680555556
Mar
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40266.4
Mar
M
Christian
Emergency Room
Ambulance
EMERGENCY
40266.4
Mar
M
Christian
Clinic Referral
Self
SURGERY CENTER
40267.381944444445
Mar
F
Other Religion
Clinic Referral
Self
SURGERY CENTER
40267.381944444445
Mar
F
Other Religion
Clinic Referral
Self
SURGERY CENTER
40267.381944444445
Mar
F
Other Religion
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40273.28472222222
Apr
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40273.28472222222
Apr
M
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40273.28472222222
Apr
M
Christian
Emergency Room
Ambulance
EMERGENCY
40277.595138888886
Apr
F
Emergency Room
Ambulance
EMERGENCY
40278.532638888886
Apr
F
Clinic Referral
Self
SURGERY CENTER
40280.46319444444
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40280.46319444444
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40280.46319444444
Apr
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40281.27361111111
Apr
M
Protestant
Physician Referral
Self
SURGERY CENTER
40281.27361111111
Apr
M
Protestant
Physician Referral
Self
SURGERY CENTER
40281.27361111111
Apr
M
Protestant
Emergency Room
Ambulance
EMERGENCY
40287.89097222222
Apr
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40290.78680555556
Apr
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
40292.854166666664
Apr
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40294.493055555555
Apr
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40294.493055555555
Apr
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40294.493055555555
Apr
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40295.402083333334
Apr
F
Islam
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40295.402083333334
Apr
F
Islam
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40295.402083333334
Apr
F
Islam
Clinic Referral
Self
SURGERY CENTER
40298.39027777778
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40298.39027777778
Apr
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40298.39027777778
Apr
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40298.87777777778
Apr
F
Islam
Emergency Room
Ambulance
EMERGENCY
40298.87777777778
Apr
F
Islam
Emergency Room
Ambulance
EMERGENCY
40299.70416666667
May
F
Clinic Referral
Self
SURGERY CENTER
40302.25
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40302.25
May
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40302.25
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40303.48055555556
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40303.48055555556
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40304.37222222222
May
M
Quaker
Clinic Referral
Self
SURGERY CENTER
40304.37222222222
May
M
Quaker
Clinic Referral
Self
SURGERY CENTER
40304.37222222222
May
M
Quaker
Emergency Room
Ambulance
EMERGENCY
40304.89513888889
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40306.51875
May
F
Christian
Emergency Room
Ambulance
EMERGENCY
40306.529861111114
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40306.529861111114
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40306.82152777778
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40308.46944444445
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40308.46944444445
May
F
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40308.46944444445
May
F
No Religious Preference
Outside Hospital
Ambulance
NICU
NEC ENTEROCOLTIS NB NOS
40308.56180555555
May
M
Prt Lg Intes Exc Nec/Nos
No Religious Preference
Outside Hospital
Ambulance
NICU
NEC ENTEROCOLTIS NB NOS
40308.56180555555
May
M
Prt Lg Intes Exc Nec/Nos
No Religious Preference
Outside Hospital
Ambulance
NICU
NEC ENTEROCOLTIS NB NOS
40308.56180555555
May
M
Prt Lg Intes Exc Nec/Nos
No Religious Preference
Outside Hospital
Ambulance
NICU
NEC ENTEROCOLTIS NB NOS
40308.56180555555
May
M
Prt Lg Intes Exc Nec/Nos
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40309.67013888889
May
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40312.64513888889
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40314.95347222222
May
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40314.97361111111
May
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40316.402083333334
May
F
Christian
Clinic Referral
Self
SURGERY CENTER
40316.402083333334
May
F
Christian
Clinic Referral
Self
SURGERY CENTER
40316.402083333334
May
F
Christian
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40317.450694444444
May
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40317.450694444444
May
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40317.450694444444
May
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40317.49444444444
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40317.49444444444
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40317.49444444444
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40323.48125
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40323.48125
May
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40323.48125
May
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40323.80347222222
May
F
Clinic Referral
Self
SURGERY CENTER
40326.60763888889
May
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40326.60763888889
May
M
Other Religion
Clinic Referral
Self
SURGERY CENTER
40326.60763888889
May
M
Other Religion
Clinic Referral
Self
MED 2G UNIT
40326.70486111111
May
F
Roman Catholic
Clinic Referral
Self
MED 2G UNIT
40326.70486111111
May
F
Roman Catholic
Clinic Referral
Self
MED 2G UNIT
40326.70486111111
May
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40327.07430555556
May
M
Islam
Clinic Referral
Self
SURGERY CENTER
40331.36111111111
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40331.36111111111
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40331.36111111111
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40331.49097222222
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40331.49097222222
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40331.49097222222
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40331.529861111114
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40331.529861111114
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40331.529861111114
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40332.26597222222
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40332.26597222222
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40332.26597222222
Jun
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40332.39513888889
Jun
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40332.39513888889
Jun
F
Roman Catholic
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40332.42916666667
Jun
F
Islam
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40332.42916666667
Jun
F
Islam
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40332.42916666667
Jun
F
Islam
Emergency Room
Ambulance
EMERGENCY
40332.805555555555
Jun
M
Clinic Referral
Self
SURGERY CENTER
40333.399305555555
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40333.399305555555
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40333.399305555555
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40334.029861111114
Jun
F
Physician Referral
Self
SURGERY CENTER
40338.26944444444
Jun
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40338.26944444444
Jun
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40338.26944444444
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40341.413194444445
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40341.413194444445
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40341.413194444445
Jun
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
40341.80694444444
Jun
F
Presbyterian
Emergency Room
Ambulance
EMERGENCY
40342.51527777778
Jun
M
Christian
Clinic Referral
Self
SURGERY CENTER
40343.44305555556
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40343.44305555556
Jun
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
40343.44305555556
Jun
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40343.45486111111
Jun
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40343.45486111111
Jun
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40343.45486111111
Jun
M
No Religious Preference
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40343.506944444445
Jun
F
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40343.506944444445
Jun
F
Patient Refused
Clinic Referral
Self
OUTPAT PROCEDURE CNTR
40343.506944444445
Jun
F
Patient Refused
Emergency Room
Ambulance
EMERGENCY
40349.35486111111
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40350.80763888889
Jun
M
Methodist
Clinic Referral
Self
SURGERY CENTER
40352.28611111111
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40352.28611111111
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40352.28611111111
Jun
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
40354.731944444444
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40357.291666666664
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40357.291666666664
Jun
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40357.291666666664
Jun
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
STG II NEC ENTEROCOL NB
40358.40625
Jun
M
Part Sm Bowel Resect Nec
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
STG II NEC ENTEROCOL NB
40358.40625
Jun
M
Part Sm Bowel Resect Nec
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
STG II NEC ENTEROCOL NB
40358.40625
Jun
M
Part Sm Bowel Resect Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40359.39444444444
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40359.39444444444
Jun
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40359.39444444444
Jun
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40361.26875
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40361.26875
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40361.26875
Jul
M
No Religious Preference
Ambulance
EMERGENCY
40361.481944444444
Jul
M
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40361.56527777778
Jul
F
Physician Referral
Ambulance
EMERGENCY
40361.56527777778
Jul
F
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
SCCA UNIT
40363.67291666667
Jul
M
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40364.50347222222
Jul
M
Physician Referral
Self
SURGERY CENTER
40365.28055555555
Jul
M
Christian
Physician Referral
Self
SURGERY CENTER
40365.28055555555
Jul
M
Christian
Physician Referral
Self
SURGERY CENTER
40365.28055555555
Jul
M
Christian
Outside Hospital
Ambulance
INPATIENT PSYCH
40365.85555555556
Jul
M
No Religious Preference
Outside Hospital
Ambulance
INPATIENT PSYCH
40365.85555555556
Jul
M
No Religious Preference
Outside Hospital
Ambulance
INPATIENT PSYCH
40365.85555555556
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40366.29027777778
Jul
M
Christian
Physician Referral
Self
SURGERY CENTER
40366.29027777778
Jul
M
Christian
Physician Referral
Self
SURGERY CENTER
40366.29027777778
Jul
M
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Hospital
Ambulance
PICU
40366.65555555555
Jul
F
Christian
Outside Home Health Agency
Ambulance
EMERGENCY
40369.629166666666
Jul
M
Methodist
Ambulance
EMERGENCY
40369.65069444444
Jul
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40371.13125
Jul
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40371.13125
Jul
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40373.31180555555
Jul
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40373.31180555555
Jul
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40373.31180555555
Jul
F
No Religious Preference
Outside Hospital
Ambulance
SURG 4 UNIT
GASTROSCHISIS
40375.82013888889
Jul
F
Repair Of Gastroschisis
Other Religion
Outside Hospital
Ambulance
SURG 4 UNIT
GASTROSCHISIS
40375.82013888889
Jul
F
Repair Of Gastroschisis
Other Religion
Outside Hospital
Ambulance
SURG 4 UNIT
GASTROSCHISIS
40375.82013888889
Jul
F
Repair Of Gastroschisis
Other Religion
Outside Hospital
Ambulance
SURG 4 UNIT
GASTROSCHISIS
40375.82013888889
Jul
F
Repair Of Gastroschisis
Other Religion
Outside Hospital
Ambulance
SURG 4 UNIT
GASTROSCHISIS
40375.82013888889
Jul
F
Repair Of Gastroschisis
Other Religion
Physician Referral
Ambulance
EMERGENCY
40377.55763888889
Jul
F
Clinic Referral
Self
SURGERY CENTER
40379.34027777778
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40379.34027777778
Jul
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
40379.34027777778
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40379.39027777778
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40379.39027777778
Jul
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40379.39027777778
Jul
M
No Religious Preference
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Outside Hospital
Self
SURG 4 UNIT
40379.506944444445
Jul
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40380.479166666664
Jul
F
Protestant
Physician Referral
Self
SURGERY CENTER
40380.479166666664
Jul
F
Protestant
Physician Referral
Self
SURGERY CENTER
40380.479166666664
Jul
F
Protestant
Physician Referral
Ambulance
EMERGENCY
40382.425
Jul
M
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40387.275
Jul
M
Jewish
Physician Referral
Ambulance
EMERGENCY
40387.275
Jul
M
Jewish
Physician Referral
Self
SURGERY CENTER
40387.57916666667
Jul
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40387.57916666667
Jul
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40387.57916666667
Jul
F
No Religious Preference
Physician Referral
Self
40388.42638888889
Jul
M
No Religious Preference
Transfer from Critical Access Hospital
Ambulance
REHAB UNIT
40388.44236111111
Jul
M
No Religious Preference
Transfer from Critical Access Hospital
Ambulance
REHAB UNIT
40388.44236111111
Jul
M
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40388.663194444445
Jul
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40389.46527777778
Jul
M
Physician Referral
Ambulance
EMERGENCY
40389.46527777778
Jul
M
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
PICU
COMMON TRUNCUS
40389.60763888889
Jul
F
Replace Aortic Valve Nec
No Religious Preference
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Physician Referral
Ambulance
SURG 3 UNIT
40390.45138888889
Jul
M
Russian Orthodox
Outside Hospital
Ambulance
PICU
40390.92986111111
Jul
M
Moravian
Outside Hospital
Ambulance
PICU
40390.92986111111
Jul
M
Moravian
Outside Hospital
Ambulance
PICU
40390.92986111111
Jul
M
Moravian
Outside Hospital
Ambulance
PICU
40390.92986111111
Jul
M
Moravian
Physician Referral
Self
SURGERY CENTER
40392.54513888889
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40392.54513888889
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40392.54513888889
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.25625
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Physician Referral
Self
SURG 4 UNIT
40393.46944444445
Aug
M
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
40394.23819444444
Aug
F
Christian
Outside Hospital
Ambulance
MED 1T UNIT
40394.23819444444
Aug
F
Christian
Outside Hospital
Ambulance
MED 1T UNIT
40394.23819444444
Aug
F
Christian
Outside Hospital
Ambulance
MED 1T UNIT
40394.23819444444
Aug
F
Christian
Physician Referral
Self
40394.48541666667
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40395.44930555556
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40395.44930555556
Aug
M
No Religious Preference
Physician Referral
Self
SCCA UNIT
40396.489583333336
Aug
M
Physician Referral
Self
SCCA UNIT
40396.489583333336
Aug
M
Physician Referral
Self
SCCA UNIT
40396.489583333336
Aug
M
Physician Referral
Ambulance
EMERGENCY
40397.478472222225
Aug
M
No Religious Preference
Outside Hospital
Ambulance
NICU
40397.51944444444
Aug
F
No Religious Preference
Outside Hospital
Ambulance
NICU
40397.51944444444
Aug
F
No Religious Preference
Outside Hospital
Ambulance
NICU
40397.51944444444
Aug
F
No Religious Preference
Outside Hospital
Ambulance
NICU
40397.51944444444
Aug
F
No Religious Preference
Outside Hospital
Ambulance
NICU
40397.51944444444
Aug
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40397.55
Aug
F
Christian
Physician Referral
Ambulance
EMERGENCY
40397.947222222225
Aug
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40397.947222222225
Aug
F
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40398.68263888889
Aug
M
Christian
Physician Referral
Ambulance
PICU
40398.85555555556
Aug
M
Roman Catholic
Physician Referral
Ambulance
PICU
40398.85555555556
Aug
M
Roman Catholic
Physician Referral
Ambulance
PICU
40398.85555555556
Aug
M
Roman Catholic
Physician Referral
Ambulance
PICU
40398.85555555556
Aug
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40399.316666666666
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40399.316666666666
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40399.316666666666
Aug
M
No Religious Preference
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Ambulance
SURG 4 UNIT
40399.98541666667
Aug
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40400.240277777775
Aug
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40400.240277777775
Aug
M
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40400.240277777775
Aug
M
Roman Catholic
Physician Referral
Self
40400.27638888889
Aug
M
Christian
Outside Health Care Facility
Ambulance
NICU
40400.48055555556
Aug
F
Christian
Outside Health Care Facility
Ambulance
NICU
40400.48055555556
Aug
F
Christian
Outside Health Care Facility
Ambulance
NICU
40400.48055555556
Aug
F
Christian
Outside Health Care Facility
Ambulance
NICU
40400.48055555556
Aug
F
Christian
Outside Health Care Facility
Ambulance
SCCA UNIT
40400.62986111111
Aug
F
No Religious Preference
Outside Health Care Facility
Ambulance
SCCA UNIT
40400.62986111111
Aug
F
No Religious Preference
Clinic Referral
Ambulance
MED 1T UNIT
40400.83125
Aug
F
Christian
Clinic Referral
Ambulance
MED 1T UNIT
40400.83125
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40401.30694444444
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40401.30694444444
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40401.30694444444
Aug
M
No Religious Preference
Physician Referral
Self
40401.46319444444
Aug
M
No Religious Preference
Physician Referral
Ambulance
INPATIENT PSYCH
40402.41111111111
Aug
M
Christian
Physician Referral
Ambulance
INPATIENT PSYCH
40402.41111111111
Aug
M
Christian
Admitted as transfer from another unit
Ambulance
REHAB UNIT
40402.43819444445
Aug
M
No Religious Preference
Admitted as transfer from another unit
Ambulance
REHAB UNIT
40402.43819444445
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40402.66458333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40402.66458333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40402.66458333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40402.66458333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40402.66458333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40402.729166666664
Aug
F
Pentecostal
Ambulance
EMERGENCY
40402.74166666667
Aug
F
No Religious Preference
Outside Hospital
Ambulance
INPATIENT PSYCH
40406.42569444444
Aug
M
Christian
Outside Hospital
Ambulance
INPATIENT PSYCH
40406.42569444444
Aug
M
Christian
Physician Referral
Self
40406.49375
Aug
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40407.3
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40407.3
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40407.3
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40408.64027777778
Aug
M
Christian
Physician Referral
Self
SURGERY CENTER
40408.64027777778
Aug
M
Christian
Physician Referral
Self
SURGERY CENTER
40408.64027777778
Aug
M
Christian
Physician Referral
Self
40409.33888888889
Aug
M
No Religious Preference
Physician Referral
Self
40409.419444444444
Aug
M
No Religious Preference
Outside Hospital
Ambulance
PICU
40409.427083333336
Aug
F
No Religious Preference
Outside Hospital
Ambulance
PICU
40409.427083333336
Aug
F
No Religious Preference
Ambulance
EMERGENCY
40409.52847222222
Aug
F
Outside Hospital
Ambulance
NICU
40409.92361111111
Aug
M
Christian
Outside Hospital
Ambulance
NICU
40409.92361111111
Aug
M
Christian
Outside Hospital
Ambulance
SCCA UNIT
40410.0125
Aug
F
No Religious Preference
Outside Hospital
Ambulance
SCCA UNIT
40410.0125
Aug
F
No Religious Preference
Outside Hospital
Ambulance
SCCA UNIT
40410.0125
Aug
F
No Religious Preference
Outside Hospital
Ambulance
SCCA UNIT
40410.0125
Aug
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40410.55763888889
Aug
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40410.55763888889
Aug
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
40410.55763888889
Aug
F
Roman Catholic
Physician Referral
Ambulance
MED 1T UNIT
40411.464583333334
Aug
M
No Religious Preference
Physician Referral
Ambulance
MED 1T UNIT
40411.464583333334
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40412.85208333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40412.85208333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40412.85208333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40412.85208333333
Aug
M
No Religious Preference
Physician Referral
Ambulance
PICU
40412.85208333333
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40413.381944444445
Aug
F
Latter Day Saints
Physician Referral
Self
SURGERY CENTER
40413.381944444445
Aug
F
Latter Day Saints
Physician Referral
Self
SURGERY CENTER
40413.381944444445
Aug
F
Latter Day Saints
Physician Referral
Self
SURGERY CENTER
40413.57083333333
Aug
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40413.57083333333
Aug
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40413.57083333333
Aug
F
No Religious Preference
Admitted as transfer from another unit
Ambulance
INPATIENT PSYCH
40413.65555555555
Aug
F
Roman Catholic
Admitted as transfer from another unit
Ambulance
INPATIENT PSYCH
40413.65555555555
Aug
F
Roman Catholic
Physician Referral
Ambulance
MED 1T UNIT
40414.61944444444
Aug
F
Roman Catholic
Physician Referral
Ambulance
MED 1T UNIT
40414.61944444444
Aug
F
Roman Catholic
Outside Hospital
Ambulance
NICU
40414.62986111111
Aug
F
Christian
Outside Hospital
Ambulance
NICU
40414.62986111111
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40415.32083333333
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40415.32083333333
Aug
F
Christian
Physician Referral
Self
SURGERY CENTER
40415.32083333333
Aug
F
Christian
Physician Referral
Ambulance
SURG 4 UNIT
40415.825
Aug
F
No Religious Preference
Physician Referral
Ambulance
SURG 4 UNIT
40415.825
Aug
F
No Religious Preference
Physician Referral
Ambulance
SURG 4 UNIT
40415.825
Aug
F
No Religious Preference
Physician Referral
Ambulance
SURG 4 UNIT
40415.825
Aug
F
No Religious Preference
Outside Hospital
Ambulance
NICU
40416.16388888889
Aug
F
Roman Catholic
Outside Hospital
Ambulance
NICU
40416.16388888889
Aug
F
Roman Catholic
Physician Referral
Ambulance
MED 2G UNIT
40416.260416666664
Aug
F
Christian
Physician Referral
Ambulance
MED 2G UNIT
40416.260416666664
Aug
F
Christian
Physician Referral
Ambulance
MED 2G UNIT
40416.260416666664
Aug
F
Christian
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40416.29652777778
Aug
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40416.29652777778
Aug
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40416.29652777778
Aug
F
No Religious Preference
Admitted as transfer from another unit
Ambulance
INPATIENT PSYCH
40416.50486111111
Aug
F
Lutheran
Admitted as transfer from another unit
Ambulance
INPATIENT PSYCH
40416.50486111111
Aug
F
Lutheran
Outside Hospital
Ambulance
MED 2G UNIT
40416.58263888889
Aug
F
Hindu
Outside Hospital
Ambulance
MED 2G UNIT
40416.58263888889
Aug
F
Hindu
Outside Hospital
Ambulance
MED 2G UNIT
40416.58263888889
Aug
F
Hindu
Outside Hospital
Ambulance
MED 2G UNIT
40416.58263888889
Aug
F
Hindu
Outside Hospital
Ambulance
MED 2G UNIT
40416.58263888889
Aug
F
Hindu
Outside Hospital
Ambulance
SURG 3 UNIT
40416.83819444444
Aug
F
Lutheran
Outside Hospital
Ambulance
SURG 3 UNIT
40416.83819444444
Aug
F
Lutheran
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40417.39444444444
Aug
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40417.39444444444
Aug
F
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40417.39444444444
Aug
F
No Religious Preference
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Ambulance
SURG 3 UNIT
40417.46944444445
Aug
M
Sikh
Physician Referral
Self
SURGERY CENTER
40417.59375
Aug
M
Lutheran
Physician Referral
Self
SURGERY CENTER
40417.59375
Aug
M
Lutheran
Physician Referral
Self
SURGERY CENTER
40417.59375
Aug
M
Lutheran
Clinic Referral
Self
SCCA UNIT
40417.72152777778
Aug
M
Christian
Clinic Referral
Self
SCCA UNIT
40417.72152777778
Aug
M
Christian
Outside Hospital
Ambulance
MED 2G UNIT
40417.856944444444
Aug
M
No Religious Preference
Outside Hospital
Ambulance
MED 2G UNIT
40417.856944444444
Aug
M
No Religious Preference
Outside Hospital
Ambulance
MED 2G UNIT
40417.856944444444
Aug
M
No Religious Preference
Admitted as transfer from another unit
Self
REHAB UNIT
40418.541666666664
Aug
F
Christian
Admitted as transfer from another unit
Self
REHAB UNIT
40418.541666666664
Aug
F
Christian
Physician Referral
Ambulance
EMERGENCY
40419.65416666667
Aug
M
Christian
Physician Referral
Ambulance
EMERGENCY
40419.65416666667
Aug
M
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
SURG 4 UNIT
40420.40416666667
Aug
F
Christian
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40420.41388888889
Aug
M
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40420.41388888889
Aug
M
No Religious Preference
Physician Referral
Self
OUTPAT PROCEDURE CNTR
40420.41388888889
Aug
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
40420.513194444444
Aug
M
Christian
Physician Referral
Self
SURGERY CENTER
40420.513194444444
Aug
M
Christian
Physician Referral
Self
SURGERY CENTER
40420.513194444444
Aug
M
Christian
Outside Hospital
Ambulance
NICU
40421.22638888889
Aug
M
Roman Catholic
Outside Hospital
Ambulance
NICU
40421.22638888889
Aug
M
Roman Catholic
Outside Hospital
Ambulance
PICU
40421.26666666667
Aug
F
Christian
Outside Hospital
Ambulance
PICU
40421.26666666667
Aug
F
Christian
Outside Hospital
Ambulance
PICU
40421.26666666667
Aug
F
Christian
Transfer from Critical Access Hospital
Ambulance
REHAB UNIT
40421.47430555556
Aug
M
No Religious Preference
Transfer from Critical Access Hospital
Ambulance
REHAB UNIT
40421.47430555556
Aug
M
No Religious Preference
Physician Referral
Ambulance
EMERGENCY
40421.725694444445
Aug
F
Native American
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
SURG 3 UNIT
40421.77847222222
Aug
M
Christian
Physician Referral
Ambulance
EMERGENCY
40421.84305555555
Aug
M
Roman Catholic
Physician Referral
Ambulance
EMERGENCY
40421.84305555555
Aug
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39814.086805555555
39814.01388888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.1125
39814.06875
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39814.11736111111
39814.03055555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.120833333334
39814.06041666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39814.123611111114
39814.06875
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39814.13125
39814.04305555556
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
TIETZE’S DISEASE
39814.16527777778
39814.063888888886
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTHER ATOPIC DERMATITIS
39814.16736111111
39814.10208333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DYSURIA
39814.18402777778
39814.092361111114
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.30625
39814.24722222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39814.37708333333
39814.32847222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF ANKLE
39814.49722222222
39814.44930555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39814.52013888889
39814.481944444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PERIAPICAL ABSCESS
39814.527083333334
39814.43402777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.53194444445
39814.47708333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39814.56527777778
39814.490277777775
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EPISTAXIS
39814.56736111111
39814.49097222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.56875
39814.50208333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.572916666664
39814.53680555556
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
THROAT PAIN
39814.57916666667
39814.45277777778
Jan
M
Other Religion
Emergency Room
Ambulance
EMERGENCY
39814.58263888889
39814.4875
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.59027777778
39814.51944444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
DYSURIA
39814.59027777778
39814.54027777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
THRUSH
39814.59652777778
39814.52222222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.60486111111
39814.509722222225
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.62152777778
39814.5125
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.62152777778
39814.513194444444
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.62152777778
39814.57986111111
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEEDING PROBLEM
39814.62291666667
39814.58819444444
Jan
F
Insert Gastric Tube Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
2ND DEG BURN ARM NOS
39814.64513888889
39814.56319444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
LOCAL SKIN INFECTION NOS
39814.65625
39814.597916666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
MELENA, BLOOD IN STOOL
39814.66111111111
39814.55
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39814.666666666664
39814.58472222222
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.66805555556
39814.58472222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39814.66875
39814.59861111111
Jan
F
Buddhist
Emergency Room
Ambulance
EMERGENCY
ORAL SOFT TISSUE DIS NEC
39814.669444444444
39814.59444444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39814.67013888889
39814.458333333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.677083333336
39814.63680555556
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39814.68194444444
39814.57777777778
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE SEROUS OTITIS MEDIA
39814.68263888889
39814.575
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FOREIGN BODY IN EAR
39814.68402777778
39814.63958333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.69027777778
39814.65902777778
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF HAND
39814.708333333336
39814.72777777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.71875
39814.67222222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HORDEOLUM EXTERNUM
39814.720138888886
39814.6
Jan
M
Hindu
Emergency Room
Ambulance
EMERGENCY
LOWER LEG INJURY NOS
39814.748611111114
39814.65138888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
PAIN IN LIMB
39814.751388888886
39814.700694444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.75208333333
39814.544444444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39814.76111111111
39814.669444444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.76597222222
39814.691666666666
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN CRUCIATE LIG KNEE
39814.77013888889
39814.64722222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.77291666667
39814.70486111111
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FOREIGN BODY FINGER
39814.77847222222
39814.70694444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.77847222222
39814.71319444444
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.78611111111
39814.66736111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39814.788194444445
39814.73333333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39814.788194444445
39814.74791666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.78958333333
39814.74930555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39814.790972222225
39814.76180555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.791666666664
39814.75208333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.799305555556
39814.66527777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.80416666667
39814.751388888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39814.81527777778
39814.76458333333
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTHER POSTOP INFECTION
39814.81597222222
39814.67569444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
DIABETES MELLITUS TYPE II-UNCOMPL
39814.834027777775
39814.76597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
LOWER LEG INJURY NOS
39814.83611111111
39814.775
Jan
M
Lutheran
Emergency Room
Ambulance
EMERGENCY
FOREIGN BODY IN EAR
39814.839583333334
39814.728472222225
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39814.86041666667
39814.82916666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FOREHEAD
39814.86388888889
39814.77013888889
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39814.88263888889
39814.853472222225
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39814.9
39814.799305555556
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
2 DEG BURN FINGR W THUMB
39814.916666666664
39814.89236111111
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39814.91875
39814.7875
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.92638888889
39814.84930555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.93125
39814.85138888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39814.933333333334
39814.8875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39814.93680555555
39814.9
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39814.94236111111
39814.84652777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NEONATAL DEHYDRATION
39814.94583333333
39814.79236111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
POISONING-AROM ANALGESICS NEC
39814.958333333336
39814.83263888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39814.986805555556
39814.94930555556
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN EPIGASTRIC
39815.0
39814.92361111111
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39815.00625
39814.97361111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
IDIOPATHIC URTICARIA
39815.00763888889
39814.9625
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF LIP
39815.009722222225
39814.93680555555
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.05416666667
39814.87430555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.05694444444
39815.00347222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
MALIGN NEOPL ADRENAL
39815.06319444445
39814.89513888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EPISTAXIS
39815.06319444445
39814.975
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.08819444444
39814.97986111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39815.09375
39815.04861111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF HAND NOS
39815.09930555556
39815.052083333336
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
COUGH
39815.14236111111
39815.05486111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39815.157638888886
39815.097916666666
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.17152777778
39815.104166666664
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.18194444444
39815.10763888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEBRILE CONVULSIONS NOS
39815.248611111114
39815.21597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.275
39815.22638888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.30972222222
39815.220138888886
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39815.35625
39815.330555555556
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
IMPACTED CERUMEN
39815.36111111111
39815.279861111114
Jan
F
Irrigation Of Ear
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FOREIGN BODY IN EAR
39815.385416666664
39815.302083333336
Jan
M
Remov Intralum Ear Fb
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39815.39236111111
39815.26111111111
Jan
M
Deciduous Tooth Extract
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN FACE NEC
39815.40625
39815.25902777778
Jan
F
Other Local Destruc Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN FACE NEC
39815.40625
39815.25902777778
Jan
F
Other Local Destruc Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ACUTE NONSUP OTITIS MED NOS
39815.416666666664
39815.336805555555
Jan
M
Myringotomy W Intubation
Patient Refused
Clinic Referral
Self
SURGERY CENTER
ACUTE NONSUP OTITIS MED NOS
39815.416666666664
39815.336805555555
Jan
M
Myringotomy W Intubation
Patient Refused
Clinic Referral
Self
SURGERY CENTER
FIT/ADJUST VASC CATHETER AFTERCARE
39815.427083333336
39815.254166666666
Jan
F
Removal Fb/Dev From Skin
Other Religion
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39815.441666666666
39815.39375
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39815.447916666664
39815.410416666666
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39815.45138888889
39815.32430555556
Jan
M
Surg Tooth Extract Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CALCULUS OF URETER
39815.458333333336
39815.27847222222
Jan
F
Tu Remov Ureter Obstruct
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CALCULUS OF URETER
39815.458333333336
39815.27847222222
Jan
F
Tu Remov Ureter Obstruct
No Religious Preference
Physician Referral
Self
SURGERY CENTER
BENIGN NEO LONG BONES LEG
39815.458333333336
39815.28333333333
Jan
F
Loc Exc Les Tibia/Fibula
Presbyterian
Physician Referral
Self
SURGERY CENTER
BENIGN NEO LONG BONES LEG
39815.458333333336
39815.28333333333
Jan
F
Loc Exc Les Tibia/Fibula
Presbyterian
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN LEG
39815.458333333336
39815.29583333333
Jan
F
Other Local Destruc Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN LEG
39815.458333333336
39815.29583333333
Jan
F
Other Local Destruc Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FOREIGN BODY IN EAR
39815.458333333336
39815.35208333333
Jan
F
Removal Fb/Dev From Skin
Hindu
Clinic Referral
Self
SURGERY CENTER
FOREIGN BODY IN EAR
39815.458333333336
39815.35208333333
Jan
F
Removal Fb/Dev From Skin
Hindu
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39815.459027777775
39815.40694444445
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39815.461805555555
39815.26666666667
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SWELLING IN HEAD AND NECK
39815.48055555556
39815.416666666664
Jan
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.5
39815.288194444445
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.5
39815.288194444445
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SERUM REACTION NEC
39815.5125
39815.46805555555
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN FACE NEC
39815.51388888889
39815.33263888889
Jan
F
Remove Eyelid Lesion Nos
Jehovah’s Witness
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN FACE NEC
39815.51388888889
39815.33263888889
Jan
F
Remove Eyelid Lesion Nos
Jehovah’s Witness
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN FACE NEC
39815.51388888889
39815.33263888889
Jan
F
Remove Eyelid Lesion Nos
Jehovah’s Witness
Clinic Referral
Self
SURGERY CENTER
DEVEL ODONTOGENIC CYSTS
39815.520833333336
39815.39027777778
Jan
M
Destruct Facial Bone Les
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39815.52847222222
39815.4875
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39815.538194444445
39815.375
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39815.538194444445
39815.375
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BILAT INGUINAL HERNIA
39815.54861111111
39815.285416666666
Jan
F
Bilat Ing Hernia Rep Nos
Other Religion
Clinic Referral
Self
SURGERY CENTER
COMPLIC OTHR INTERN PROSTHE
39815.54861111111
39815.42013888889
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.55902777778
39815.316666666666
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FINGER
39815.55902777778
39815.49444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
LIPOMA NEC
39815.56041666667
39815.47638888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39815.561111111114
39815.51597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
WHEEZING
39815.56527777778
39815.427777777775
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39815.57152777778
39815.52638888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39815.57777777778
39815.513194444444
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
EAR ANOMALIES NEC
39815.57986111111
39815.40972222222
Jan
M
Correction Prominent Ear
Roman Catholic
Emergency Room
Ambulance
MED 2T UNIT
PERITONSILLAR ABSCESS
39815.583333333336
39814.61944444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
PERITONSILLAR ABSCESS
39815.583333333336
39814.61944444444
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.583333333336
39815.35902777778
Jan
F
Tonsillectomy/Adenoidec
Christian
Emergency Room
Ambulance
EMERGENCY
CONVULSIONS NEC
39815.589583333334
39815.45277777778
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
UNSPEC DENTAL CARIES
39815.59375
39815.55902777778
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39815.62152777778
39815.447222222225
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39815.62152777778
39815.447222222225
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
ATTN REMOVAL OF SUTURES
39815.62152777778
39815.49722222222
Jan
M
Remove Head/Neck Sutures
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ATTN REMOVAL OF SUTURES
39815.62152777778
39815.49722222222
Jan
M
Remove Head/Neck Sutures
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
ABDOMINAL PAIN PERIUMBILICAL
39815.626388888886
39814.79722222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
ABDOMINAL PAIN PERIUMBILICAL
39815.626388888886
39814.79722222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.6375
39815.5875
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.6375
39815.5875
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UMBILICAL HERNIA
39815.663194444445
39815.39236111111
Jan
M
Open Rep Umbil Hern Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UMBILICAL HERNIA
39815.663194444445
39815.39236111111
Jan
M
Open Rep Umbil Hern Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BUPHTHALMOS NOS
39815.663194444445
39815.521527777775
Jan
M
Anesthetized Eye Exam
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF KNEE AND LEG NOS
39815.663194444445
39815.584027777775
Jan
F
Episcopal
Clinic Referral
Self
SURGERY CENTER
ANOMALIES OF FOOT NEC
39815.67361111111
39815.464583333334
Jan
F
Loc Exc Les Metatar/Tar
Jewish
Clinic Referral
Self
SURGERY CENTER
ANOMALIES OF FOOT NEC
39815.67361111111
39815.464583333334
Jan
F
Loc Exc Les Metatar/Tar
Jewish
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.68125
39815.620833333334
Jan
F
Buddhist
Physician Referral
Ambulance
NICU
RETINOPH PREMATR,STAGE 3
39815.68402777778
39814.72361111111
Jan
F
Eye Examination Nos
No Religious Preference
Physician Referral
Ambulance
NICU
RETINOPH PREMATR,STAGE 3
39815.68402777778
39814.72361111111
Jan
F
Eye Examination Nos
No Religious Preference
Physician Referral
Ambulance
NICU
RETINOPH PREMATR,STAGE 3
39815.68402777778
39814.72361111111
Jan
F
Eye Examination Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT CLEFT LIP-IMCOMPL
39815.6875
39815.35277777778
Jan
M
Repair Of Cleft Lip
7th Day Adventist
Clinic Referral
Self
SURGERY CENTER
UNILAT CLEFT LIP-IMCOMPL
39815.6875
39815.35833333333
Jan
M
Repair Of Cleft Lip
7th Day Adventist
Clinic Referral
Self
SURGERY CENTER
SALIVARY SECRETION DIS
39815.69097222222
39815.50208333333
Jan
M
Salivary Operation Nec
Christian
Clinic Referral
Self
SURGERY CENTER
SALIVARY SECRETION DIS
39815.69097222222
39815.50208333333
Jan
M
Salivary Operation Nec
Christian
Clinic Referral
Self
SURGERY CENTER
PILONIDAL CYST W ABSCESS
39815.694444444445
39815.46111111111
Jan
F
Incision Pilonidal Sinus
Islam
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39815.69583333333
39815.59166666667
Jan
M
Other Religion
Physician Referral
Self
SURGERY CENTER
CONGENITAL OBSTRUC RENAL UPJ
39815.697916666664
39815.41388888889
Jan
M
Ureteral Catheterization
No Religious Preference
Physician Referral
Self
SURGERY CENTER
CONGENITAL OBSTRUC RENAL UPJ
39815.697916666664
39815.41388888889
Jan
M
Ureteral Catheterization
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN TRUNK
39815.697916666664
39815.478472222225
Jan
M
Other Local Destruc Skin
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39815.697916666664
39815.61736111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39815.70138888889
39815.63055555556
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
BENIGN NEOPL RECTUM/ANUS
39815.708333333336
39815.37708333333
Jan
M
Other Destruc Anus Les
Christian
Clinic Referral
Self
SURGERY CENTER
BENIGN NEOPL RECTUM/ANUS
39815.708333333336
39815.37708333333
Jan
M
Other Destruc Anus Les
Christian
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.708333333336
39815.47430555556
Jan
M
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39815.708333333336
39815.47430555556
Jan
M
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
ANEURYSM OF CORONARY VESSELS
39815.711805555555
39815.38402777778
Jan
F
Rt/Left Heart Card Cath
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
ANEURYSM OF CORONARY VESSELS
39815.711805555555
39815.38402777778
Jan
F
Rt/Left Heart Card Cath
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
TORTICOLLIS NOS
39815.725694444445
39815.604166666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DEFICIENCY ANEMIA NOS
39815.72986111111
39815.509722222225
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ANEMIA NOS
39815.745833333334
39815.66180555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
GU INFECTION-ANTEPARTUM
39815.75625
39815.59583333333
Jan
F
Roman Catholic
Emergency Room
Ambulance
MED 2T UNIT
FEBRILE CONVULSIONS NOS
39815.76458333333
39815.001388888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
FEBRILE CONVULSIONS NOS
39815.76458333333
39815.001388888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39815.76458333333
39815.66736111111
Jan
F
Other Religion
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39815.77013888889
39814.86666666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39815.77013888889
39814.86666666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39815.790972222225
39815.74097222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
2ND DEG BURN THIGH
39815.81041666667
39815.70972222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF ARM
39815.816666666666
39814.532638888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF ARM
39815.816666666666
39814.532638888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39815.81875
39815.66527777778
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39815.81875
39815.66527777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX 1ST METACARP BASE-CLOSE
39815.825694444444
39815.75
Jan
F
Presbyterian
Emergency Room
Ambulance
EMERGENCY
FETAL/NEONATAL JAUND NOS
39815.82986111111
39815.71597222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39815.83263888889
39815.49097222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39815.83263888889
39815.49097222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FX OLECRAN PROC ULNA-CLOSE
39815.833333333336
39815.56041666667
Jan
M
Op Red-Int Fix Rad/Ulna
Baptist
Clinic Referral
Self
SURGERY CENTER
FX OLECRAN PROC ULNA-CLOSE
39815.833333333336
39815.56041666667
Jan
M
Op Red-Int Fix Rad/Ulna
Baptist
Emergency Room
Ambulance
EMERGENCY
FEBRILE CONVULSIONS NOS
39815.84375
39815.7625
Jan
F
Islam
Clinic Referral
Self
SURGERY CENTER
HODGKINS NOS UNSP XTRNODL/SOLID ORG
39815.850694444445
39815.50069444445
Jan
M
Insert Vasc Access Dev
Buddhist
Clinic Referral
Self
SURGERY CENTER
HODGKINS NOS UNSP XTRNODL/SOLID ORG
39815.850694444445
39815.50069444445
Jan
M
Insert Vasc Access Dev
Buddhist
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39815.864583333336
39815.71666666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39815.864583333336
39815.71666666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39815.864583333336
39815.71666666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39815.875
39815.80347222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39815.875
39815.84861111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SUPRCONDYL FX HUMERUS-CLOSE
39815.87569444445
39815.754166666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
VOMITING ALONE
39815.8875
39814.85833333333
Jan
F
Christian
Emergency Room
Ambulance
MED 2G UNIT
VOMITING ALONE
39815.8875
39814.85833333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39815.893055555556
39815.82083333333
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CLAVICLE FX AT BIRTH
39815.90416666667
39815.87291666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39815.90694444445
39815.80138888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39815.910416666666
39814.74513888889
Jan
F
Christian
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39815.910416666666
39814.74513888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39815.915972222225
39815.759722222225
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39815.925
39815.70694444444
Jan
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF KNEE AND LEG NOS
39815.94236111111
39815.830555555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39815.94513888889
39815.90416666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39815.947222222225
39815.805555555555
Jan
F
No Religious Preference
Outside Hospital
Ambulance
MED 2G UNIT
URINARY TRACT INFECTION OF NEWBORN
39815.975694444445
39815.32152777778
Jan
F
Venous Cath Nec
No Religious Preference
Outside Hospital
Ambulance
MED 2G UNIT
URINARY TRACT INFECTION OF NEWBORN
39815.975694444445
39815.32152777778
Jan
F
Venous Cath Nec
No Religious Preference
Outside Hospital
Ambulance
MED 2G UNIT
URINARY TRACT INFECTION OF NEWBORN
39815.975694444445
39815.32152777778
Jan
F
Venous Cath Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ENLARGEMENT LYMPH NODES
39815.99722222222
39815.884722222225
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39815.99930555555
39815.92291666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX CLAVICL, ACROM END-CLOSE
39816.001388888886
39815.86388888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ALLERGIC URTICARIA
39816.00277777778
39815.96944444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ALLERGIC URTICARIA
39816.00277777778
39815.96944444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39816.035416666666
39815.96388888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39816.041666666664
39816.01111111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.04513888889
39815.99444444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF LIP
39816.05694444444
39815.97361111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX ANKLE NOS-CLOSED
39816.05902777778
39815.82708333333
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEBRILE CONVULSIONS NOS
39816.097916666666
39815.938888888886
Jan
M
Bladder Operation Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN GENERALIZED
39816.111805555556
39816.01527777778
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF FOREARM
39816.138194444444
39816.06597222222
Jan
M
Pentecostal
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39816.15902777778
39816.10208333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39816.188888888886
39816.118055555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39816.26111111111
39816.22222222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.26458333333
39816.15277777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN GENERALIZED
39816.288194444445
39816.24444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN GENERALIZED
39816.32013888889
39816.12847222222
Jan
F
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39816.33125
39816.24930555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39816.44513888889
39816.427777777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39816.44583333333
39815.89097222222
Jan
M
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39816.44583333333
39815.89097222222
Jan
M
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.44861111111
39816.36944444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.44930555556
39816.37013888889
Jan
M
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
UNILAT INGUINAL HERNIA
39816.46666666667
39815.518055555556
Jan
M
Opn Rep Ind Ing Hern Nec
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
UNILAT INGUINAL HERNIA
39816.46666666667
39815.518055555556
Jan
M
Opn Rep Ind Ing Hern Nec
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
UNILAT INGUINAL HERNIA
39816.46666666667
39815.518055555556
Jan
M
Opn Rep Ind Ing Hern Nec
Roman Catholic
Clinic Referral
Self
MED 2G UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.5
39815.589583333334
Jan
M
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.5
39815.589583333334
Jan
M
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.50833333333
39815.68402777778
Jan
F
Roman Catholic
Clinic Referral
Self
MED 2G UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.50833333333
39815.68402777778
Jan
F
Roman Catholic
Clinic Referral
Self
MED 1T UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.51180555556
39815.62222222222
Jan
M
Christian
Clinic Referral
Self
MED 1T UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39816.51180555556
39815.62222222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.51597222222
39816.45763888889
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.51875
39816.45763888889
Jan
F
Roman Catholic
Clinic Referral
Self
REHAB UNIT
HYPERTROPHY TONS AND ADEN
39816.53125
39815.263194444444
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
REHAB UNIT
HYPERTROPHY TONS AND ADEN
39816.53125
39815.263194444444
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
REHAB UNIT
HYPERTROPHY TONS AND ADEN
39816.53125
39815.263194444444
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FOREHEAD
39816.53333333333
39816.47361111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHRONIC SINUSITIS NOS
39816.54027777778
39816.46111111111
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTHER ATOPIC DERMATITIS
39816.54791666667
39816.49652777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39816.57083333333
39816.504166666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39816.572222222225
39816.49652777778
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39816.57430555556
39816.49722222222
Jan
F
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
FX SHAFT FIB W TIB-CLOSE
39816.583333333336
39815.77777777778
Jan
M
Cl Fx Reduc-Tibia/Fibula
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FX SHAFT FIB W TIB-CLOSE
39816.583333333336
39815.77777777778
Jan
M
Cl Fx Reduc-Tibia/Fibula
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
INFECTIOUS MONONUCLEOSIS
39816.583333333336
39815.82847222222
Jan
M
Christian
Emergency Room
Ambulance
MED 2T UNIT
INFECTIOUS MONONUCLEOSIS
39816.583333333336
39815.82847222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39816.583333333336
39816.48611111111
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONG FACTOR VIII DIORD
39816.583333333336
39816.51666666667
Jan
M
Christian
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.60277777778
39815.53125
Jan
M
Christian
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.60277777778
39815.53125
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ABN INVOLUN MOVEMENT NEC
39816.60763888889
39816.549305555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39816.60972222222
39816.51944444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ATTN REMOVAL OF SUTURES
39816.611805555556
39816.58125
Jan
F
No Religious Preference
Clinic Referral
Self
SURG 4 UNIT
COARCTATION OF AORTA
39816.625
39815.48333333333
Jan
M
Rt/Left Heart Card Cath
Protestant
Clinic Referral
Self
SURG 4 UNIT
COARCTATION OF AORTA
39816.625
39815.48333333333
Jan
M
Rt/Left Heart Card Cath
Protestant
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39816.62986111111
39816.475694444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39816.63125
39816.555555555555
Jan
M
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39816.64375
39816.51458333333
Jan
M
Protestant
Emergency Room
Ambulance
EMERGENCY
URTICARIA NOS
39816.64375
39816.58263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEBRILE CONVULSIONS NOS
39816.65069444444
39816.56527777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39816.65694444445
39816.540972222225
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
JOINT PAIN-ANKLE
39816.660416666666
39816.54791666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39816.66180555556
39816.510416666664
Jan
F
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39816.666666666664
39816.63125
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39816.67569444444
39816.527083333334
Jan
F
Bladder Operation Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
JOINT PAIN-L/LEG
39816.67986111111
39816.58819444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.67986111111
39816.620833333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.680555555555
39815.209027777775
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.680555555555
39815.209027777775
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
PERSISTENT VOMITING
39816.68541666667
39816.513194444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39816.69930555556
39816.56736111111
Jan
F
Bladder Operation Nec
Christian
Emergency Room
Ambulance
EMERGENCY
SUPERFICIAL INJURY CORNEA
39816.7
39816.538194444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39816.70208333333
39816.45486111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
WHEEZING
39816.708333333336
39816.555555555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
HEMORRHAGE COMPLIC PROCEDURE
39816.70972222222
39816.02777777778
Jan
M
Hemorr Contrl Post T And A
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
HEMORRHAGE COMPLIC PROCEDURE
39816.70972222222
39816.02777777778
Jan
M
Hemorr Contrl Post T And A
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
HEMORRHAGE COMPLIC PROCEDURE
39816.70972222222
39816.02777777778
Jan
M
Hemorr Contrl Post T And A
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.71111111111
39816.62708333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COXSACKIE VIRUS INFEC NOS
39816.72777777778
39816.65555555555
Jan
F
Islam
Clinic Referral
Ambulance
SURG 4 UNIT
ANEMIA NOS
39816.73263888889
39815.74930555555
Jan
F
Roman Catholic
Clinic Referral
Ambulance
SURG 4 UNIT
ANEMIA NOS
39816.73263888889
39815.74930555555
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HERPES SIMPLEX OF EYELID
39816.736805555556
39816.489583333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39816.74513888889
39816.660416666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39816.75
39816.54861111111
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39816.75
39816.700694444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39816.751388888886
39816.48402777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39816.75277777778
39816.720138888886
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.759722222225
39816.70347222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
WHEEZING
39816.76458333333
39816.60625
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.775
39816.73819444444
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FINGER
39816.782638888886
39816.66736111111
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
HERPETIC WHITLOW
39816.79375
39816.529861111114
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
HERPETIC WHITLOW
39816.79375
39816.529861111114
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
UMBILICAL HERNIA
39816.79513888889
39816.72222222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.79791666667
39816.748611111114
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39816.82708333333
39816.75555555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX CLAVICLE SHAFT-CLOSED
39816.82708333333
39816.771527777775
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39816.82986111111
39816.66388888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FX UPPER END TIBIA-CLOSE
39816.83541666667
39816.71597222222
Jan
M
Hindu
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39816.84305555555
39816.64513888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39816.84305555555
39816.76875
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FIT/ADJUST VASC CATHETER AFTERCARE
39816.84375
39816.74930555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.86597222222
39816.8125
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF WRIST NOS
39816.868055555555
39816.73819444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX CLAVICLE SHAFT-CLOSED
39816.87013888889
39816.78333333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF WRIST NOS
39816.87013888889
39816.808333333334
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
LOWER LEG INJURY NOS
39816.876388888886
39816.791666666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX CLAVICLE SHAFT-CLOSED
39816.884722222225
39816.78611111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX CLAVICLE SHAFT-CLOSED
39816.884722222225
39816.78611111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39816.88888888889
39816.657638888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONVULSIONS NEC
39816.89236111111
39816.745833333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39816.89722222222
39816.82152777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SUPERFICIAL INJURY CORNEA
39816.90555555555
39816.85972222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ALOPECIA NOS
39816.92083333333
39816.55625
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39816.933333333334
39816.864583333336
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.93680555555
39816.870833333334
Jan
F
Christian
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.94027777778
39815.57916666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39816.94027777778
39815.57916666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39816.98541666667
39816.91736111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39816.99236111111
39816.81597222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
TIETZE’S DISEASE
39816.99375
39816.92152777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ORBITAL CELLULITIS
39816.99375
39816.94375
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39816.998611111114
39816.90833333333
Jan
F
Greek Orthodox
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39817.0
39816.98125
Jan
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39817.010416666664
39816.904861111114
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND KNEE/LEG-COMPL
39817.01388888889
39816.86041666667
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.01666666667
39816.94236111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39817.04236111111
39816.938888888886
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
PERIAPICAL ABSCESS
39817.04722222222
39816.93541666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39817.05763888889
39816.97083333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.09097222222
39816.99375
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF JAW
39817.09583333333
39816.9875
Jan
M
Lutheran
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39817.11388888889
39817.03402777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ESOPHAGEAL REFLUX
39817.146527777775
39816.990277777775
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
CROUP
39817.146527777775
39817.0875
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.166666666664
39817.09652777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39817.17291666667
39817.009722222225
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
ALLERGIC URTICARIA
39817.17916666667
39817.06736111111
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
NEUTROPENIA NOS
39817.225
39817.103472222225
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39817.225694444445
39817.075694444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39817.2375
39817.052777777775
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.24236111111
39817.163194444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39817.36944444444
39817.30902777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39817.38402777778
39817.23472222222
Jan
F
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
ANAL AND RECTAL ABSCESS
39817.40069444444
39816.68194444444
Jan
M
Incis Perianal Abscess
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
ANAL AND RECTAL ABSCESS
39817.40069444444
39816.68194444444
Jan
M
Incis Perianal Abscess
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
ANAL AND RECTAL ABSCESS
39817.40069444444
39816.68194444444
Jan
M
Incis Perianal Abscess
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.404861111114
39817.336805555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.45138888889
39816.55902777778
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.45138888889
39816.55902777778
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF LIP
39817.45694444444
39817.42986111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.46041666667
39817.41180555556
Jan
M
No Religious Preference
Physician Referral
Ambulance
MED 2G UNIT
FETAL/NEONATAL JAUND NOS
39817.46111111111
39815.751388888886
Jan
M
No Religious Preference
Physician Referral
Ambulance
MED 2G UNIT
FETAL/NEONATAL JAUND NOS
39817.46111111111
39815.751388888886
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
FX ORBITAL FLOOR-CLOSED
39817.467361111114
39815.55625
Jan
M
Open Reduct Face Fx Nec
Christian
Clinic Referral
Self
SURG 3 UNIT
FX ORBITAL FLOOR-CLOSED
39817.467361111114
39815.55625
Jan
M
Open Reduct Face Fx Nec
Christian
Clinic Referral
Self
SURG 3 UNIT
FX ORBITAL FLOOR-CLOSED
39817.467361111114
39815.55625
Jan
M
Open Reduct Face Fx Nec
Christian
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39817.475694444445
39817.41736111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
BILAT INGUINAL HERNIA
39817.479166666664
39815.89722222222
Jan
M
Bilat Ing Hernia Rep Nos
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
BILAT INGUINAL HERNIA
39817.479166666664
39815.89722222222
Jan
M
Bilat Ing Hernia Rep Nos
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.49652777778
39817.458333333336
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.5
39817.40902777778
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.501388888886
39817.45625
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39817.50347222222
39814.84375
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39817.50347222222
39814.84375
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN LLQ
39817.50763888889
39817.26666666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EPISTAXIS
39817.50833333333
39817.47361111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39817.5125
39817.44513888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.52222222222
39817.475694444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIZZINESS AND GIDDINESS
39817.535416666666
39817.45347222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.54513888889
39817.5125
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
PNEUMONIA, ORGANISM NOS
39817.549305555556
39814.31597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
PNEUMONIA, ORGANISM NOS
39817.549305555556
39814.31597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PAIN IN LIMB
39817.575694444444
39817.524305555555
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39817.60208333333
39817.478472222225
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF KNEE AND LEG NOS
39817.60972222222
39817.575
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CONVULSIONS NEC
39817.61666666667
39816.666666666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CONVULSIONS NEC
39817.61666666667
39816.666666666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39817.620833333334
39817.51458333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.62291666667
39816.92986111111
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.62291666667
39816.92986111111
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.62291666667
39816.92986111111
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FOREIGN BODY ESOPHAGUS
39817.62291666667
39816.92986111111
Jan
F
Remov Intralum Esoph Fb
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39817.62569444445
39817.520833333336
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.62847222222
39817.461805555555
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39817.63402777778
39817.57013888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39817.63611111111
39816.46944444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39817.63611111111
39816.46944444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SIALOADENITIS
39817.649305555555
39817.58611111111
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.6625
39817.56527777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE GASTRITIS W HEMORRHAGE
39817.666666666664
39815.839583333334
Jan
M
Jewish
Emergency Room
Ambulance
MED 2G UNIT
ACUTE GASTRITIS W HEMORRHAGE
39817.666666666664
39815.839583333334
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39817.666666666664
39817.59722222222
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.691666666666
39817.59444444445
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
SCABIES
39817.700694444444
39817.60625
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NEONATAL THROMBOCYTOPEN
39817.700694444444
39817.646527777775
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39817.708333333336
39817.66805555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39817.71388888889
39817.518055555556
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.73819444444
39817.54583333333
Jan
M
Bladder Operation Nec
Christian
Emergency Room
Ambulance
EMERGENCY
SPRAIN MEDIAL COLLAT LIG
39817.74513888889
39817.66527777778
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
TIETZE’S DISEASE
39817.75
39817.69236111111
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
NWBRN GI HEMORRHAGE
39817.763194444444
39817.65694444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.77361111111
39817.600694444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PERIAPICAL ABSCESS
39817.77847222222
39817.71388888889
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39817.791666666664
39817.65416666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.80902777778
39817.675
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.80972222222
39817.58888888889
Jan
F
Presbyterian
Emergency Room
Ambulance
EMERGENCY
MUSCLE WEAKNESS (GENERALIZED)
39817.813888888886
39817.67152777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FINGER
39817.82013888889
39817.72986111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39817.82083333333
39817.76458333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.83541666667
39817.66180555556
Jan
M
Latter Day Saints
Emergency Room
Ambulance
SURG 3 UNIT
SUPRCONDYL FX HUMERUS-CLOSE
39817.83611111111
39816.009722222225
Jan
F
Open Red-Int Fix Humerus
Christian
Emergency Room
Ambulance
SURG 3 UNIT
SUPRCONDYL FX HUMERUS-CLOSE
39817.83611111111
39816.009722222225
Jan
F
Open Red-Int Fix Humerus
Christian
Emergency Room
Ambulance
SURG 3 UNIT
SUPRCONDYL FX HUMERUS-CLOSE
39817.83611111111
39816.009722222225
Jan
F
Open Red-Int Fix Humerus
Christian
Emergency Room
Ambulance
SURG 3 UNIT
SUPRCONDYL FX HUMERUS-CLOSE
39817.83611111111
39816.009722222225
Jan
F
Open Red-Int Fix Humerus
Christian
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39817.84166666667
39817.731944444444
Jan
M
Lutheran
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39817.842361111114
39817.71944444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
COMPLIC OTHR VASCUL DEVICE
39817.84305555555
39817.74097222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX TIBIA NOS-CLOSED
39817.84652777778
39817.71666666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
PAIN IN LIMB
39817.85486111111
39817.7375
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39817.85902777778
39817.79861111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
RETENTION OF URINE UNSPEC
39817.86319444444
39817.7375
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CRUSHING INJURY FINGER
39817.86597222222
39817.83263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF ANKLE NOS
39817.88958333333
39817.85208333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39817.89722222222
39817.83541666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTHER GENERAL SYMPTOMS
39817.907638888886
39817.83125
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
TORTICOLLIS NOS
39817.910416666666
39817.58263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39817.916666666664
39817.91527777778
Jan
M
Lutheran
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FACE NOS
39817.92222222222
39817.72708333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
GENERAL MEDICAL EXAM NOS
39817.92638888889
39817.74722222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39817.958333333336
39817.90972222222
Jan
M
Pentecostal
Emergency Room
Ambulance
EMERGENCY
MELENA, BLOOD IN STOOL
39817.961805555555
39817.91180555556
Jan
F
Sikh
Emergency Room
Ambulance
EMERGENCY
VARICELLA UNCOMPLICATED
39817.96388888889
39817.88680555556
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39817.96597222222
39817.90138888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39817.97361111111
39817.92013888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39817.99166666667
39817.924305555556
Jan
F
Roman Catholic
Physician Referral
Self
SURGERY CENTER
HEMANGIOMA SKIN
39818.0
39818.29513888889
Jan
F
Other Local Destruc Skin
No Religious Preference
Physician Referral
Self
SURGERY CENTER
HEMANGIOMA SKIN
39818.0
39818.29513888889
Jan
F
Other Local Destruc Skin
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39818.0
39818.32361111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
JOINT PAIN-ANKLE
39818.03888888889
39817.85277777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39818.041666666664
39817.975694444445
Jan
M
Buddhist
Emergency Room
Ambulance
EMERGENCY
EDEMA
39818.05069444444
39817.9875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
UMBILICAL HERNIA
39818.05763888889
39817.995833333334
Jan
F
Baptist
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39818.07152777778
39817.98263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39818.11388888889
39818.05416666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39818.11736111111
39817.85833333333
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
MELENA, BLOOD IN STOOL
39818.217361111114
39818.072222222225
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.220138888886
39818.15
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39818.25
39818.089583333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE TONSILLITIS
39818.25
39818.09861111111
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39818.364583333336
39818.282638888886
Jan
F
Myringotomy W Intubation
Christian
Physician Referral
Self
SURGERY CENTER
VASCULAR HAMARTOMAS
39818.375
39818.277083333334
Jan
F
Other Local Destruc Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39818.381944444445
39818.29375
Jan
F
Myringotomy W Intubation
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39818.381944444445
39818.29375
Jan
F
Myringotomy W Intubation
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN NEC
39818.40833333333
39818.28958333333
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PAUCIART JUV RHEUM ARTHR
39818.416666666664
39818.26736111111
Jan
F
Injection Into Joint
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PAUCIART JUV RHEUM ARTHR
39818.416666666664
39818.26736111111
Jan
F
Injection Into Joint
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39818.43125
39818.20416666667
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PILONIDAL CYST W/O ABSC
39818.45138888889
39818.27013888889
Jan
F
Incision Pilonidal Sinus
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PILONIDAL CYST W/O ABSC
39818.45138888889
39818.27013888889
Jan
F
Incision Pilonidal Sinus
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
EOSINOPHILIC ESOPHAGITIS
39818.458333333336
39818.361805555556
Jan
M
Egd With Closed Biopsy
Hindu
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN LLQ
39818.459027777775
39818.396527777775
Jan
M
Christian
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39818.461805555555
39818.33263888889
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39818.461805555555
39818.33263888889
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39818.46875
39818.29027777778
Jan
M
Crown Application
Christian
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39818.475694444445
39818.29861111111
Jan
M
Myringotomy W Intubation
Christian
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39818.475694444445
39818.29861111111
Jan
M
Myringotomy W Intubation
Christian
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39818.489583333336
39818.24652777778
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39818.49375
39818.36319444444
Jan
M
Bladder Operation Nec
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.49930555555
39817.41388888889
Jan
M
Circumcision
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.49930555555
39817.41388888889
Jan
M
Circumcision
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.49930555555
39817.41388888889
Jan
M
Circumcision
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39818.5
39818.29652777778
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39818.5
39818.29652777778
Jan
F
Myringotomy W Intubation
No Religious Preference
Physician Referral
Self
SURGERY CENTER
VASCULAR HAMARTOMAS
39818.5
39818.333333333336
Jan
F
Other Local Destruc Skin
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39818.5
39818.38055555556
Jan
F
Adenoidectomy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39818.5
39818.38055555556
Jan
F
Adenoidectomy
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
CONGENITAL HYDROCEPHALUS
39818.50833333333
39814.42916666667
Jan
M
Ventricl Shunt-Abdomen
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
CONGENITAL HYDROCEPHALUS
39818.50833333333
39814.42916666667
Jan
M
Ventricl Shunt-Abdomen
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39818.51736111111
39818.404861111114
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39818.51736111111
39818.404861111114
Jan
M
Myringotomy W Intubation
No Religious Preference
Physician Referral
Self
SURGERY CENTER
ATTEN TO GASTROSTOMY
39818.53125
39818.37777777778
Jan
M
Replace Gastrostomy Tube
Roman Catholic
Physician Referral
Self
SURGERY CENTER
ATTEN TO GASTROSTOMY
39818.53125
39818.37777777778
Jan
M
Replace Gastrostomy Tube
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
FX FEMUR, MIDCERVIC-CLOSE
39818.532638888886
39816.86736111111
Jan
F
Open Reduc-Int Fix Femur
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FX FEMUR, MIDCERVIC-CLOSE
39818.532638888886
39816.86736111111
Jan
F
Open Reduc-Int Fix Femur
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FX FEMUR, MIDCERVIC-CLOSE
39818.532638888886
39816.86736111111
Jan
F
Open Reduc-Int Fix Femur
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.541666666664
39816.31597222222
Jan
F
Lutheran
Emergency Room
Ambulance
MED 2T UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.541666666664
39816.31597222222
Jan
F
Lutheran
Clinic Referral
Self
SURGERY CENTER
STENOSIS OF LARYNX
39818.541666666664
39818.42847222222
Jan
M
Destruct Larynx Les Nec
Protestant
Clinic Referral
Self
SURGERY CENTER
STENOSIS OF LARYNX
39818.541666666664
39818.42847222222
Jan
M
Destruct Larynx Les Nec
Protestant
Clinic Referral
Self
SURGERY CENTER
ANOMALIES OF URACHUS
39818.552083333336
39818.333333333336
Jan
F
Excision Of Urachus
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ANOMALIES OF URACHUS
39818.552083333336
39818.333333333336
Jan
F
Excision Of Urachus
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39818.555555555555
39818.39375
Jan
F
Tonsillectomy/Adenoidec
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39818.555555555555
39818.39375
Jan
F
Tonsillectomy/Adenoidec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.56527777778
39818.48333333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
LUMBOSACRAL NEURITIS NOS
39818.57916666667
39818.51458333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39818.58194444444
39818.40416666667
Jan
F
Bladder Operation Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HEMANGIOMA NEC
39818.583333333336
39818.42986111111
Jan
F
Excis Lesion Of Muscle
Roman Catholic
Physician Referral
Self
SURGERY CENTER
VASCULAR HAMARTOMAS
39818.583333333336
39818.433333333334
Jan
F
Other Local Destruc Skin
No Religious Preference
Physician Referral
Self
SURGERY CENTER
VASCULAR HAMARTOMAS
39818.583333333336
39818.433333333334
Jan
F
Other Local Destruc Skin
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.586805555555
39817.60277777778
Jan
F
Hemorr Contrl Post T And A
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.586805555555
39817.60277777778
Jan
F
Hemorr Contrl Post T And A
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
HEMORRHAGE COMPLIC PROCEDURE
39818.586805555555
39817.60277777778
Jan
F
Hemorr Contrl Post T And A
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
ESOPHAGEAL REFLUX
39818.59861111111
39815.361805555556
Jan
M
Lap Creat Esoph Sphinct
Islam
Clinic Referral
Self
SURG 3 UNIT
ESOPHAGEAL REFLUX
39818.59861111111
39815.361805555556
Jan
M
Lap Creat Esoph Sphinct
Islam
Clinic Referral
Self
SURG 3 UNIT
ESOPHAGEAL REFLUX
39818.59861111111
39815.361805555556
Jan
M
Lap Creat Esoph Sphinct
Islam
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF TRUNK
Jan
M
Other Skin And Subq I And D
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF TRUNK
Jan
M
Other Skin And Subq I And D
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
LARYNGOTRACH ANOMALY NEC
39818.625
39818.47222222222
Jan
F
Destruct Larynx Les Nec
Lutheran
Clinic Referral
Self
SURGERY CENTER
LARYNGOTRACH ANOMALY NEC
39818.625
39818.47222222222
Jan
F
Destruct Larynx Les Nec
Lutheran
Clinic Referral
Self
SURGERY CENTER
UMBILICAL HERNIA
39818.62847222222
39818.444444444445
Jan
M
Open Rep Umbil Hern Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UMBILICAL HERNIA
39818.62847222222
39818.444444444445
Jan
M
Open Rep Umbil Hern Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39818.634722222225
39818.58194444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.649305555555
39818.58541666667
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF JAW
39818.674305555556
39818.57638888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN OTHER SPEC SITE
39818.677777777775
39818.47430555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39818.69652777778
39817.63888888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39818.69652777778
39817.63888888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39818.697916666664
39818.580555555556
Jan
F
Bladder Operation Nec
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39818.70347222222
39818.56319444445
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
CLOSE SKULL FRACTURE NEC
39818.708333333336
39818.56875
Jan
F
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
INFECTIOUS MONONUCLEOSIS
39818.71875
39816.45416666667
Jan
M
Bone Marrow Biopsy
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
INFECTIOUS MONONUCLEOSIS
39818.71875
39816.45416666667
Jan
M
Bone Marrow Biopsy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39818.74375
39818.69930555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39818.745833333334
39818.70416666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39818.74652777778
39818.70208333333
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF NECK
39818.75
39816.82638888889
Jan
M
Jewish
Emergency Room
Ambulance
MED 2G UNIT
CELLULITIS OF NECK
39818.75
39816.82638888889
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
OBSERVATION-INFLICTED INJ NEC
39818.75208333333
39818.486805555556
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MOLLUSCUM CONTAGIOSUM
39818.78125
39818.60625
Jan
F
Remove Eyelid Lesion Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MOLLUSCUM CONTAGIOSUM
39818.78125
39818.60625
Jan
F
Remove Eyelid Lesion Nos
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF JAW
39818.782638888886
39818.69305555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39818.790972222225
39818.739583333336
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39818.790972222225
39818.74166666667
Jan
F
No Religious Preference
Clinic Referral
Self
SURG 4 UNIT
COARCTATION OF AORTA
39818.791666666664
39818.38958333333
Jan
M
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COARCTATION OF AORTA
39818.791666666664
39818.38958333333
Jan
M
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COARCTATION OF AORTA
39818.791666666664
39818.38958333333
Jan
M
Angio Oth Non-Coronary
Other Religion
Emergency Room
Ambulance
EMERGENCY
MUSCLE WEAKNESS (GENERALIZED)
39818.79583333333
39818.498611111114
Jan
F
Baptist
Emergency Room
Ambulance
SURGERY CENTER
FOREIGN BODY ESOPHAGUS
39818.802083333336
39818.54791666667
Jan
F
Remov Intralum Esoph Fb
Christian
Emergency Room
Ambulance
SURGERY CENTER
FOREIGN BODY ESOPHAGUS
39818.802083333336
39818.54791666667
Jan
F
Remov Intralum Esoph Fb
Christian
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39818.802083333336
39818.65972222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ORTHOPEDIC AFTERCARE NEC
39818.8125
39818.45416666667
Jan
F
Remov Imp Dev-Tib/Fibula
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
39818.842361111114
39818.28680555556
Jan
M
Islam
Clinic Referral
Self
SURG 3 UNIT
39818.842361111114
39818.28680555556
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39818.84583333333
39818.79791666667
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39818.84930555556
39818.78402777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
CONVULSIONS NEC
39818.850694444445
39818.63680555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF LOWER LEG
39818.85208333333
39818.71041666667
Jan
M
Methodist
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39818.8625
39818.76875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FACE NOS
39818.86875
39818.771527777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39818.87291666667
39818.808333333334
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39818.87777777778
39818.09097222222
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39818.87777777778
39818.09097222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39818.89027777778
39818.68125
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SYNCOPE AND COLLAPSE
39818.925
39818.78611111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
IRON DEFIC ANEMIA NOS
39818.92986111111
39818.82847222222
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39818.93194444444
39818.89166666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39818.93541666667
39818.87291666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39818.97638888889
39818.90902777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39818.98472222222
39818.89791666667
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONCUSSION W/O COMA
39818.98819444444
39818.92916666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX ORBITAL FLOOR-CLOSED
39818.99444444444
39818.75902777778
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.00486111111
39818.77847222222
Jan
F
Bladder Operation Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39819.00625
39818.9375
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39819.01527777778
39818.94236111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URTICARIA NOS
39819.01597222222
39818.91388888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
MALFUN NEURO DEVICE/GRAF
39819.01944444444
39818.899305555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE SUPP OM W DRUM RUPT
39819.021527777775
39818.93680555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39819.03611111111
39818.89444444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39819.04027777778
39818.87708333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.04652777778
39818.96666666667
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39819.04722222222
39818.93263888889
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39819.05138888889
39819.010416666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
BLADDER DISORDER NOS
39819.058333333334
39818.94027777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39819.07152777778
39818.93819444445
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39819.07777777778
39819.0375
Jan
M
Other Religion
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39819.08125
39818.97986111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CROUP
39819.09305555555
39819.049305555556
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN EPIGASTRIC
39819.166666666664
39819.083333333336
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.17291666667
39819.13958333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
MIGRNE UNSP WO NTRC MGRN
39819.17986111111
39818.936111111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.26458333333
39819.217361111114
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FX MID/PRX PHAL, HAND-CLOSE
39819.347916666666
39819.288194444445
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.354166666664
39819.26388888889
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.354166666664
39819.26388888889
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39819.385416666664
39819.26111111111
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39819.385416666664
39819.26111111111
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
EPISTAXIS
39819.385416666664
39819.27638888889
Jan
M
Cautery To Stop Epistax
Other Religion
Clinic Referral
Self
SURGERY CENTER
EPISTAXIS
39819.385416666664
39819.27638888889
Jan
M
Cautery To Stop Epistax
Other Religion
Emergency Room
Ambulance
MED 1T UNIT
CROUP
39819.3875
39818.21944444445
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
CROUP
39819.3875
39818.21944444445
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
APNEA OF NEWBORN NEC
39819.40555555555
39818.15277777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
APNEA OF NEWBORN NEC
39819.40555555555
39818.15277777778
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BENIGN NEOPL RECTUM/ANUS
39819.40625
39819.26944444444
Jan
M
Clos Large Bowel Biopsy
Christian
Clinic Referral
Self
SURGERY CENTER
BENIGN NEOPL RECTUM/ANUS
39819.40625
39819.26944444444
Jan
M
Clos Large Bowel Biopsy
Christian
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39819.40625
39819.345138888886
Jan
M
Myringotomy W Intubation
Christian
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39819.40625
39819.345138888886
Jan
M
Myringotomy W Intubation
Christian
Emergency Room
Ambulance
MED 2G UNIT
IRON DEFIC ANEMIA NOS
39819.416666666664
39815.635416666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
IRON DEFIC ANEMIA NOS
39819.416666666664
39815.635416666664
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PAUCIART JUV RHEUM ARTHR
39819.416666666664
39819.35486111111
Jan
F
Injection Into Joint
Presbyterian
Clinic Referral
Self
SURGERY CENTER
PAUCIART JUV RHEUM ARTHR
39819.416666666664
39819.35486111111
Jan
F
Injection Into Joint
Presbyterian
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.416666666664
39819.35555555556
Jan
M
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.416666666664
39819.35555555556
Jan
M
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONS AND ADEN
39819.42083333333
39818.5625
Jan
M
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONS AND ADEN
39819.42083333333
39818.5625
Jan
M
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
BILAT INGUINAL HERNIA
39819.44097222222
39818.26666666667
Jan
M
Bilat Ing Hernia Rep Nos
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
BILAT INGUINAL HERNIA
39819.44097222222
39818.26666666667
Jan
M
Bilat Ing Hernia Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39819.44097222222
39819.31180555555
Jan
F
Adenoidectomy
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39819.44097222222
39819.31180555555
Jan
F
Adenoidectomy
Other Religion
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONS AND ADEN
39819.44861111111
39818.544444444444
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONS AND ADEN
39819.44861111111
39818.544444444444
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONS AND ADEN
39819.44861111111
39818.544444444444
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39819.45486111111
39819.25833333333
Jan
F
Crown Application
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ANOMALIES OF FOOT NEC
39819.458333333336
39819.25763888889
Jan
F
Tot Ostect-Metatars/Tars
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39819.458333333336
39819.37430555555
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39819.458333333336
39819.37430555555
Jan
F
Myringotomy W Intubation
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39819.48055555556
39819.427777777775
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
VOMITING ALONE
39819.49722222222
39816.0
Jan
M
Christian
Emergency Room
Ambulance
SURG 3 UNIT
VOMITING ALONE
39819.49722222222
39816.0
Jan
M
Christian
Clinic Referral
Self
PICU
FIT/ADJUST PROSTHESIS NEC
39819.5
39818.29236111111
Jan
M
Oth Bone Repa/Plast Nec
Roman Catholic
Clinic Referral
Self
PICU
FIT/ADJUST PROSTHESIS NEC
39819.5
39818.29236111111
Jan
M
Oth Bone Repa/Plast Nec
Roman Catholic
Clinic Referral
Self
PICU
FIT/ADJUST PROSTHESIS NEC
39819.5
39818.29236111111
Jan
M
Oth Bone Repa/Plast Nec
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39819.5
39819.26736111111
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
DERMATOSES NEC
39819.5
39819.30416666667
Jan
M
Pedicle Graft Advancemen
Christian
Clinic Referral
Self
SURGERY CENTER
FAILURE TO THRIVE
39819.5
39819.41458333333
Jan
M
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FAILURE TO THRIVE
39819.5
39819.41458333333
Jan
M
Egd With Closed Biopsy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39819.50486111111
39819.42013888889
Jan
F
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
AFCARE FOL SURG OF SENSE ORGANS, NEC
39819.50902777778
39818.36875
Jan
F
Nasal Operation Nec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
AFCARE FOL SURG OF SENSE ORGANS, NEC
39819.50902777778
39818.36875
Jan
F
Nasal Operation Nec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
AFCARE FOL SURG OF SENSE ORGANS, NEC
39819.50902777778
39818.36875
Jan
F
Nasal Operation Nec
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
ANAL AND RECTAL ABSCESS
39819.51458333333
39817.97986111111
Jan
M
Incis Perianal Abscess
Christian
Emergency Room
Ambulance
SURG 3 UNIT
ANAL AND RECTAL ABSCESS
39819.51458333333
39817.97986111111
Jan
M
Incis Perianal Abscess
Christian
Emergency Room
Ambulance
SURG 3 UNIT
ANAL AND RECTAL ABSCESS
39819.51458333333
39817.97986111111
Jan
M
Incis Perianal Abscess
Christian
Emergency Room
Ambulance
SURG 3 UNIT
ANAL AND RECTAL ABSCESS
39819.51458333333
39817.97986111111
Jan
M
Incis Perianal Abscess
Christian
Outside Hospital
Ambulance
SURG 3 UNIT
CONG PYLORIC STENOSIS
39819.524305555555
39816.5
Jan
M
Pyloromyotomy
No Religious Preference
Outside Hospital
Ambulance
SURG 3 UNIT
CONG PYLORIC STENOSIS
39819.524305555555
39816.5
Jan
M
Pyloromyotomy
No Religious Preference
Outside Hospital
Ambulance
SURG 3 UNIT
CONG PYLORIC STENOSIS
39819.524305555555
39816.5
Jan
M
Pyloromyotomy
No Religious Preference
Outside Hospital
Ambulance
SURG 3 UNIT
CONG PYLORIC STENOSIS
39819.524305555555
39816.5
Jan
M
Pyloromyotomy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BILAT INGUINAL HERNIA
39819.524305555555
39819.30416666667
Jan
F
Bilat Ing Hernia Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
BILAT INGUINAL HERNIA
39819.524305555555
39819.30416666667
Jan
F
Bilat Ing Hernia Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.52777777778
39819.44375
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39819.52777777778
39819.44375
Jan
F
Myringotomy W Intubation
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.52847222222
39819.46527777778
Jan
F
Roman Catholic
Emergency Room
Ambulance
MED 2T UNIT
FETAL/NEONATAL JAUND NOS
39819.53680555556
39816.75277777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
FETAL/NEONATAL JAUND NOS
39819.53680555556
39816.75277777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39819.53680555556
39819.39791666667
Jan
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39819.538194444445
39819.254166666666
Jan
M
Unilat Ing Hern Rep Nos
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39819.538194444445
39819.254166666666
Jan
M
Unilat Ing Hern Rep Nos
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39819.541666666664
39819.41527777778
Jan
F
Adenoidectomy
Other Religion
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY ADENOIDS
39819.541666666664
39819.41527777778
Jan
F
Adenoidectomy
Other Religion
Emergency Room
Ambulance
EMERGENCY
CORNEAL DISORDR DUE TO CONTACT LENS
39819.541666666664
39819.42222222222
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN LEG
39819.54513888889
39819.34861111111
Jan
M
Other Local Destruc Skin
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
BENIGN NEO SKIN LEG
39819.54513888889
39819.34861111111
Jan
M
Other Local Destruc Skin
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39819.552777777775
39819.520833333336
Jan
F
No Religious Preference
Physician Referral
Self
SURGERY CENTER
COMPLIC LIVER TRANSPLANT
39819.555555555555
39819.27916666667
Jan
M
Perc Hepat Cholangiogram
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39819.56527777778
39819.393055555556
Jan
F
Jewish
Emergency Room
Ambulance
SCCA UNIT
DRUG INDUCED NEUTROPENIA
39819.584027777775
39816.393055555556
Jan
M
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
DRUG INDUCED NEUTROPENIA
39819.584027777775
39816.393055555556
Jan
M
Entral Infus Nutrit Sub
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
FIT/ADJUST PROSTHESIS NEC
39819.59861111111
39818.385416666664
Jan
M
Oth Bone Repa/Plast Nec
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
FIT/ADJUST PROSTHESIS NEC
39819.59861111111
39818.385416666664
Jan
M
Oth Bone Repa/Plast Nec
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39819.600694444445
39819.37152777778
Jan
F
Unilat Ing Hern Rep Nos
Christian
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39819.600694444445
39819.37152777778
Jan
F
Unilat Ing Hern Rep Nos
Christian
Emergency Room
Ambulance
MED 1T UNIT
VIRAL PNEUMONIA NOS
39819.61041666667
39818.01458333333
Jan
F
Roman Catholic
Emergency Room
Ambulance
MED 1T UNIT
VIRAL PNEUMONIA NOS
39819.61041666667
39818.01458333333
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.61944444444
39819.395833333336
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FOREHEAD
39819.62222222222
39819.455555555556
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
SUBCONDYLAR FX MANDIB-CL
39819.623611111114
39818.566666666666
Jan
F
Cl Reduct Mandible Fx
Christian
Clinic Referral
Self
SURG 3 UNIT
SUBCONDYLAR FX MANDIB-CL
39819.623611111114
39818.566666666666
Jan
F
Cl Reduct Mandible Fx
Christian
Clinic Referral
Self
SURG 3 UNIT
SUBCONDYLAR FX MANDIB-CL
39819.623611111114
39818.566666666666
Jan
F
Cl Reduct Mandible Fx
Christian
Clinic Referral
Self
SURGERY CENTER
SYNDACTYL FING W FUSION
39819.625
39819.28888888889
Jan
M
Syndactyly Correction
Christian
Physician Referral
Ambulance
MED 2G UNIT
FAILURE TO THRIVE
39819.62847222222
39818.50069444445
Jan
M
Entral Infus Nutrit Sub
Baptist
Physician Referral
Ambulance
MED 2G UNIT
FAILURE TO THRIVE
39819.62847222222
39818.50069444445
Jan
M
Entral Infus Nutrit Sub
Baptist
Clinic Referral
Self
SURGERY CENTER
MADELUNG’S DEFORMITY
39819.635416666664
39819.43472222222
Jan
F
Radius/Ulna Division Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MADELUNG’S DEFORMITY
39819.635416666664
39819.43472222222
Jan
F
Radius/Ulna Division Nec
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39819.64236111111
39817.55
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39819.64236111111
39817.55
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.64236111111
39819.461805555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HAIR DISEASES NEC
39819.64722222222
39819.563888888886
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HAIR DISEASES NEC
39819.64722222222
39819.56597222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT ING HERNIA W OBST
39819.65625
39819.39027777778
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT ING HERNIA W OBST
39819.65625
39819.39027777778
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
SYNDACTYL FING-NO FUSION
39819.65625
39819.45486111111
Jan
F
Syndactyly Correction
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
SYNDACTYL FING-NO FUSION
39819.65625
39819.45486111111
Jan
F
Syndactyly Correction
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
VOMITING ALONE
39819.666666666664
39817.75277777778
Jan
M
Christian
Emergency Room
Ambulance
MED 2G UNIT
VOMITING ALONE
39819.666666666664
39817.75277777778
Jan
M
Christian
Emergency Room
Ambulance
MED 2T UNIT
AC INFECT POLYNEURITIS
39819.666666666664
39817.81319444445
Jan
F
Spinal Tap
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
AC INFECT POLYNEURITIS
39819.666666666664
39817.81319444445
Jan
F
Spinal Tap
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABRASION HIP AND LEG
39819.666666666664
39819.59583333333
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39819.67013888889
39819.5625
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
INFLAM DISEASE OF BREAST
39819.677083333336
39818.57847222222
Jan
F
Christian
Emergency Room
Ambulance
SURG 3 UNIT
INFLAM DISEASE OF BREAST
39819.677083333336
39818.57847222222
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39819.68402777778
39819.61319444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39819.686111111114
39819.6125
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
SPRAIN CRUCIATE LIG KNEE
39819.70277777778
39818.45416666667
Jan
M
Cruciate Lig Repair Nec
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
SPRAIN CRUCIATE LIG KNEE
39819.70277777778
39818.45416666667
Jan
M
Cruciate Lig Repair Nec
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
SPRAIN CRUCIATE LIG KNEE
39819.70277777778
39818.45416666667
Jan
M
Cruciate Lig Repair Nec
Roman Catholic
Emergency Room
Ambulance
SCCA UNIT
THROMBOCYTOPENIA NOS
39819.708333333336
39815.97430555556
Jan
M
Bone Marrow Biopsy
No Religious Preference
Emergency Room
Ambulance
SCCA UNIT
THROMBOCYTOPENIA NOS
39819.708333333336
39815.97430555556
Jan
M
Bone Marrow Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39819.708333333336
39819.34305555555
Jan
M
Crown Application
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39819.708333333336
39819.41736111111
Jan
M
Jewish
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39819.708333333336
39819.498611111114
Jan
M
Deciduous Tooth Extract
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39819.708333333336
39819.55486111111
Jan
M
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURGERY CENTER
OTITIS MEDIA NOS
39819.708333333336
39819.55486111111
Jan
M
Myringotomy W Intubation
Other Religion
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.71597222222
39819.61875
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MADELUNG’S DEFORMITY
39819.72222222222
39819.43680555555
Jan
F
Radius/Ulna Division Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MADELUNG’S DEFORMITY
39819.72222222222
39819.43680555555
Jan
F
Radius/Ulna Division Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
JOINT PAIN-ANKLE
39819.72361111111
39819.60138888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.74097222222
39819.69027777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.74722222222
39819.552083333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.74791666667
39819.67569444444
Jan
F
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39819.75
39815.63402777778
Jan
M
Inject Ca Chemother Nec
Christian
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39819.75
39815.63402777778
Jan
M
Inject Ca Chemother Nec
Christian
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39819.760416666664
39818.186111111114
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39819.760416666664
39818.186111111114
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
INFLAM DISEASE OF BREAST
39819.7625
39819.69236111111
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UPPER LIMB VASC ANOMALY
39819.76388888889
39819.54861111111
Jan
F
Exc Les Sft Tiss Hnd Nec
Protestant
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39819.76597222222
39819.61111111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39819.76597222222
39819.67291666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39819.782638888886
39819.586805555555
Jan
F
Baptist
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39819.782638888886
39819.586805555555
Jan
F
Baptist
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39819.78958333333
39819.63888888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39819.79027777778
39819.60833333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
FEEDING PROBLEM
39819.791666666664
39816.57847222222
Jan
M
Egd With Closed Biopsy
Christian
Emergency Room
Ambulance
MED 2T UNIT
FEEDING PROBLEM
39819.791666666664
39816.57847222222
Jan
M
Egd With Closed Biopsy
Christian
Clinic Referral
Self
SURGERY CENTER
OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
39819.791666666664
39819.59166666667
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
OBSTRUCTIVE SLEEP APNEA, ADULT AND PED
39819.791666666664
39819.59166666667
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39819.802777777775
39819.74652777778
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
PAIN IN LIMB
39819.82083333333
39819.635416666664
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39819.82847222222
39819.73541666667
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.83263888889
39819.78611111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39819.845138888886
39819.722916666666
Jan
F
Protestant
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39819.84583333333
39819.785416666666
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FX METATARSAL-CLOSED
39819.85763888889
39819.57638888889
Jan
F
Cl Red-Int Fix Metat/Tar
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FX METATARSAL-CLOSED
39819.85763888889
39819.57638888889
Jan
F
Cl Red-Int Fix Metat/Tar
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF LIP
39819.86388888889
39819.717361111114
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.86388888889
39819.82013888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
WHEEZING
39819.875
39819.80625
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ANGIONEUROTIC EDEMA
39819.875
39819.83611111111
Jan
F
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39819.87847222222
39819.3375
Jan
F
Inject Ca Chemother Nec
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39819.87847222222
39819.3375
Jan
F
Inject Ca Chemother Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ACQ HEAD DEFORMITY OTHER SPEC
39819.89236111111
39819.40972222222
Jan
M
Skin Repair And Plasty Nec
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
ACQ HEAD DEFORMITY OTHER SPEC
39819.89236111111
39819.40972222222
Jan
M
Skin Repair And Plasty Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CARDIAC DYSRHYTHMIAS NEC
39819.893055555556
39819.78958333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF LIP
39819.90347222222
39819.82708333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39819.916666666664
39819.822916666664
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ANAPHYLAC SHOCK DUE MILK PRODUCTS
39819.916666666664
39819.85138888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39819.92013888889
39819.84375
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF BUTTOCK
39819.936111111114
39819.75069444445
Jan
F
Other Religion
Emergency Room
Ambulance
EMERGENCY
2ND DEG BURN CHEST WALL
39819.95347222222
39819.864583333336
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DYSURIA
39819.98263888889
39819.910416666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39819.98402777778
39819.82430555556
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
URTICARIA NOS
39819.993055555555
39819.907638888886
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF BUTTOCK
39819.99444444444
39819.794444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF BUTTOCK
39819.99444444444
39819.794444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2T UNIT
PURPURA NOS
39820.0
39818.67152777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
PURPURA NOS
39820.0
39818.67152777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39820.0
39819.85833333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND ANT ABDOMEN-COMP
39820.0125
39819.82013888889
Jan
M
Protestant
Emergency Room
Ambulance
EMERGENCY
WHEEZING
39820.01527777778
39819.91736111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39820.03888888889
39820.00486111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF WRIST
39820.04652777778
39819.98819444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39820.08888888889
39819.98263888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VIRAL EXANTHEMATA NOS
39820.103472222225
39820.01666666667
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
VIRAL EXANTHEMATA NOS
39820.103472222225
39820.01666666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39820.12986111111
39819.89791666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39820.135416666664
39819.925
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
NASAL AND SINUS DIS NEC
39820.15
39820.02638888889
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39820.157638888886
39819.86319444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39820.16388888889
39819.92916666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39820.23263888889
39820.19027777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE GASTRITIS W/O HEMORRHAGE
39820.302777777775
39820.25555555556
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF FACE
39820.34305555555
39820.27222222222
Jan
M
No Religious Preference
Outside Hospital
Ambulance
NICU
HYDROPS FETALIS NO ISOIM
39820.368055555555
39820.07847222222
Jan
F
Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance NICU HYDROPS FETALIS NO ISOIM 39820.368055555555 39820.07847222222 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.375 39820.29861111111 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.375 39820.29861111111 Jan M Myringotomy W Intubation Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39820.3875 39820.34444444445 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.39236111111 39820.322222222225 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.39236111111 39820.322222222225 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE 39820.40625 39820.299305555556 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE 39820.40625 39820.299305555556 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA 39820.416666666664 39820.32638888889 Jan F Anesthetized Eye Exam Patient Refused Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX 39820.43402777778 39818.4 Jan F Video/Radio Eeg Monitor No Religious Preference Clinic Referral Self MED 1T UNIT ESOPHAGEAL REFLUX 39820.43402777778 39818.4 Jan F Video/Radio Eeg Monitor No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39820.44097222222 39820.32083333333 Jan F Egd With Closed Biopsy Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39820.45972222222 39819.55972222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39820.45972222222 39819.55972222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39820.46111111111 39820.225694444445 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.461805555555 39820.32916666667 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.461805555555 39820.32916666667 Jan M Myringotomy W Intubation Christian Physician Referral Self PICU CEREBROVASCULAR ANOMALY 39820.46805555555 39819.28472222222 Jan M Endovasc Repair Head Ves Roman Catholic Physician Referral Self PICU CEREBROVASCULAR ANOMALY 39820.46805555555 39819.28472222222 Jan M Endovasc Repair Head Ves Roman Catholic Physician Referral Self PICU CEREBROVASCULAR ANOMALY 39820.46805555555 39819.28472222222 Jan M Endovasc Repair Head Ves Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39820.46875 39820.31736111111 Jan M Adenoidectomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39820.46875 39820.31736111111 Jan M Adenoidectomy No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39820.47083333333 39820.44097222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39820.47361111111 39820.402083333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39820.49097222222 39820.42916666667 Jan M Roman Catholic Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI 39820.493055555555 39819.42222222222 Jan F Video/Radio Eeg Monitor No Religious Preference Clinic Referral Self MED 1T UNIT PSYMOTR EPIL W/O INT EPI 39820.493055555555 39819.42222222222 Jan F Video/Radio Eeg Monitor No Religious Preference Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH 39820.49444444444 39819.40277777778 Jan M Tibia/Fibul Wedg Osteot Roman Catholic Clinic Referral Self SURG 3 UNIT ARREST OF BONE GROWTH 39820.49444444444 39819.40277777778 Jan M Tibia/Fibul Wedg Osteot Roman Catholic Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE 39820.5 39820.30347222222 Jan F Soft Tissue Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER UNCERTAIN BEHAV NEOPL SOFT TISSUE 39820.5 39820.30347222222 Jan F Soft Tissue Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39820.5 39820.30763888889 Jan F Tonsillectomy/Adenoidec Protestant Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39820.5 39820.30763888889 Jan F Tonsillectomy/Adenoidec Protestant Clinic Referral Self SURGERY CENTER 39820.5 39820.37986111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER 39820.5 39820.37986111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39820.50555555556 39820.447916666664 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39820.5125 39820.4375 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39820.520833333336 39820.38333333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39820.524305555555 39820.40416666667 Jan F Hindu Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39820.538194444445 39819.51597222222 Jan F Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39820.538194444445 39819.51597222222 Jan F Repair Of Cleft Lip No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39820.540972222225 39815.53333333333 Jan F Other Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39820.540972222225 39815.53333333333 Jan F Other Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39820.540972222225 39815.53333333333 Jan F Other Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39820.540972222225 39815.53333333333 Jan F Other Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39820.540972222225 39815.53333333333 Jan F Other Appendectomy No Religious Preference Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ 39820.541666666664 39818.32361111111 Jan M Correct Ureteropelv Junc No Religious Preference Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ 39820.541666666664 39818.32361111111 Jan M Correct Ureteropelv Junc No Religious Preference Emergency Room Ambulance MED 2T UNIT CROUP 39820.541666666664 39819.82083333333 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT CROUP 39820.541666666664 39819.82083333333 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.541666666664 39820.336805555555 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.541666666664 39820.336805555555 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39820.541666666664 39820.379166666666 Jan F Injection Into Joint No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39820.541666666664 39820.379166666666 Jan F Injection Into Joint No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39820.54652777778 39820.458333333336 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS 39820.55 39820.436111111114 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39820.55902777778 39819.01736111111 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39820.55902777778 39819.01736111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA 39820.55902777778 39820.32638888889 Jan M Chorioretin Les Cryother No Religious Preference Clinic Referral Self SURGERY CENTER MALIGN NEOPL RETINA 39820.55902777778 39820.32638888889 Jan M Chorioretin Les Cryother No Religious Preference Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE 39820.563888888886 39818.595138888886 Jan F Other Gastrostomy Christian Clinic Referral Self SURG 3 UNIT FAILURE TO THRIVE 39820.563888888886 39818.595138888886 Jan F Other Gastrostomy Christian Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA 39820.56458333333 39818.45763888889 Jan M Unilat Ing Hern Rep Nos Islam Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA 39820.56458333333 39818.45763888889 Jan M Unilat Ing Hern Rep Nos Islam Clinic Referral Self SURG 3 UNIT UNILAT INGUINAL HERNIA 39820.56458333333 39818.45763888889 Jan M Unilat Ing Hern Rep Nos Islam Emergency Room Ambulance MED 2T UNIT DISORDERS MITOCHONDRIAL METABOL 39820.572916666664 39815.74652777778 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT DISORDERS MITOCHONDRIAL METABOL 39820.572916666664 39815.74652777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39820.572916666664 39820.53472222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39820.572916666664 39820.55902777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC 39820.57986111111 39820.427777777775 Jan F Excision Of Mouth Nec Roman Catholic Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC 39820.57986111111 39820.427777777775 Jan F Excision Of Mouth Nec Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39820.57986111111 39820.455555555556 Jan M Bladder Operation Nec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.583333333336 39820.39375 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.583333333336 39820.39375 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39820.583333333336 39820.407638888886 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39820.583333333336 39820.407638888886 Jan M Myringotomy W Intubation Christian Physician Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL 39820.583333333336 39820.42291666667 Jan F Venous Cath Nec Latter Day Saints Physician Referral Self SURGERY CENTER COMPLIC BONE MARROW TRANSPL 39820.583333333336 39820.42291666667 Jan F Venous Cath Nec Latter Day Saints Clinic Referral Ambulance MED 2G UNIT EXTERNAL OPHTHALMOPLEGIA 39820.586805555555 39818.555555555555 Jan F Mri Of Brain And Brainstem Roman Catholic Clinic Referral Ambulance MED 2G UNIT EXTERNAL OPHTHALMOPLEGIA 39820.586805555555 39818.555555555555 Jan F Mri Of Brain And Brainstem Roman Catholic Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39820.59375 39820.402083333334 Jan F Deciduous Tooth Extract No Religious Preference Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT 39820.60833333333 39819.395833333336 Jan F Imp/Rep Mchan Cochl Pros Pentecostal Clinic Referral Self SURG 3 UNIT SENSONRL HEAR LOSS,BILAT 39820.60833333333 39819.395833333336 Jan F Imp/Rep Mchan Cochl Pros Pentecostal Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NOS 39820.614583333336 39818.493055555555 Jan F Partial Nephrectomy Roman Catholic Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NOS 39820.614583333336 39818.493055555555 Jan F Partial Nephrectomy Roman Catholic Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39820.614583333336 39820.42361111111 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39820.614583333336 39820.42361111111 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS 39820.61597222222 39816.175 Jan M Insert Endotracheal Tube No Religious Preference Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS 39820.61597222222 39816.175 Jan M Insert Endotracheal Tube No Religious Preference Emergency Room Ambulance MED 2G UNIT POISONING-ANTICONVUL NEC/NOS 39820.61597222222 39816.175 Jan M Insert Endotracheal Tube No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39820.618055555555 39820.552083333336 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA Jan M Open Rep Umbil Hern Nec Roman Catholic Clinic Referral Self SURGERY CENTER GLAUCOMA W SYSTEMIC SYND 39820.625 39820.430555555555 Jan M Anesthetized Eye Exam Lutheran Clinic Referral Self SURGERY CENTER OTORRHEA NOS 39820.625 39820.459027777775 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER OTORRHEA NOS 39820.625 39820.459027777775 Jan M Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39820.625 39820.540972222225 Jan F Bladder Operation Nec Other Religion Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.631944444445 39820.416666666664 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39820.631944444445 39820.416666666664 Jan M Myringotomy W Intubation No Religious Preference Physician Referral Self SURGERY CENTER 39820.63888888889 39820.47430555556 Jan M Roman Catholic Physician Referral Self SURGERY CENTER 39820.63888888889 39820.47430555556 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39820.64236111111 39820.45208333333 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39820.64236111111 39820.45208333333 Jan M Myringotomy W Intubation Other Religion Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39820.65972222222 39818.643055555556 Jan F Christian Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39820.65972222222 39818.643055555556 Jan F Christian Emergency Room Ambulance EMERGENCY ABN BLOOD CHEMISTRY NEC 39820.66527777778 39820.53125 Jan F Protestant Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39820.666666666664 39818.532638888886 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39820.666666666664 39818.532638888886 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM 39820.666666666664 39819.27361111111 Jan M Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM 39820.666666666664 39819.27361111111 Jan M Repair Of Cleft Lip No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39820.666666666664 39820.61944444444 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39820.67013888889 39820.32708333333 Jan F Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39820.67013888889 39820.32708333333 Jan F Unilat Ing Hern Rep Nos Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39820.69027777778 39820.60625 Jan F Christian Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA 39820.69305555556 39820.56527777778 Jan M Baptist Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM 39820.70138888889 39820.46666666667 Jan F Humerus Biopsy Christian Clinic Referral Self SURGERY CENTER BENIGN NEO LONG BONES ARM 39820.70138888889 39820.46666666667 Jan F Humerus Biopsy Christian Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS 39820.708333333336 39819.54791666667 Jan F Cleft Palate Correction No Religious Preference Clinic Referral Self SURG 3 UNIT CLEFT PALATE AND LIP NOS 39820.708333333336 39819.54791666667 Jan F Cleft Palate Correction No Religious Preference Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39820.708333333336 39820.46875 Jan M Ven Cath Renal Dialysis No Religious Preference Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39820.708333333336 39820.46875 Jan M Ven Cath Renal Dialysis No Religious Preference Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS 39820.708333333336 39820.47361111111 Jan F One Extraoc Mus Recess No Religious Preference Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS 39820.708333333336 39820.47361111111 Jan F One Extraoc Mus Recess No Religious Preference Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC 39820.71111111111 39819.54722222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC 39820.71111111111 39819.54722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39820.714583333334 39820.55694444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY 39820.714583333334 39820.69097222222 Jan M Replace Gastrostomy Tube No Religious Preference Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-L/LEG 39820.75 39815.76875 Jan M Mri Musculoskeletal No Religious Preference Emergency Room Ambulance MED 2T UNIT OSTEOMYELITIS NOS-L/LEG 39820.75 39815.76875 Jan M Mri Musculoskeletal No Religious Preference Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE 39820.75 39819.85486111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ABDOMINAL PAIN UNSPEC SITE 39820.75 39819.85486111111 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.75 39820.45416666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.75 39820.45416666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.75 39820.55 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.75 39820.55 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE 39820.75486111111 39820.65694444445 Jan M Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.76180555556 39820.455555555556 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.76180555556 39820.455555555556 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39820.7625 39820.55347222222 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RUQ 39820.76944444444 39820.558333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ARTHROPATHY NOS-ANKLE 39820.77916666667 39820.69583333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN PERIUMBILICAL 39820.779861111114 39820.71875 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG 39820.782638888886 39820.46944444445 Jan F Soft Tissue Biopsy No Religious Preference Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG 39820.782638888886 39820.46944444445 Jan F Soft Tissue Biopsy No Religious Preference Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM SOFT TISSUE LEG 39820.782638888886 39820.46944444445 Jan F Soft Tissue Biopsy No Religious Preference Physician Referral Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS 39820.791666666664 39815.68472222222 Jan M Venous Cath Nec Jewish Physician Referral Ambulance MED 2G UNIT LOCAL SKIN INFECTION NOS 39820.791666666664 39815.68472222222 Jan M Venous Cath Nec Jewish Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS 39820.791666666664 39815.71388888889 Jan M Roman Catholic Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS 39820.791666666664 39815.71388888889 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER URETHRAL FISTULA 39820.791666666664 39820.46597222222 Jan M Hypo-Epispadius Repair Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.791666666664 39820.48333333333 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.791666666664 39820.48333333333 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39820.791666666664 39820.48888888889 Jan F Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39820.791666666664 39820.626388888886 Jan M Remove Imp Device-Femur No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39820.791666666664 39820.626388888886 Jan M Remove Imp Device-Femur No Religious Preference Clinic Referral Self SURGERY CENTER NEUROGENIC BLADDER NEC 39820.79861111111 39820.509722222225 Jan F Inject Implant Urethra Roman Catholic Clinic Referral Self SURGERY CENTER OSTEOPETROSIS 39820.79861111111 39820.60555555556 Jan F Venous Cath Nec No Religious Preference Clinic Referral Self SURGERY CENTER OSTEOPETROSIS 39820.79861111111 39820.60555555556 Jan F Venous Cath Nec No Religious Preference Clinic Referral Self SURGERY CENTER 39820.805555555555 39820.32361111111 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER 39820.805555555555 39820.32361111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39820.80972222222 39820.720138888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC 39820.82916666667 39820.71041666667 Jan M Christian Emergency Room Ambulance EMERGENCY CONGEN HEART ANOMALY NOS 39820.85138888889 39820.771527777775 Jan M Islam Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39820.85625 39820.72638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS 39820.85902777778 39820.76180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39820.86319444444 39820.819444444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG 39820.876388888886 39820.754166666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA 39820.88402777778 39820.791666666664 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39820.90069444444 39820.77777777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY POISONING-PARASYMPATHOLYTICS 39820.90625 39820.73263888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER 39820.90972222222 39820.55972222222 Jan M Islam Clinic Referral Self SURGERY CENTER 39820.90972222222 39820.55972222222 Jan M Islam Emergency Room Ambulance EMERGENCY FEVER NOS 39820.910416666666 39820.82361111111 Jan F Bladder Operation Nec Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39820.9125 39820.8375 Jan M Baptist Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES 39820.91736111111 39820.79722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL 39820.93125 39820.87986111111 Jan F Jewish Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39820.93263888889 39820.875 Jan M Islam Emergency Room Ambulance EMERGENCY VOMITING ALONE 39820.933333333334 39820.725694444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE 39820.93958333333 39820.861805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE 39820.959027777775 39820.78611111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39820.96666666667 39820.90694444445 Jan M Christian Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS 39820.967361111114 39820.83194444444 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39820.98125 39820.850694444445 Jan F Islam Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39820.99166666667 39820.95 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39821.00555555556 39820.84444444445 Jan F Christian Emergency Room Ambulance EMERGENCY COMPLIC OTHR VASCUL DEVICE 39821.00555555556 39820.944444444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39821.00902777778 39820.97152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39821.009722222225 39820.88263888889 Jan F Christian Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS 39821.01597222222 39820.947916666664 Jan M Christian Clinic Referral Self SCCA UNIT 39821.03125 39816.433333333334 Jan M Roman Catholic Clinic Referral Self SCCA UNIT 39821.03125 39816.433333333334 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39821.032638888886 39820.82986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39821.03611111111 39820.98611111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39821.07986111111 39821.001388888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39821.08194444444 39820.96041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39821.083333333336 39820.96597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND AUDITORY CANAL 39821.09027777778 39821.02777777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39821.09861111111 39821.00486111111 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39821.118055555555 39821.010416666664 Jan F Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39821.18680555555 39821.07430555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF NOSE NOS 39821.29861111111 39821.2625 Jan M Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.35763888889 39821.26875 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.35763888889 39821.26875 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39821.36111111111 39821.26458333333 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39821.36111111111 39821.26458333333 Jan M Myringotomy W Intubation Roman Catholic Emergency Room Ambulance EMERGENCY PAIN IN OR AROUND EYE 39821.365277777775 39821.29236111111 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39821.385416666664 39821.25277777778 Jan M Removal Fb/Dev From Skin Hindu Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39821.385416666664 39821.25277777778 Jan M Removal Fb/Dev From Skin Hindu Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39821.399305555555 39821.294444444444 Jan F Remov Thor Ther Dev Nec No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39821.399305555555 39821.294444444444 Jan F Remov Thor Ther Dev Nec No Religious Preference Emergency Room Ambulance SCCA UNIT OSTEOMYELITIS NOS-UP/ARM 39821.4 39815.986805555556 Jan M Jehovah's Witness Emergency Room Ambulance SCCA UNIT OSTEOMYELITIS NOS-UP/ARM 39821.4 39815.986805555556 Jan M Jehovah's Witness Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.41527777778 39821.30972222222 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.41527777778 39821.30972222222 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.416666666664 39821.294444444444 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.416666666664 39821.294444444444 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA 39821.419444444444 39821.354166666664 Jan M No Religious Preference Physician Referral Self SURGERY CENTER 39821.42013888889 39821.27847222222 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA 39821.42361111111 39821.319444444445 Jan M Other Destru Urethra Les Roman Catholic Clinic Referral Self SURGERY CENTER OTHER SPEC DISORDER URETHRA 39821.42361111111 39821.319444444445 Jan M Other Destru Urethra Les Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39821.436111111114 39821.26527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39821.438888888886 39821.384722222225 Jan M Baptist Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39821.45 39820.3875 Jan M Rt Heart Cardiac Cath No Religious Preference Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39821.45 39820.3875 Jan M Rt Heart Cardiac Cath No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST NEUROPACEMAKER 39821.45138888889 39821.26111111111 Jan M Ins/Repl Single Pul Gen No Religious Preference Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC 39821.45138888889 39821.33888888889 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER INTESTINAL DISORDERS NEC 39821.45138888889 39821.33888888889 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE 39821.458333333336 39821.134722222225 Jan M Clos Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURGERY CENTER SUPRCONDYL FX HUMERUS-CLOSE 39821.458333333336 39821.134722222225 Jan M Clos Red-Int Fix Humerus Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39821.461805555555 39821.34930555556 Jan F Adenoidectomy Lutheran Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39821.461805555555 39821.34930555556 Jan F Adenoidectomy Lutheran Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS HUMERUS 39821.46875 39820.55902777778 Jan F Other Humerus Incision Christian Clinic Referral Self SURG 3 UNIT ASEPTIC NECROSIS HUMERUS 39821.46875 39820.55902777778 Jan F Other Humerus Incision Christian Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39821.489583333336 39821.322916666664 Jan M Remov Imp Dev-Radius/Uln No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39821.489583333336 39821.322916666664 Jan M Remov Imp Dev-Radius/Uln No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39821.50208333333 39821.38263888889 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39821.506944444445 39821.36666666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39821.506944444445 39821.36666666667 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39821.50763888889 39818.72986111111 Jan F Christian Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39821.50763888889 39818.72986111111 Jan F Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.510416666664 39821.35555555556 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.510416666664 39821.35555555556 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.520833333336 39821.399305555555 Jan F Myringotomy W Intubation Lutheran Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39821.520833333336 39821.399305555555 Jan F Myringotomy W Intubation Lutheran Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.541666666664 39821.339583333334 Jan M Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.541666666664 39821.339583333334 Jan M Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39821.54861111111 39821.376388888886 Jan M Egd With Closed Biopsy Jewish Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39821.54861111111 39821.376388888886 Jan M Egd With Closed Biopsy Jewish Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39821.561111111114 39820.28125 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39821.561111111114 39820.28125 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39821.561111111114 39820.28125 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.5625 39821.37847222222 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.56597222222 39821.42083333333 Jan M Tonsillectomy/Adenoidec Islam Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.56597222222 39821.42083333333 Jan M Tonsillectomy/Adenoidec Islam Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39821.569444444445 39821.35555555556 Jan M Tooth Restor By Filling No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39821.569444444445 39821.35555555556 Jan M Tooth Restor By Filling No Religious Preference Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS 39821.572916666664 39819.865277777775 Jan F Christian Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS 39821.572916666664 39819.865277777775 Jan F Christian Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC 39821.575694444444 39818.66736111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT NWBRN HYPOTHERMIA NEC 39821.575694444444 39818.66736111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39821.586805555555 39820.18472222222 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39821.586805555555 39820.18472222222 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39821.58888888889 39821.489583333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39821.58888888889 39821.54861111111 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39821.59375 39821.404861111114 Jan F Tonsillectomy No Religious Preference Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39821.59375 39821.404861111114 Jan F Tonsillectomy No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39821.59375 39821.447916666664 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39821.59375 39821.447916666664 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS 39821.59861111111 39818.33819444444 Jan M Deciduous Tooth Extract Christian Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS 39821.59861111111 39818.33819444444 Jan M Deciduous Tooth Extract Christian Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS 39821.603472222225 39819.82986111111 Jan F Christian Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS 39821.603472222225 39819.82986111111 Jan F Christian Physician Referral Self SURGERY CENTER TOOTH POSITION ANOMALY NEC 39821.61111111111 39821.39791666667 Jan F Deciduous Tooth Extract Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39821.61597222222 39821.46111111111 Jan M Christian Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39821.625 39821.35902777778 Jan F Crown Application Christian Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39821.625 39821.49375 Jan M Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39821.625 39821.49375 Jan M Egd With Closed Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39821.629166666666 39821.5125 Jan F Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39821.63055555556 39819.34166666667 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39821.63055555556 39819.34166666667 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA 39821.63888888889 39821.50763888889 Jan M Closure Of Tracheostomy Roman Catholic Clinic Referral Self SURGERY CENTER PERSIST POSTOP FISTULA 39821.63888888889 39821.50763888889 Jan M Closure Of Tracheostomy Roman Catholic Clinic Referral Ambulance SURG 3 UNIT CONSTIPATION NOS 39821.64027777778 39820.50555555556 Jan F Insert Gastric Tube Nec No Religious Preference Clinic Referral Ambulance SURG 3 UNIT CONSTIPATION NOS 39821.64027777778 39820.50555555556 Jan F Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39821.64027777778 39821.57083333333 Jan F Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39821.64375 39821.572222222225 Jan M No Religious Preference Physician Referral Self SURGERY CENTER PSEUDOTUMOR CEREBRI 39821.645833333336 39821.46666666667 Jan F Spinal Tap Christian Physician Referral Self SURGERY CENTER PSEUDOTUMOR CEREBRI 39821.645833333336 39821.46666666667 Jan F Spinal Tap Christian Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS 39821.646527777775 39820.55069444444 Jan M Anal Fistulectomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS 39821.646527777775 39820.55069444444 Jan M Anal Fistulectomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANAL AND RECTAL ABSCESS 39821.646527777775 39820.55069444444 Jan M Anal Fistulectomy No Religious Preference Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS 39821.65277777778 39818.84027777778 Jan F No Religious Preference Emergency Room Ambulance REHAB UNIT ACUTE LYMPHADENITIS 39821.65277777778 39818.84027777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39821.65902777778 39821.459027777775 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39821.666666666664 39821.45138888889 Jan M Remove Int Fix Face Bone No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39821.666666666664 39821.45138888889 Jan M Remove Int Fix Face Bone No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39821.66805555556 39821.51458333333 Jan F Christian Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS 39821.66875 39818.75555555556 Jan F Roman Catholic Emergency Room Ambulance MED 2T UNIT PNEUMONIA, ORGANISM NOS 39821.66875 39818.75555555556 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39821.67361111111 39821.510416666664 Jan M Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39821.67361111111 39821.510416666664 Jan M Unilat Ing Hern Rep Nos Christian Emergency Room Ambulance EMERGENCY INFECTION OF GASTROSTOMY 39821.67847222222 39821.61944444444 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39821.6875 39821.54513888889 Jan M Myringotomy W Intubation Protestant Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39821.6875 39821.54513888889 Jan M Myringotomy W Intubation Protestant Clinic Referral Self SURGERY CENTER UNSPEC JAW ASYMMETRY/PROGNATHISM 39821.69097222222 39821.45416666667 Jan F Other Bronchoscopy No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39821.69652777778 39821.59722222222 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS 39821.70486111111 39821.50277777778 Jan F Clos Large Bowel Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER GASTROINTEST HEMORR NOS 39821.70486111111 39821.50277777778 Jan F Clos Large Bowel Biopsy No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39821.708333333336 39819.532638888886 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39821.708333333336 39819.532638888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39821.70972222222 39821.6375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39821.72638888889 39821.35208333333 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.73611111111 39821.521527777775 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39821.73611111111 39821.521527777775 Jan M Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY UMBILICAL HERNIA 39821.73611111111 39821.59027777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD 39821.739583333336 39821.52291666667 Jan F Excis Deep Cervical Node Roman Catholic Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD 39821.739583333336 39821.52291666667 Jan F Excis Deep Cervical Node Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39821.74097222222 39821.45694444444 Jan M Christian Emergency Room Ambulance MED 2G UNIT CYANOSIS 39821.75 39814.66388888889 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance MED 2G UNIT CYANOSIS 39821.75 39814.66388888889 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance MED 2G UNIT CYANOSIS 39821.75 39814.66388888889 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance MED 2G UNIT CYANOSIS 39821.75 39814.66388888889 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS 39821.75 39819.81597222222 Jan F No Religious Preference Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS 39821.75 39819.81597222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL 39821.76388888889 39821.70694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39821.76875 39821.71388888889 Jan M Roman Catholic Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39821.770833333336 39820.47361111111 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39821.770833333336 39820.47361111111 Jan F No Religious Preference Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39821.770833333336 39821.18819444445 Jan M Baptist Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39821.770833333336 39821.18819444445 Jan M Baptist Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39821.774305555555 39820.93680555555 Jan M Jewish Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39821.774305555555 39820.93680555555 Jan M Jewish Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC 39821.774305555555 39821.39375 Jan M Closed Liver Biopsy Christian Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC 39821.774305555555 39821.39375 Jan M Closed Liver Biopsy Christian Clinic Referral Self MED 2T UNIT CHRONIC LIVER DIS NEC 39821.774305555555 39821.39375 Jan M Closed Liver Biopsy Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39821.78402777778 39821.57708333333 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39821.78472222222 39821.46041666667 Jan M Endo Repair Other Vessel Lutheran Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39821.78472222222 39821.46041666667 Jan M Endo Repair Other Vessel Lutheran Clinic Referral Ambulance MED 2G UNIT DERMATOMYCOSIS NOS 39821.78611111111 39820.558333333334 Jan M No Religious Preference Clinic Referral Ambulance MED 2G UNIT DERMATOMYCOSIS NOS 39821.78611111111 39820.558333333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY BILIARY AND LIVER ANOM NEC 39821.78611111111 39821.44652777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY INFLAM DISEASE OF BREAST 39821.78680555556 39821.69375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39821.790972222225 39821.75347222222 Jan M Christian Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39821.791666666664 39819.59027777778 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39821.791666666664 39819.59027777778 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39821.791666666664 39819.59027777778 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39821.791666666664 39819.59027777778 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39821.79305555556 39821.59375 Jan M Bladder Operation Nec No Religious Preference Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE 39821.802083333336 39820.46875 Jan F Percu Endosc Gastrostomy No Religious Preference Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE 39821.802083333336 39820.46875 Jan F Percu Endosc Gastrostomy No Religious Preference Clinic Referral Self MED 2G UNIT FAILURE TO THRIVE 39821.802083333336 39820.46875 Jan F Percu Endosc Gastrostomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39821.802083333336 39821.62013888889 Jan M Tonsillectomy Episcopal Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39821.802083333336 39821.62013888889 Jan M Tonsillectomy Episcopal Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39821.808333333334 39821.74375 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS 39821.81597222222 39820.18125 Jan M Pyloromyotomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT CONG PYLORIC STENOSIS 39821.81597222222 39820.18125 Jan M Pyloromyotomy Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39821.81736111111 39821.77569444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY TACHYPNEA 39821.81875 39821.74166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39821.822222222225 39821.76180555556 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN 39821.822916666664 39821.6125 Jan F Exc Les Soft Tissue Nec No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39821.825694444444 39821.785416666666 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER APHAKIA 39821.82638888889 39821.54583333333 Jan M Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER APHAKIA 39821.82638888889 39821.54583333333 Jan M Anesthetized Eye Exam No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF FINGER 39821.84097222222 39821.80069444444 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39821.842361111114 39820.80416666667 Jan F Christian Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39821.842361111114 39820.80416666667 Jan F Christian Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC 39821.85138888889 39819.55 Jan F Amputat Through Malleoli No Religious Preference Clinic Referral Self SURG 3 UNIT LOWER LIMB ANOMALY NEC 39821.85138888889 39819.55 Jan F Amputat Through Malleoli No Religious Preference Emergency Room Ambulance EMERGENCY POISONING ANTIRHEUMATICS NEC 39821.86319444444 39821.75625 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39821.86666666667 39821.7 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39821.86736111111 39821.69930555556 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39821.875 39820.05694444444 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39821.875 39820.05694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39821.87777777778 39821.84027777778 Jan M Roman Catholic Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE 39821.884722222225 39821.44861111111 Jan M Venous Cath Nec Christian Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE 39821.884722222225 39821.44861111111 Jan M Venous Cath Nec Christian Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE 39821.884722222225 39821.44861111111 Jan M Venous Cath Nec Christian Clinic Referral Self MED 2G UNIT COMPLIC OTHR VASCUL DEVICE 39821.884722222225 39821.44861111111 Jan M Venous Cath Nec Christian Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER 39821.89375 39821.77013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39821.89513888889 39821.788194444445 Jan M Islam Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE 39821.9 39821.842361111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39821.91736111111 39821.8375 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39821.92152777778 39821.82430555556 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39821.93194444444 39821.82638888889 Jan F Christian Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39821.93472222222 39819.89513888889 Jan M Christian Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39821.93472222222 39819.89513888889 Jan M Christian Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39821.93472222222 39819.89513888889 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39821.93541666667 39821.876388888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39821.958333333336 39821.80763888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39821.96111111111 39821.91180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39821.98263888889 39821.915972222225 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EPISTAXIS 39821.99097222222 39821.87986111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39821.99930555555 39821.86597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39822.00069444445 39821.93402777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39822.00347222222 39821.95208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39822.00902777778 39821.92291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-UNSPEC 39822.02569444444 39821.85486111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39822.02569444444 39821.96388888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY DEHYDRATION 39822.02777777778 39821.90833333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39822.02847222222 39821.873611111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF LOWER LEG 39822.029861111114 39821.95486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39822.03402777778 39821.78333333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39822.038194444445 39821.86736111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY BACKACHE NOS 39822.072222222225 39821.88680555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39822.07638888889 39821.96666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39822.07777777778 39821.84097222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39822.080555555556 39821.99375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY THROAT PAIN 39822.118055555555 39821.967361111114 Jan M Christian Emergency Room Ambulance EMERGENCY THROAT PAIN 39822.118055555555 39821.967361111114 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.14097222222 39822.021527777775 Jan F Christian Emergency Room Ambulance EMERGENCY CROUP 39822.19097222222 39822.09097222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39822.228472222225 39822.1375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39822.229166666664 39822.05 Jan F Bladder Operation Nec Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39822.24652777778 39822.15416666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39822.279861111114 39822.20347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39822.31736111111 39822.16111111111 Jan M Christian Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39822.333333333336 39821.45763888889 Jan F Oth Bone Repa/Plast Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39822.333333333336 39821.45763888889 Jan F Oth Bone Repa/Plast Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39822.333333333336 39821.45763888889 Jan F Oth Bone Repa/Plast Nec No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39822.368055555555 39822.29027777778 Jan M Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39822.368055555555 39822.29027777778 Jan M Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39822.393055555556 39822.32916666667 Jan M Christian Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39822.40138888889 39822.211805555555 Jan M Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39822.40555555555 39822.333333333336 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39822.416666666664 39822.29791666667 Jan F Christian Clinic Referral Self SURGERY CENTER 39822.416666666664 39822.29791666667 Jan F Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39822.42361111111 39822.251388888886 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39822.42361111111 39822.251388888886 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39822.430555555555 39822.325694444444 Jan M Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39822.4375 39822.26180555556 Jan F Removal Fb/Dev From Skin Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39822.44652777778 39822.37569444445 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN 39822.447916666664 39822.27777777778 Jan F Excision Of Lip Les Nec Christian Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN 39822.447916666664 39822.27777777778 Jan F Excision Of Lip Les Nec Christian Clinic Referral Self SURGERY CENTER BENIGN NEO SOFT TISSUE LEG 39822.45138888889 39822.32152777778 Jan M Exc Les Soft Tissue Nec Methodist Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39822.45208333333 39822.399305555555 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS 39822.46111111111 39821.60902777778 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT DIFF CONNECT TIS DIS NOS 39822.46111111111 39821.60902777778 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39822.461805555555 39822.26180555556 Jan F Surg Tooth Extract Nec Christian Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39822.47222222222 39820.85833333333 Jan F Roman Catholic Emergency Room Ambulance MED 2T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39822.47222222222 39820.85833333333 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT 39822.47708333333 39821.44652777778 Jan F Excision Intervert Disc Roman Catholic Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT 39822.47708333333 39821.44652777778 Jan F Excision Intervert Disc Roman Catholic Clinic Referral Self SURG 3 UNIT LUMBAR DISC DISPLACEMENT 39822.47708333333 39821.44652777778 Jan F Excision Intervert Disc Roman Catholic Clinic Referral Self MED 2G UNIT SECUNDUM ATRIAL SEPT DEF 39822.479166666664 39821.361805555556 Jan M Pros Repair Atria Def-Cl Other Religion Clinic Referral Self MED 2G UNIT SECUNDUM ATRIAL SEPT DEF 39822.479166666664 39821.361805555556 Jan M Pros Repair Atria Def-Cl Other Religion Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39822.479166666664 39822.29722222222 Jan M Exposure Of Tooth Christian Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39822.479166666664 39822.29722222222 Jan M Exposure Of Tooth Christian Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN 39822.489583333336 39819.45208333333 Jan F Roman Catholic Emergency Room Ambulance MED 2T UNIT MUCOCUTAN LYMPH NODE SYN 39822.489583333336 39819.45208333333 Jan F Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39822.490277777775 39817.33472222222 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39822.490277777775 39817.33472222222 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39822.5 39822.36736111111 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39822.5 39822.36736111111 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS 39822.50069444445 39822.41180555556 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT PATHOLOGIC FX FEMUR OTHER SPEC 39822.50555555556 39816.86388888889 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT PATHOLOGIC FX FEMUR OTHER SPEC 39822.50555555556 39816.86388888889 Jan M No Religious Preference Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY 39822.51736111111 39822.37569444445 Jan M Replace Small Bowel Tube No Religious Preference Physician Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY 39822.51736111111 39822.37569444445 Jan M Replace Small Bowel Tube No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.518055555556 39821.427777777775 Jan F Oth Bone Repa/Plast Nec Roman Catholic Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.518055555556 39821.427777777775 Jan F Oth Bone Repa/Plast Nec Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39822.520833333336 39822.354166666664 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39822.520833333336 39822.354166666664 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Ambulance SURG 3 UNIT DIARRHEA NOS 39822.52291666667 39819.498611111114 Jan M Roman Catholic Clinic Referral Ambulance SURG 3 UNIT DIARRHEA NOS 39822.52291666667 39819.498611111114 Jan M Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39822.524305555555 39819.334027777775 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39822.524305555555 39819.334027777775 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED 39822.524305555555 39821.501388888886 Jan F Open Reduct Face Fx Nec Christian Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED 39822.524305555555 39821.501388888886 Jan F Open Reduct Face Fx Nec Christian Clinic Referral Self REHAB UNIT FX ORBITAL FLOOR-CLOSED 39822.524305555555 39821.501388888886 Jan F Open Reduct Face Fx Nec Christian Clinic Referral Self SURG 4 UNIT 39822.527083333334 39821.504166666666 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT 39822.527083333334 39821.504166666666 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT 39822.527083333334 39821.504166666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39822.53402777778 39822.36736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DERMAT D/T FOOD INGEST 39822.53611111111 39822.49652777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX ANKLE NOS-CLOSED 39822.54791666667 39822.38958333333 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39822.552083333336 39822.416666666664 Jan M Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39822.552083333336 39822.416666666664 Jan M Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER 39822.555555555555 39822.330555555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39822.555555555555 39822.40138888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER 39822.555555555555 39822.40138888889 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA 39822.55902777778 39818.80069444444 Jan M Christian Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA 39822.55902777778 39818.80069444444 Jan M Christian Emergency Room Ambulance MED 1T UNIT PNEUMOCOCCAL PNEUMONIA 39822.55902777778 39818.80069444444 Jan M Christian Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION 39822.55972222222 39821.243055555555 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION 39822.55972222222 39821.243055555555 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT RENOVASC HYPERTENSION 39822.55972222222 39821.243055555555 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION 39822.561111111114 39821.325694444444 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION 39822.561111111114 39821.325694444444 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self MED 2G UNIT RENOVASC HYPERTENSION 39822.561111111114 39821.325694444444 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 3 UNIT OLD DISRUPT ANT CRUCIATE 39822.5625 39820.42569444444 Jan M Cruciate Lig Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT OLD DISRUPT ANT CRUCIATE 39822.5625 39820.42569444444 Jan M Cruciate Lig Repair Nec No Religious Preference Outside Hospital Ambulance SURG 3 UNIT ALLERGIC GASTROENTERITIS/COLITIS 39822.56458333333 39820.925 Jan M Christian Outside Hospital Ambulance SURG 3 UNIT ALLERGIC GASTROENTERITIS/COLITIS 39822.56458333333 39820.925 Jan M Christian Emergency Room Ambulance EMERGENCY COUGH 39822.56805555556 39822.49652777778 Jan F Christian Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39820.694444444445 Jan M Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39821.368055555555 Jan F Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39821.368055555555 Jan F Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self REHAB UNIT FIT/ADJUST PROSTHESIS NEC 39822.57986111111 39821.368055555555 Jan F Oth Chest Cage Rep/Plast No Religious Preference Clinic Referral Self SURGERY CENTER VENTRICULAR SEPT DEFECT 39822.583333333336 39822.30138888889 Jan M Rt/Left Heart Card Cath Christian Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK DUE MILK PRODUCTS 39822.58541666667 39822.461805555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39822.59027777778 39822.47777777778 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT 39822.61041666667 39820.302083333336 Jan F Christian Clinic Referral Self SURG 3 UNIT 39822.61041666667 39820.302083333336 Jan F Christian Clinic Referral Ambulance SURG 3 UNIT DISORDER OF MENINGES NEC Jan M Christian Clinic Referral Ambulance SURG 3 UNIT DISORDER OF MENINGES NEC Jan M Christian Emergency Room Ambulance MED 1T UNIT FEVER NOS 39822.635416666664 39821.47152777778 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT FEVER NOS 39822.635416666664 39821.47152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.63611111111 39822.51388888889 Jan F Bladder Operation Nec Christian Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39822.64375 39822.50277777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39822.65416666667 39822.580555555556 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39822.660416666666 39819.95277777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39822.660416666666 39819.95277777778 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT CONGENITAL QUADRIPLEGIA 39822.663194444445 39822.28402777778 Jan F Spinal Canal Inject Nec Latter Day Saints Clinic Referral Self SURG 3 UNIT CONGENITAL QUADRIPLEGIA 39822.663194444445 39822.28402777778 Jan F Spinal Canal Inject Nec Latter Day Saints Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT 39822.666666666664 39821.48611111111 Jan M Christian Emergency Room Ambulance MED 2G UNIT STREP SORE THROAT 39822.666666666664 39821.48611111111 Jan M Christian Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39822.666666666664 39822.41805555556 Jan F Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39822.66736111111 39822.56041666667 Jan F Christian Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS 39822.67361111111 39822.55763888889 Jan F Spinal Tap Christian Clinic Referral Self SURGERY CENTER OBSTRUCTIV HYDROCEPHALUS 39822.67361111111 39822.55763888889 Jan F Spinal Tap Christian Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39822.677777777775 39822.501388888886 Jan F Methodist Clinic Referral Ambulance MED 2T UNIT CONVULSIONS NEC 39822.680555555555 39820.467361111114 Jan M No Religious Preference Clinic Referral Ambulance MED 2T UNIT CONVULSIONS NEC 39822.680555555555 39820.467361111114 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.6875 39822.103472222225 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.6875 39822.103472222225 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39822.7 39819.26597222222 Jan F Spinal Canal Explor Nec No Religious Preference Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39822.7 39819.26597222222 Jan F Spinal Canal Explor Nec No Religious Preference Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39822.7 39819.26597222222 Jan F Spinal Canal Explor Nec No Religious Preference Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH 39822.71111111111 39822.65138888889 Jan M Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.72361111111 39822.56319444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.72361111111 39822.56319444445 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39822.725 39821.28472222222 Jan F Rt/Left Heart Card Cath Latter Day Saints Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39822.725 39821.28472222222 Jan F Rt/Left Heart Card Cath Latter Day Saints Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39822.725 39821.28472222222 Jan F Rt/Left Heart Card Cath Latter Day Saints Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC 39822.72708333333 39820.98263888889 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT NONINFEC GASTROENTERIT NEC 39822.72708333333 39820.98263888889 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance SURG 4 UNIT HEMOPERITONEUM 39822.73611111111 39817.52638888889 Jan M Percu Abdominal Drainage Latter Day Saints Emergency Room Ambulance EMERGENCY OPEN WOUND HAND W TENDON 39822.73888888889 39822.638194444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39822.740277777775 39822.660416666666 Jan M Christian Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39822.74722222222 39822.67222222222 Jan F Islam Emergency Room Ambulance EMERGENCY NAUSEA ALONE 39822.74791666667 39822.67222222222 Jan F Islam Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39822.75 39820.486805555556 Jan F Open Reduc-Int Fix Femur No Religious Preference Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39822.75 39820.486805555556 Jan F Open Reduc-Int Fix Femur No Religious Preference Emergency Room Ambulance EMERGENCY RESP SYS/CHEST SYMP NEC 39822.75208333333 39822.64166666667 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39822.779861111114 39822.708333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABRASION HEAD 39822.782638888886 39822.73819444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39822.79236111111 39822.67569444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39822.79791666667 39822.65555555555 Jan F No Religious Preference Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39822.8125 39822.38888888889 Jan F Venous Cath Nec No Religious Preference Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39822.8125 39822.38888888889 Jan F Venous Cath Nec No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39822.81736111111 39822.694444444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39822.822916666664 39822.72430555556 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS 39822.82638888889 39821.87291666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CHEST PAIN NOS 39822.82638888889 39821.87291666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39822.84166666667 39822.79722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39822.847916666666 39822.80763888889 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.854166666664 39820.708333333336 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.854166666664 39820.708333333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39822.85902777778 39822.80069444444 Jan M Episcopal Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39822.865277777775 39822.74791666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.865277777775 39822.82430555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39822.87291666667 39822.84583333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39822.888194444444 39822.76180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39822.88958333333 39822.771527777775 Jan M Bladder Operation Nec Roman Catholic Emergency Room Ambulance EMERGENCY DEHYDRATION 39822.89027777778 39822.68680555555 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39822.89444444444 39822.705555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.90347222222 39822.82013888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39822.91388888889 39822.76458333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39822.91388888889 39822.83472222222 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39822.919444444444 39822.85138888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39822.93263888889 39822.88611111111 Jan M Hindu Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39822.94583333333 39822.9125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39822.95625 39822.82777777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39822.964583333334 39822.83125 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39822.967361111114 39822.834027777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39822.97638888889 39822.91388888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF 39822.98125 39822.649305555555 Jan M Venous Cath Nec Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.989583333336 39821.35138888889 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.989583333336 39821.35138888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.99375 39822.84930555556 Jan M Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39822.99375 39822.91736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39822.995833333334 39822.91805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION 39823.006944444445 39822.91527777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39823.01597222222 39822.98125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39823.044444444444 39822.93125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY INFECTIOUS MONONUCLEOSIS 39823.05486111111 39822.94861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39823.05763888889 39822.896527777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39823.07083333333 39822.94236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX ASTRAGALUS-CLOSED 39823.072916666664 39822.93958333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.075694444444 39823.00625 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39823.07847222222 39822.941666666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.1125 39823.01666666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39823.125 39823.00902777778 Jan F Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39823.13333333333 39822.99166666667 Jan F Baptist Emergency Room Ambulance EMERGENCY 39823.145833333336 39823.075694444444 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39823.15416666667 39823.152083333334 Jan M Emergency Room Ambulance EMERGENCY 39823.18263888889 39823.138194444444 Jan M Christian Emergency Room Ambulance EMERGENCY 39823.18402777778 39823.15277777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.236805555556 39823.188888888886 Jan M Episcopal Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39823.32916666667 39823.27916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.34097222222 39823.197222222225 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.354166666664 39823.290972222225 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.354166666664 39823.290972222225 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.364583333336 39823.30347222222 Jan F Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.364583333336 39823.30347222222 Jan F Myringotomy W Intubation Roman Catholic Emergency Room Ambulance EMERGENCY 39823.38611111111 39823.347916666666 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.413194444445 39823.33888888889 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.413194444445 39823.33888888889 Jan M Myringotomy W Intubation Other Religion Emergency Room Ambulance EMERGENCY 39823.413194444445 39823.34166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY LUMP OR MASS IN BREAST 39823.41388888889 39823.345138888886 Jan F Lutheran Clinic Referral Self SURGERY CENTER TONGUE TIE 39823.427083333336 39823.35972222222 Jan M Lingual Frenectomy No Religious Preference Clinic Referral Self SURGERY CENTER TONGUE TIE 39823.427083333336 39823.35972222222 Jan M Lingual Frenectomy No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.430555555555 39823.37430555555 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.430555555555 39823.37430555555 Jan F Myringotomy W Intubation Christian Emergency Room Ambulance EMERGENCY 39823.44583333333 39823.368055555555 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS 39823.458333333336 39822.41458333333 Jan M Lap Appendectomy No Religious Preference Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS 39823.458333333336 39822.41458333333 Jan M Lap Appendectomy No Religious Preference Clinic Referral Self SURG 3 UNIT OTHER APPENDICITIS 39823.458333333336 39822.41458333333 Jan M Lap Appendectomy No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.46527777778 39823.39791666667 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.46527777778 39823.39791666667 Jan M Myringotomy W Intubation Roman Catholic Emergency Room Ambulance EMERGENCY 39823.498611111114 39823.430555555555 Jan F No Religious Preference Clinic Referral Self SURG 4 UNIT UNIL CLEFT PALAT/LIP-INC 39823.49930555555 39822.50208333333 Jan M Revis Cleft Palat Repair No Religious Preference Clinic Referral Self SURG 4 UNIT UNIL CLEFT PALAT/LIP-INC 39823.49930555555 39822.50208333333 Jan M Revis Cleft Palat Repair No Religious Preference Emergency Room Ambulance EMERGENCY 39823.504166666666 39823.356944444444 Jan M No Religious Preference Outside Hospital Ambulance MED 1T UNIT URIN TRACT INFECTION NOS 39823.5125 39822.49930555555 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39823.51388888889 39822.552083333336 Jan M Repair Of Cleft Lip Christian Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39823.51388888889 39822.552083333336 Jan M Repair Of Cleft Lip Christian Emergency Room Ambulance EMERGENCY 39823.51458333333 39823.44861111111 Jan M Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK 39823.51666666667 39820.745833333334 Jan M Other Skin And Subq I And D No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK 39823.51666666667 39820.745833333334 Jan M Other Skin And Subq I And D No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.52777777778 39823.42916666667 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.52777777778 39823.42916666667 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SCCA UNIT DIARRHEA NOS 39823.52847222222 39818.62430555555 Jan F Entral Infus Nutrit Sub Roman Catholic Clinic Referral Self SCCA UNIT DIARRHEA NOS 39823.52847222222 39818.62430555555 Jan F Entral Infus Nutrit Sub Roman Catholic Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC 39823.53055555555 39822.34305555555 Jan M Cleft Palate Correction Christian Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC 39823.53055555555 39822.34305555555 Jan M Cleft Palate Correction Christian Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39823.535416666666 39823.459027777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.535416666666 39823.48055555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.538194444445 39823.395833333336 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39823.538194444445 39823.395833333336 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39823.540972222225 39814.754166666666 Jan M Islam Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39823.540972222225 39814.754166666666 Jan M Islam Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC 39823.54375 39818.6375 Jan M Venous Cath Nec Roman Catholic Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC 39823.54375 39818.6375 Jan M Venous Cath Nec Roman Catholic Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC 39823.54375 39818.6375 Jan M Venous Cath Nec Roman Catholic Outside Hospital Ambulance MED 1T UNIT INTESTINAL DISORDERS NEC 39823.54375 39818.6375 Jan M Venous Cath Nec Roman Catholic Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA 39823.544444444444 39820.41805555556 Jan M Tot Osteoplasty Maxilla Christian Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA 39823.544444444444 39820.41805555556 Jan M Tot Osteoplasty Maxilla Christian Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA 39823.544444444444 39820.41805555556 Jan M Tot Osteoplasty Maxilla Christian Clinic Referral Self REHAB UNIT MAXILLARY HYPERPLASIA 39823.544444444444 39820.41805555556 Jan M Tot Osteoplasty Maxilla Christian Emergency Room Ambulance EMERGENCY 39823.54583333333 39823.45347222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DUODENAL ULCER NOS 39823.54861111111 39817.48263888889 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT DUODENAL ULCER NOS 39823.54861111111 39817.48263888889 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY DYSURIA 39823.549305555556 39823.44652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.55347222222 39823.455555555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39823.55902777778 39823.41875 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY 39823.57013888889 39823.48263888889 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39823.572916666664 39821.52777777778 Jan M Spinal Tap No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39823.572916666664 39821.52777777778 Jan M Spinal Tap No Religious Preference Emergency Room Ambulance EMERGENCY 39823.57916666667 39823.425 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39823.58263888889 39823.41805555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39823.58819444444 39823.4875 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39823.59375 39823.44236111111 Jan F Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39823.59375 39823.44236111111 Jan F Tonsillectomy/Adenoidec Roman Catholic Emergency Room Ambulance EMERGENCY 39823.59444444445 39823.47708333333 Jan M Sikh Clinic Referral Ambulance SURG 4 UNIT 39823.60138888889 39820.697916666664 Jan M Roman Catholic Clinic Referral Ambulance SURG 4 UNIT 39823.60138888889 39820.697916666664 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39823.60138888889 39823.49236111111 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39823.60208333333 39822.08194444444 Jan F Remove Fb From Periton Roman Catholic Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39823.60208333333 39822.08194444444 Jan F Remove Fb From Periton Roman Catholic Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39823.60208333333 39822.08194444444 Jan F Remove Fb From Periton Roman Catholic Emergency Room Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39823.60208333333 39822.08194444444 Jan F Remove Fb From Periton Roman Catholic Emergency Room Ambulance SURGERY CENTER 39823.60763888889 39823.46111111111 Jan M No Religious Preference Emergency Room Ambulance SURGERY CENTER 39823.60763888889 39823.46111111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.60833333333 39823.501388888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.62430555555 39823.527083333334 Jan M Roman Catholic Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG 39823.62569444445 39822.24652777778 Jan F Loc Exc Bone Les Femur No Religious Preference Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG 39823.62569444445 39822.24652777778 Jan F Loc Exc Bone Les Femur No Religious Preference Clinic Referral Self SCCA UNIT BENIGN NEO LONG BONES LEG 39823.62569444445 39822.24652777778 Jan F Loc Exc Bone Les Femur No Religious Preference Emergency Room Ambulance EMERGENCY 39823.6375 39823.509722222225 Jan F Christian Emergency Room Ambulance EMERGENCY 39823.63958333333 39823.57083333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.643055555556 39823.524305555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.64375 39823.39861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.66805555556 39823.61319444444 Jan F Christian Emergency Room Ambulance EMERGENCY 39823.669444444444 39823.583333333336 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39823.67083333333 39823.50763888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.675 39823.49791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.68125 39823.490277777775 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC 39823.6875 39822.95347222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC 39823.6875 39822.95347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.6875 39823.535416666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.6875 39823.575 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.688888888886 39823.62152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.69375 39823.62430555555 Jan F Islam Emergency Room Ambulance EMERGENCY 39823.69375 39823.67569444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.69513888889 39823.60138888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.70347222222 39823.48541666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY 39823.711805555555 39821.68125 Jan M Mri Of Brain And Brainstem Other Religion Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY 39823.711805555555 39821.68125 Jan M Mri Of Brain And Brainstem Other Religion Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY 39823.711805555555 39821.68125 Jan M Mri Of Brain And Brainstem Other Religion Emergency Room Ambulance MED 2G UNIT SIXTH NERVE PALSY 39823.711805555555 39821.68125 Jan M Mri Of Brain And Brainstem Other Religion Emergency Room Ambulance EMERGENCY 39823.711805555555 39823.586805555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.711805555555 39823.604166666664 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.714583333334 39823.47152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.72777777778 39823.60486111111 Jan F Roman Catholic Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY 39823.729166666664 39818.53055555555 Jan F Lg Bowel Stoma Closure No Religious Preference Clinic Referral Self SURG 4 UNIT ATTEN TO COLOSTOMY 39823.729166666664 39818.53055555555 Jan F Lg Bowel Stoma Closure No Religious Preference Emergency Room Ambulance EMERGENCY 39823.73402777778 39823.70625 Jan F Latter Day Saints Emergency Room Ambulance EMERGENCY JOINT EFFUSION-L/LEG 39823.74652777778 39823.69097222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.74652777778 39823.69375 Jan M Buddhist Emergency Room Ambulance EMERGENCY 39823.75833333333 39823.71319444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.77222222222 39823.70138888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39823.774305555555 39821.68472222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39823.774305555555 39821.68472222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39823.774305555555 39821.68472222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39823.774305555555 39821.68472222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA 39823.77777777778 39823.74375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.779861111114 39823.67152777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.782638888886 39823.669444444444 Jan F Buddhist Emergency Room Ambulance EMERGENCY 39823.79791666667 39823.76458333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.79791666667 39823.779861111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.816666666666 39823.71527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.82430555556 39823.736805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.83541666667 39823.79513888889 Jan M Protestant Emergency Room Ambulance EMERGENCY 39823.84027777778 39823.75 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.84097222222 39823.79236111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.84652777778 39823.813888888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.84861111111 39823.49791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39823.85555555556 39823.78888888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.85555555556 39823.79791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.86111111111 39823.81875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.89444444444 39823.86111111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.90069444444 39823.74722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.930555555555 39823.847916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.93194444444 39823.85277777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39823.93402777778 39823.834027777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.938888888886 39823.85486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.947916666664 39823.86388888889 Jan F Jewish Emergency Room Ambulance EMERGENCY 39823.95486111111 39823.81180555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39823.959027777775 39823.876388888886 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.959027777775 39823.876388888886 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39823.96041666667 39823.89097222222 Jan M Lutheran Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS 39823.981944444444 39823.85625 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.99375 39823.85902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39823.99375 39823.9 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABRASION HEAD 39823.99652777778 39823.95972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39823.99930555555 39823.90902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.0125 39823.89722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.01666666667 39823.97222222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.02013888889 39823.92569444444 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS 39824.02847222222 39823.518055555556 Jan M Remov Intralum Trach Fb No Religious Preference Emergency Room Ambulance MED 1T UNIT FOREIGN BODY BRONCHUS 39824.02847222222 39823.518055555556 Jan M Remov Intralum Trach Fb No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39824.044444444444 39823.91180555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.04652777778 39823.94375 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.06597222222 39823.910416666666 Jan M Lutheran Emergency Room Ambulance EMERGENCY 39824.06597222222 39823.96944444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.06875 39823.96666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.06875 39824.02013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.07986111111 39824.010416666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39824.08541666667 39823.919444444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.09722222222 39823.902083333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SCARLET FEVER 39824.10277777778 39824.041666666664 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.15069444444 39824.01666666667 Jan F Islam Emergency Room Ambulance EMERGENCY 39824.15069444444 39824.01666666667 Jan F Islam Emergency Room Ambulance EMERGENCY 39824.15694444445 39823.884722222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39824.22152777778 39824.052777777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.23125 39824.038194444445 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY 39824.24166666667 39824.07916666667 Jan F Hindu Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39824.27916666667 39824.177083333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39824.32083333333 39824.092361111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.37986111111 39824.17291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.38263888889 39824.09027777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39824.399305555555 39824.24236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.404861111114 39824.09583333333 Jan M No Religious Preference Clinic Referral Self SCCA UNIT 39824.42152777778 39820.33263888889 Jan F Roman Catholic Clinic Referral Self SCCA UNIT 39824.42152777778 39820.33263888889 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT 39824.4375 39819.49375 Jan M Christian Clinic Referral Self SURG 3 UNIT 39824.4375 39819.49375 Jan M Christian Clinic Referral Self SURG 3 UNIT 39824.4375 39819.49375 Jan M Christian Clinic Referral Self SURG 3 UNIT 39824.4375 39819.49375 Jan M Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39824.450694444444 39819.69652777778 Jan M Bone Marrow Biopsy Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39824.450694444444 39819.69652777778 Jan M Bone Marrow Biopsy Christian Emergency Room Ambulance EMERGENCY 39824.45625 39824.42361111111 Jan F Other Religion Clinic Referral Self SURG 3 UNIT 39824.458333333336 39822.478472222225 Jan F Other Religion Clinic Referral Self SURG 3 UNIT 39824.458333333336 39822.478472222225 Jan F Other Religion Emergency Room Ambulance EMERGENCY 39824.46319444444 39824.083333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.47708333333 39824.33819444444 Jan F Islam Emergency Room Ambulance EMERGENCY 39824.47777777778 39824.40902777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.48402777778 39824.43680555555 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT 39824.48611111111 39822.5 Jan M Roman Catholic Clinic Referral Self SURG 3 UNIT 39824.48611111111 39822.5 Jan M Roman Catholic Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC 39824.4875 39820.288194444445 Jan F Dorsal/Dorsolum Fus Post No Religious Preference Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC 39824.4875 39820.288194444445 Jan F Dorsal/Dorsolum Fus Post No Religious Preference Clinic Referral Self SURG 3 UNIT SCOLIOSIS NEC 39824.4875 39820.288194444445 Jan F Dorsal/Dorsolum Fus Post No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39824.504166666666 39824.37569444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39824.51111111111 39824.20208333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.51458333333 39824.3875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.525 39824.475694444445 Jan M Islam Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME 39824.53680555556 39824.36388888889 Jan M Therapeu Plasmapheresis No Religious Preference Emergency Room Ambulance EMERGENCY 39824.544444444444 39824.43263888889 Jan F Islam Emergency Room Ambulance EMERGENCY 39824.54652777778 39824.45208333333 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT 39824.55138888889 39814.23611111111 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT 39824.55138888889 39814.23611111111 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT 39824.55138888889 39814.23611111111 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT 39824.55138888889 39814.23611111111 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT 39824.55138888889 39822.975 Jan F Christian Emergency Room Ambulance MED 1T UNIT 39824.55138888889 39822.975 Jan F Christian Emergency Room Ambulance MED 2G UNIT 39824.56180555555 39822.80347222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT 39824.56180555555 39822.80347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.56736111111 39824.44930555556 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT 39824.572916666664 39822.36666666667 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT 39824.572916666664 39822.36666666667 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT 39824.572916666664 39822.98333333333 Jan F Roman Catholic Emergency Room Ambulance SURG 3 UNIT 39824.572916666664 39822.98333333333 Jan F Roman Catholic Emergency Room Ambulance SURG 3 UNIT 39824.572916666664 39822.98333333333 Jan F Roman Catholic Emergency Room Ambulance SURG 3 UNIT 39824.572916666664 39822.98333333333 Jan F Roman Catholic Physician Referral Ambulance MED 2G UNIT 39824.575694444444 39823.44375 Jan M No Religious Preference Physician Referral Ambulance MED 2G UNIT 39824.575694444444 39823.44375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39824.584027777775 39824.490277777775 Jan M Islam Emergency Room Ambulance EMERGENCY 39824.589583333334 39824.486805555556 Jan M No Religious Preference Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.59027777778 39822.67638888889 Jan F Replace Ventricle Shunt No Religious Preference Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.59027777778 39822.67638888889 Jan F Replace Ventricle Shunt No Religious Preference Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.59027777778 39822.67638888889 Jan F Replace Ventricle Shunt No Religious Preference Clinic Referral Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.59027777778 39822.67638888889 Jan F Replace Ventricle Shunt No Religious Preference Emergency Room Ambulance EMERGENCY 39824.60277777778 39824.46666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.603472222225 39824.50069444445 Jan M No Religious Preference Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG 39824.61875 39821.27361111111 Jan F Venous Cath Nec Lutheran Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG 39824.61875 39821.27361111111 Jan F Venous Cath Nec Lutheran Clinic Referral Self SCCA UNIT MALIG NEOPLASM LONG BONES LEG 39824.61875 39821.27361111111 Jan F Venous Cath Nec Lutheran Emergency Room Ambulance EMERGENCY HEADACHE 39824.62430555555 39824.268055555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.63055555556 39824.46041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.63055555556 39824.53402777778 Jan M Baptist Emergency Room Ambulance EMERGENCY 39824.65 39824.54513888889 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY 39824.654861111114 39824.57777777778 Jan M Islam Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.65625 39822.59722222222 Jan F Replace Ventricle Shunt Roman Catholic Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.65625 39822.59722222222 Jan F Replace Ventricle Shunt Roman Catholic Clinic Referral Self SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39824.65625 39822.59722222222 Jan F Replace Ventricle Shunt Roman Catholic Emergency Room Ambulance EMERGENCY 39824.65625 39824.580555555556 Jan M Islam Emergency Room Ambulance EMERGENCY 39824.6625 39824.59305555555 Jan M Lutheran Emergency Room Ambulance EMERGENCY 39824.67222222222 39824.46875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS 39824.674305555556 39824.54791666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF NECK NEC 39824.67916666667 39824.5875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.680555555555 39824.50555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.69652777778 39824.52291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.69930555556 39824.444444444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.70416666667 39824.663194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.70763888889 39824.597916666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.709027777775 39824.583333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.71527777778 39824.61041666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT 39824.722916666666 39822.23125 Jan F Hindu Emergency Room Ambulance MED 2G UNIT 39824.722916666666 39822.23125 Jan F Hindu Emergency Room Ambulance SURG 3 UNIT 39824.729166666664 39820.941666666666 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT 39824.729166666664 39820.941666666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.736805555556 39824.51597222222 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.73888888889 39824.657638888886 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.74097222222 39824.67638888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.745833333334 39824.66736111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39824.74791666667 39824.69583333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.748611111114 39824.57083333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.748611111114 39824.69930555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39824.748611111114 39824.717361111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.75347222222 39824.69097222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39824.770833333336 39819.02916666667 Jan M Christian Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39824.770833333336 39819.02916666667 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.77847222222 39824.686111111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.78194444445 39824.73263888889 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT 39824.794444444444 39822.90555555555 Jan F Christian Emergency Room Ambulance MED 2G UNIT 39824.794444444444 39822.90555555555 Jan F Christian Emergency Room Ambulance EMERGENCY 39824.79513888889 39824.70208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTORRHEA NEC 39824.80416666667 39824.60763888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SCREENING-PULMONARY TB 39824.80902777778 39824.79722222222 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT 39824.822916666664 39823.12013888889 Jan M Roman Catholic Emergency Room Ambulance MED 2T UNIT 39824.822916666664 39823.12013888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.83819444444 39824.64791666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.847916666666 39824.67291666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.85625 39824.70972222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.85833333333 39824.76458333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39824.85902777778 39824.729166666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED 39824.879166666666 39824.75208333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.88055555556 39824.77638888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.89027777778 39824.74791666667 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.89236111111 39824.71597222222 Jan M Jewish Emergency Room Ambulance EMERGENCY 39824.92291666667 39824.84861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.927777777775 39824.82430555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39824.92847222222 39824.72430555556 Jan F Spinal Tap Roman Catholic Emergency Room Ambulance EMERGENCY 39824.93194444444 39824.79027777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.93194444444 39824.83541666667 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.93472222222 39824.88263888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY 39824.93541666667 39824.78055555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.93819444445 39824.78333333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.93958333333 39824.80694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.94861111111 39824.850694444445 Jan M Christian Emergency Room Ambulance EMERGENCY 39824.950694444444 39824.771527777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39824.96388888889 39824.907638888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39824.975 39824.85902777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39824.99722222222 39824.95208333333 Jan M Christian Emergency Room Ambulance EMERGENCY 39825.00069444445 39824.9375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39825.00069444445 39824.9375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39825.006944444445 39824.95625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39825.01180555556 39824.80416666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC 39825.01666666667 39824.85138888889 Jan M Christian Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS 39825.01666666667 39824.94375 Jan F Jehovah's Witness Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39825.05763888889 39824.96527777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39825.058333333334 39824.96388888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39825.05972222222 39824.96319444444 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY IMPETIGO 39825.06041666667 39824.97083333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39825.07638888889 39824.975 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39825.07916666667 39824.998611111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39825.100694444445 39824.989583333336 Jan M Baptist Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39825.104166666664 39824.910416666666 Jan M Christian Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39825.10486111111 39824.80069444444 Jan M Christian Emergency Room Ambulance EMERGENCY COUGH 39825.14861111111 39824.98402777778 Jan F Christian Emergency Room Ambulance EMERGENCY CROUP 39825.15069444444 39825.08194444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 39825.15833333333 39824.99236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39825.18819444445 39824.98125 Jan M Christian Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39825.200694444444 39825.09097222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39825.225694444445 39825.01597222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39825.231944444444 39825.025 Jan M Roman Catholic Outside Hospital Ambulance NICU COMMON TRUNCUS 39825.24375 39821.65625 Jan F Rt/Left Heart Card Cath Christian Outside Hospital Ambulance NICU COMMON TRUNCUS 39825.24375 39821.65625 Jan F Rt/Left Heart Card Cath Christian Outside Hospital Ambulance NICU COMMON TRUNCUS 39825.24375 39821.65625 Jan F Rt/Left Heart Card Cath Christian Emergency Room Ambulance EMERGENCY DYSURIA 39825.31180555555 39825.20138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39825.313888888886 39825.154861111114 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39825.364583333336 39825.28402777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39825.384722222225 39825.299305555556 Jan M Christian Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39825.399305555555 39825.23541666667 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39825.399305555555 39825.23541666667 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE 39825.427083333336 39825.30763888889 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE 39825.427083333336 39825.30763888889 Jan M Myringotomy W Intubation No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39825.458333333336 39821.791666666664 Jan M Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39825.458333333336 39821.791666666664 Jan M Christian Emergency Room Ambulance EMERGENCY OTALGIA NOS 39825.45972222222 39825.42986111111 Jan F Christian Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39825.46527777778 39825.271527777775 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39825.46527777778 39825.271527777775 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39825.475694444445 39825.32361111111 Jan M Egd With Closed Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39825.486805555556 39825.03680555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39825.486805555556 39825.03680555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER INTERMIT ALTRN EXOTROPIA 39825.493055555555 39825.28888888889 Jan F One Extraoc Mus Recess Christian Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.49930555555 39824.74513888889 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.49930555555 39824.74513888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39825.50347222222 39824.67083333333 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39825.50347222222 39824.67083333333 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB 39825.50347222222 39825.27569444444 Jan M Type 2 Tympanoplasty No Religious Preference Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB 39825.50347222222 39825.27569444444 Jan M Type 2 Tympanoplasty No Religious Preference Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE 39825.506944444445 39822.95694444444 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE 39825.506944444445 39822.95694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39825.51458333333 39825.39791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39825.518055555556 39825.43402777778 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.520833333336 39825.35902777778 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.520833333336 39825.35902777778 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39825.521527777775 39824.025 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39825.521527777775 39824.025 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39825.524305555555 39825.330555555556 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39825.524305555555 39825.330555555556 Jan M Myringotomy W Intubation Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39825.52638888889 39825.47222222222 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39825.53472222222 39825.38888888889 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39825.53472222222 39825.38888888889 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39825.53611111111 39823.34027777778 Jan M Inject Ca Chemother Nec Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39825.53611111111 39823.34027777778 Jan M Inject Ca Chemother Nec Christian Emergency Room Ambulance MED 2T UNIT ANGIONEUROTIC EDEMA 39825.5375 39824.73541666667 Jan M Methodist Emergency Room Ambulance MED 2T UNIT ANGIONEUROTIC EDEMA 39825.5375 39824.73541666667 Jan M Methodist Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39825.54513888889 39825.36736111111 Jan M Tooth Restor By Filling No Religious Preference Transfer from Critical Access Hospital Ambulance SURG 4 UNIT POSTOPERATIVE SHOCK 39825.54583333333 39816.004166666666 Jan M Reopen Recent Lap Site Roman Catholic Transfer from Critical Access Hospital Ambulance SURG 4 UNIT POSTOPERATIVE SHOCK 39825.54583333333 39816.004166666666 Jan M Reopen Recent Lap Site Roman Catholic Transfer from Critical Access Hospital Ambulance SURG 4 UNIT POSTOPERATIVE SHOCK 39825.54583333333 39816.004166666666 Jan M Reopen Recent Lap Site Roman Catholic Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS 39825.55902777778 39825.38333333333 Jan M Larygnoscopy/Tracheoscop Christian Clinic Referral Self SURGERY CENTER DYSPHAGIA NOS 39825.55902777778 39825.38333333333 Jan M Larygnoscopy/Tracheoscop Christian Emergency Room Ambulance EMERGENCY SCABIES 39825.56180555555 39825.53680555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.56597222222 39825.26736111111 Jan M Unilat Ing Hern Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.56597222222 39825.26736111111 Jan M Unilat Ing Hern Rep Nos Roman Catholic Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA 39825.57152777778 39822.36111111111 Jan M Amputat Through Malleoli Christian Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA 39825.57152777778 39822.36111111111 Jan M Amputat Through Malleoli Christian Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA 39825.57152777778 39822.36111111111 Jan M Amputat Through Malleoli Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.572916666664 39824.50833333333 Jan M Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.572916666664 39824.50833333333 Jan M Christian Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS 39825.575694444444 39824.47361111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT LYMPHADENITIS NOS 39825.575694444444 39824.47361111111 Jan M Roman Catholic Physician Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS 39825.57638888889 39825.45208333333 Jan F Flexible Sigmoidoscopy No Religious Preference Physician Referral Self SURGERY CENTER BENIGN NEOPL RECTUM/ANUS 39825.57638888889 39825.45208333333 Jan F Flexible Sigmoidoscopy No Religious Preference Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS 39825.57916666667 39825.54305555556 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.57986111111 39825.40694444445 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.57986111111 39825.40694444445 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39825.583333333336 39825.50555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE GASTRITIS W/O HEMORRHAGE 39825.59305555555 39825.438888888886 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39825.59375 39825.364583333336 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39825.59375 39825.364583333336 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE 39825.59722222222 39823.933333333334 Jan M Cl Fx Reduc-Tibia/Fibula No Religious Preference Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE 39825.59722222222 39823.933333333334 Jan M Cl Fx Reduc-Tibia/Fibula No Religious Preference Emergency Room Ambulance REHAB UNIT FX TIBIA W FIBULA NOS-CLOSE 39825.59722222222 39823.933333333334 Jan M Cl Fx Reduc-Tibia/Fibula No Religious Preference Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39825.61111111111 39818.970138888886 Jan F Christian Emergency Room Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39825.61111111111 39818.970138888886 Jan F Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.614583333336 39825.35277777778 Jan F Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.614583333336 39825.35277777778 Jan F Unilat Ing Hern Rep Nos Christian Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC 39825.614583333336 39825.470138888886 Jan M Excision Of Pilonid Cyst Christian Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC 39825.625 39824.22708333333 Jan M Lutheran Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC 39825.625 39824.22708333333 Jan M Lutheran Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39825.625 39825.27847222222 Jan M Rt/Left Heart Card Cath Other Religion Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39825.625 39825.27847222222 Jan M Rt/Left Heart Card Cath Other Religion Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39825.625 39825.27847222222 Jan M Rt/Left Heart Card Cath Other Religion Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION 39825.626388888886 39823.697222222225 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION 39825.626388888886 39823.697222222225 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39825.64166666667 39825.57361111111 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ESOTROPIA NOS 39825.645833333336 39825.41180555556 Jan M One Extraoc Mus Recess No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39825.649305555555 39825.48333333333 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39825.649305555555 39825.48333333333 Jan M Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39825.65069444444 39819.81319444445 Jan M Christian Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39825.65069444444 39819.81319444445 Jan M Christian Emergency Room Ambulance SURG 3 UNIT VIRAL ENTERITIS NOS 39825.65069444444 39819.81319444445 Jan M Christian Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC 39825.65416666667 39823.9375 Jan M Spinal Tap Lutheran Emergency Room Ambulance MED 1T UNIT NWBRN TEMP REGULAT DIS NEC 39825.65416666667 39823.9375 Jan M Spinal Tap Lutheran Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE 39825.65625 39825.345138888886 Jan M Esophageal Dilation Roman Catholic Clinic Referral Self SURGERY CENTER ESOPHAGEAL STRICTURE 39825.65625 39825.345138888886 Jan M Esophageal Dilation Roman Catholic Emergency Room Ambulance MED 2G UNIT HEMOPHAGOCYTIC SYNDROMES 39825.657638888886 39816.59097222222 Jan M Bone Marrow Biopsy Roman Catholic Emergency Room Ambulance MED 2G UNIT HEMOPHAGOCYTIC SYNDROMES 39825.657638888886 39816.59097222222 Jan M Bone Marrow Biopsy Roman Catholic Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS 39825.66111111111 39820.99513888889 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS 39825.66111111111 39820.99513888889 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT OTHER SEQUELA, CHR LIV DIS 39825.66111111111 39820.99513888889 Jan F Parent Infus Nutrit Sub No Religious Preference Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR 39825.666666666664 39825.43125 Jan F Open Rep Umbil Hern Nec No Religious Preference Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA W OBSTR 39825.666666666664 39825.43125 Jan F Open Rep Umbil Hern Nec No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39825.67847222222 39825.55902777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39825.697916666664 39825.595138888886 Jan F Injection Into Joint No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39825.697916666664 39825.595138888886 Jan F Injection Into Joint No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39825.69861111111 39825.525 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID 39825.708333333336 39825.38888888889 Jan F Mastoidectomy Revision No Religious Preference Clinic Referral Self SURGERY CENTER CHOLESTMA MID EAR/MSTOID 39825.708333333336 39825.38888888889 Jan F Mastoidectomy Revision No Religious Preference Emergency Room Ambulance EMERGENCY HEMOPTYSIS 39825.70972222222 39825.59097222222 Jan M Methodist Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39825.71319444444 39825.680555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39825.714583333334 39825.67361111111 Jan F No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39825.71527777778 39821.2375 Jan M Grft Repair Hrt Sept Nos No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39825.71527777778 39821.2375 Jan M Grft Repair Hrt Sept Nos No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39825.71527777778 39821.2375 Jan M Grft Repair Hrt Sept Nos No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39825.71527777778 39821.2375 Jan M Grft Repair Hrt Sept Nos No Religious Preference Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39825.71527777778 39825.433333333334 Jan F Bilat Ing Hernia Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39825.71527777778 39825.433333333334 Jan F Bilat Ing Hernia Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER PORTAL HYPERTENSION 39825.72222222222 39825.470138888886 Jan M Endosc Destruc Esoph Les No Religious Preference Clinic Referral Self SURGERY CENTER PORTAL HYPERTENSION 39825.72222222222 39825.470138888886 Jan M Endosc Destruc Esoph Les No Religious Preference Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN 39825.72222222222 39825.48055555556 Jan M Opn Rep Dir Ing Hern Nec No Religious Preference Clinic Referral Self SURGERY CENTER RECUR UNILAT INGUIN HERN 39825.72222222222 39825.48055555556 Jan M Opn Rep Dir Ing Hern Nec No Religious Preference Emergency Room Ambulance EMERGENCY INGROWING NAIL 39825.72986111111 39825.5625 Jan M Protestant Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS SITE NOS 39825.7375 39825.55416666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER INTERMIT ALTRN EXOTROPIA 39825.739583333336 39825.53194444445 Jan M One Extraoc Mus Recess No Religious Preference Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST 39825.739583333336 39825.59444444445 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER REG ENTERIT SM/LG INTEST 39825.739583333336 39825.59444444445 Jan F Egd With Closed Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY DERMATOPHYTOSIS SITE NOS 39825.740277777775 39825.555555555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39825.74166666667 39825.50833333333 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT JOINT EFFUSION-MULT JTS 39825.74375 39822.74444444444 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT JOINT EFFUSION-MULT JTS 39825.74375 39822.74444444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39825.74513888889 39825.55138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK 39825.74791666667 39825.57708333333 Jan M Christian Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM 39825.76388888889 39825.59097222222 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM 39825.76388888889 39825.59097222222 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39825.770833333336 39825.50555555556 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39825.770833333336 39825.50555555556 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39825.774305555555 39825.38958333333 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39825.774305555555 39825.38958333333 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39825.774305555555 39825.38958333333 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39825.77777777778 39820.299305555556 Jan M Closed Liver Biopsy Protestant Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39825.77777777778 39820.299305555556 Jan M Closed Liver Biopsy Protestant Clinic Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39825.77777777778 39820.299305555556 Jan M Closed Liver Biopsy Protestant Outside Hospital Self MED 2G UNIT ABNORMAL GLUCOSE NEC 39825.779861111114 39821.64236111111 Jan M Entral Infus Nutrit Sub Islam Outside Hospital Self MED 2G UNIT ABNORMAL GLUCOSE NEC 39825.779861111114 39821.64236111111 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance EMERGENCY COUGH 39825.78888888889 39825.683333333334 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39825.791666666664 39824.959027777775 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39825.791666666664 39824.959027777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 1ST DEG BURN ARM NOS 39825.79236111111 39825.72222222222 Jan F No Religious Preference Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE 39825.79861111111 39825.28055555555 Jan M Knee Arthroscopy Roman Catholic Clinic Referral Self REHAB UNIT SPRAIN CRUCIATE LIG KNEE 39825.79861111111 39825.28055555555 Jan M Knee Arthroscopy Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39825.802083333336 39821.333333333336 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39825.802083333336 39821.333333333336 Jan M Inject Ca Chemother Nec Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39825.80347222222 39825.708333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39825.813888888886 39825.720138888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39825.81736111111 39825.691666666666 Jan M Christian Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39825.822222222225 39825.67152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGITIS, UNSPECIFIED 39825.822222222225 39825.74791666667 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX 39825.822916666664 39822.19305555556 Jan F Percu Abdominal Drainage Christian Emergency Room Ambulance SURG 3 UNIT ABSCESS OF APPENDIX 39825.822916666664 39822.19305555556 Jan F Percu Abdominal Drainage Christian Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX 39825.822916666664 39824.26597222222 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX 39825.822916666664 39824.26597222222 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.822916666664 39825.600694444445 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.83263888889 39825.74166666667 Jan M Islam Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.84027777778 39825.56041666667 Jan M Opn Rep Dir Ing Hern Nec No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39825.84027777778 39825.56041666667 Jan M Opn Rep Dir Ing Hern Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.84444444445 39825.76597222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY LYMPHANGITIS 39825.85 39825.611805555556 Jan F Christian Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39825.854166666664 39825.419444444444 Jan F Oth Bone Repa/Plast Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39825.854166666664 39825.419444444444 Jan F Oth Bone Repa/Plast Nec No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF EAR DRUM 39825.86319444444 39825.79652777778 Jan F Pagan Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39825.86944444444 39825.79236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ELB/FOREARM/WRST INJURY NOS 39825.87222222222 39825.79583333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39825.87777777778 39825.79375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONCUSSION W/O COMA 39825.8875 39825.78055555555 Jan F Christian Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS 39825.899305555555 39825.808333333334 Jan M Christian Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39825.9 39825.720138888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39825.90416666667 39825.802777777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URTICARIA NOS 39825.913194444445 39825.79861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39825.91805555556 39825.811111111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39825.92013888889 39825.77013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39825.927083333336 39825.7625 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK 39825.927083333336 39825.81527777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT 39825.92986111111 39825.65625 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39825.93125 39825.816666666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39825.958333333336 39825.830555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39825.96319444444 39825.8 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39825.96388888889 39825.84375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39825.96597222222 39825.83472222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39825.96666666667 39825.81527777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA 39825.98125 39825.85972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39825.989583333336 39825.87847222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39826.00208333333 39825.90972222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39826.006944444445 39825.88263888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.01736111111 39825.80763888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39826.03055555555 39825.82847222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39826.03402777778 39825.825694444444 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.03611111111 39825.978472222225 Jan F Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39826.04583333333 39825.915972222225 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39826.049305555556 39825.99513888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS 39826.055555555555 39825.96666666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS 39826.055555555555 39825.96666666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39826.058333333334 39825.975694444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39826.058333333334 39825.975694444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39826.09444444445 39825.899305555555 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.10833333333 39825.99166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.10902777778 39826.03472222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39826.11388888889 39825.938888888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39826.12430555555 39825.92361111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE 39826.14097222222 39825.96388888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.14513888889 39825.89791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY PERIOCULAR 39826.16736111111 39826.08194444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ASTHMA UNSPECIFIED 39826.20416666667 39826.00277777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39826.220138888886 39826.146527777775 Jan F Other Religion Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39826.291666666664 39822.375 Jan M Inject Ca Chemother Nec Protestant Physician Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39826.291666666664 39822.375 Jan M Inject Ca Chemother Nec Protestant Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39826.36111111111 39826.26458333333 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39826.36111111111 39826.26458333333 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER TONGUE TIE 39826.364583333336 39826.288194444445 Jan F Lingual Frenectomy Christian Clinic Referral Self SURGERY CENTER TONGUE TIE 39826.364583333336 39826.288194444445 Jan F Lingual Frenectomy Christian Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39826.375 39826.26944444444 Jan F Remove Impl Device Nec Roman Catholic Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39826.375 39826.26944444444 Jan F Remove Impl Device Nec Roman Catholic Clinic Referral Self SURGERY CENTER CONGENITAL HYDROCEPHALUS 39826.385416666664 39826.28333333333 Jan F Ventricl Shunt Tube Punc Christian Clinic Referral Self SURGERY CENTER CONGENITAL HYDROCEPHALUS 39826.385416666664 39826.28333333333 Jan F Ventricl Shunt Tube Punc Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.388194444444 39826.30069444444 Jan F No Religious Preference Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN 39826.40069444444 39825.46388888889 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN 39826.40069444444 39825.46388888889 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN 39826.40069444444 39825.46388888889 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39826.40069444444 39826.3125 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39826.416666666664 39826.325 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39826.416666666664 39826.325 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39826.427083333336 39826.275 Jan M Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39826.427083333336 39826.275 Jan M Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39826.427083333336 39826.313888888886 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39826.427083333336 39826.313888888886 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39826.44097222222 39826.26180555556 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39826.44097222222 39826.26180555556 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39826.441666666666 39825.47361111111 Jan M Angio Oth Non-Coronary Presbyterian Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39826.441666666666 39825.47361111111 Jan M Angio Oth Non-Coronary Presbyterian Clinic Referral Self SURG 4 UNIT PULMONARY ARTERY ANOM 39826.441666666666 39825.47361111111 Jan M Angio Oth Non-Coronary Presbyterian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39826.444444444445 39826.33611111111 Jan M Myringotomy W Intubation Baptist Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39826.447916666664 39826.325 Jan F Myringotomy W Intubation Pentecostal Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39826.447916666664 39826.325 Jan F Myringotomy W Intubation Pentecostal Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE 39826.447916666664 39826.34375 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER FAILURE TO THRIVE 39826.447916666664 39826.34375 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39826.45763888889 39826.342361111114 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY SWELLING OF LIMB 39826.4625 39826.43125 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39826.46527777778 39826.334027777775 Jan F Injec Therap Sbst Tm Jnt Roman Catholic Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39826.46527777778 39826.334027777775 Jan F Injec Therap Sbst Tm Jnt Roman Catholic Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39826.46875 39820.64375 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39826.46875 39820.64375 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39826.46875 39820.64375 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39826.46875 39820.64375 Jan M Pyloromyotomy No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM 39826.478472222225 39826.37222222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39826.48819444444 39826.376388888886 Jan M Christian Clinic Referral Self SURGERY CENTER NOSE ANOMALY NEC 39826.489583333336 39826.28055555555 Jan F Rhinoplasty Nec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39826.489583333336 39826.32986111111 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER REFLUX ESOPHAGITIS 39826.49652777778 39826.37847222222 Jan M Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER REFLUX ESOPHAGITIS 39826.49652777778 39826.37847222222 Jan M Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT 39826.5 39826.25902777778 Jan M Revise Clo Vesicostomy Christian Clinic Referral Self SURGERY CENTER COMPLIC-URINARY TRACT 39826.5 39826.25902777778 Jan M Revise Clo Vesicostomy Christian Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS 39826.50069444445 39826.339583333334 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER DYSFUNCT EUSTACHIAN TUBE 39826.50347222222 39826.42222222222 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39826.51111111111 39826.36111111111 Jan M No Religious Preference Clinic Referral Self NICU BILAT INGUINAL HERNIA 39826.51180555556 39825.279861111114 Jan M Bilat Ing Hernia Rep Nos Baptist Clinic Referral Self NICU BILAT INGUINAL HERNIA 39826.51180555556 39825.279861111114 Jan M Bilat Ing Hernia Rep Nos Baptist Clinic Referral Self NICU BILAT INGUINAL HERNIA 39826.51180555556 39825.279861111114 Jan M Bilat Ing Hernia Rep Nos Baptist Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39826.520833333336 39826.34652777778 Jan M Surg Tooth Extract Nec No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39826.520833333336 39826.40833333333 Jan F Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39826.520833333336 39826.40833333333 Jan F Egd With Closed Biopsy Christian Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39826.52222222222 39824.930555555555 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39826.52222222222 39824.930555555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY INGROWING NAIL 39826.52638888889 39826.46805555555 Jan M Buddhist Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK 39826.53125 39826.334027777775 Jan M Excise Skull Lesion Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39826.53888888889 39826.470138888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.544444444444 39826.472916666666 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.55138888889 39826.51875 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39826.555555555555 39826.384722222225 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39826.555555555555 39826.384722222225 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA 39826.56180555555 39825.413194444445 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CLOSED SKULL VLT FX W/O COMA 39826.56180555555 39825.413194444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39826.569444444445 39826.52291666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA 39826.58194444444 39825.70138888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA 39826.58194444444 39825.70138888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA 39826.58194444444 39825.70138888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.58263888889 39826.50208333333 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION 39826.583333333336 39826.33263888889 Jan M Venous Cath Nec Christian Clinic Referral Self SURGERY CENTER ACUTE MYELOID LEUK IN REMISSION 39826.583333333336 39826.33263888889 Jan M Venous Cath Nec Christian Clinic Referral Self SURGERY CENTER DISEASES OF LIPS 39826.583333333336 39826.48125 Jan F Labial Frenumectomy No Religious Preference Emergency Room Ambulance EMERGENCY SCABIES 39826.58611111111 39826.51458333333 Jan F Islam Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39826.586805555555 39826.50763888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39826.58888888889 39826.55138888889 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH 39826.59027777778 39826.458333333336 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH 39826.59027777778 39826.458333333336 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39826.59375 39826.467361111114 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39826.59375 39826.467361111114 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY ANAL FISSURE 39826.60277777778 39826.55416666667 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER SYNDACTYLY, MULTIPLE/NOS 39826.604166666664 39826.28611111111 Jan M Syndactyly Correction No Religious Preference Clinic Referral Self SURGERY CENTER SYNDACTYLY, MULTIPLE/NOS 39826.604166666664 39826.28611111111 Jan M Syndactyly Correction No Religious Preference Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS 39826.61388888889 39825.084027777775 Jan F Christian Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS 39826.61388888889 39825.084027777775 Jan F Christian Emergency Room Ambulance SCCA UNIT IRON DEFIC ANEMIA NOS 39826.61388888889 39825.084027777775 Jan F Christian Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39826.62708333333 39826.5875 Jan F Roman Catholic Physician Referral Self MED 1T UNIT FAILURE TO THRIVE 39826.63611111111 39825.600694444445 Jan M Christian Physician Referral Self MED 1T UNIT FAILURE TO THRIVE 39826.63611111111 39825.600694444445 Jan M Christian Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT 39826.63888888889 39826.498611111114 Jan M Egd With Closed Biopsy Lutheran Clinic Referral Self SURGERY CENTER COMPLIC LIVER TRANSPLANT 39826.63888888889 39826.498611111114 Jan M Egd With Closed Biopsy Lutheran Clinic Referral Self SURGERY CENTER EX EAR ANM NEC-IMPR HEAR 39826.65625 39826.35486111111 Jan M Ext Audit Canal Reconstr Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.67013888889 39821.92847222222 Jan M Spinal Tap Islam Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.67013888889 39821.92847222222 Jan M Spinal Tap Islam Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39826.674305555556 39826.563888888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX TIBIA W FIBULA NOS-CLOSE 39826.675 39826.59097222222 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS 39826.680555555555 39822.50833333333 Jan F Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS 39826.680555555555 39822.50833333333 Jan F Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS 39826.680555555555 39822.50833333333 Jan F Insert Gastric Tube Nec No Religious Preference Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39826.6875 39826.56736111111 Jan F Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39826.691666666666 39826.29722222222 Jan F Christian Clinic Referral Self SURGERY CENTER CRUSHING INJURY FINGER 39826.694444444445 39826.388194444444 Jan M Open Red-Int Fix Finger No Religious Preference Clinic Referral Self SURGERY CENTER CRUSHING INJURY FINGER 39826.694444444445 39826.388194444444 Jan M Open Red-Int Fix Finger No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC 39826.70486111111 39826.527083333334 Jan F Excision Orbital Lesion Christian Clinic Referral Self SURGERY CENTER HEMANGIOMA NEC 39826.70486111111 39826.527083333334 Jan F Excision Orbital Lesion Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.71041666667 39826.61388888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.711805555555 39826.635416666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.71319444444 39826.638194444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39826.72222222222 39826.60555555556 Jan F No Religious Preference Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39826.725694444445 39825.30416666667 Jan F Perc Hepat Cholangiogram Other Religion Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39826.725694444445 39825.30416666667 Jan F Perc Hepat Cholangiogram Other Religion Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39826.725694444445 39825.30416666667 Jan F Perc Hepat Cholangiogram Other Religion Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39826.725694444445 39825.30416666667 Jan F Perc Hepat Cholangiogram Other Religion Physician Referral Self SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39826.725694444445 39825.30416666667 Jan F Perc Hepat Cholangiogram Other Religion Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING 39826.729166666664 39818.50555555556 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT PERSISTENT VOMITING 39826.729166666664 39818.50555555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER LONGITUD DEFIC PHALANGES 39826.73611111111 39826.46805555555 Jan F Pollicization Operation No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39826.736805555556 39826.657638888886 Jan M Bladder Operation Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC 39826.743055555555 39824.68402777778 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT FLU W RESP MANIFEST NEC 39826.743055555555 39824.68402777778 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT BACKACHE NOS 39826.743055555555 39825.98541666667 Jan F Christian Emergency Room Ambulance MED 1T UNIT BACKACHE NOS 39826.743055555555 39825.98541666667 Jan F Christian Clinic Referral Ambulance SURG 3 UNIT DISC DIS NEC/NOS-LUMBAR 39826.745833333334 39820.79861111111 Jan M Bone Biopsy Nec Roman Catholic Clinic Referral Ambulance SURG 3 UNIT DISC DIS NEC/NOS-LUMBAR 39826.745833333334 39820.79861111111 Jan M Bone Biopsy Nec Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.75277777778 39826.67083333333 Jan F Islam Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE 39826.75486111111 39825.489583333336 Jan F Clos Red-Int Fix Humerus No Religious Preference Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE 39826.75486111111 39825.489583333336 Jan F Clos Red-Int Fix Humerus No Religious Preference Physician Referral Ambulance REHAB UNIT FX LOWER HUMERUS NOS-CLOSE 39826.75486111111 39825.489583333336 Jan F Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.75486111111 39826.629166666666 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC 39826.75555555556 39825.51458333333 Jan F Ureteroneocystostomy No Religious Preference Clinic Referral Self SURG 3 UNIT VESICOURETERAL REFLUX UNSPEC 39826.75555555556 39825.51458333333 Jan F Ureteroneocystostomy No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39826.76944444444 39826.666666666664 Jan M Roman Catholic Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39826.770833333336 39826.42152777778 Jan M Angio Oth Non-Coronary Latter Day Saints Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39826.770833333336 39826.42152777778 Jan M Angio Oth Non-Coronary Latter Day Saints Physician Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39826.770833333336 39826.42152777778 Jan M Angio Oth Non-Coronary Latter Day Saints Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED 39826.779861111114 39826.67638888889 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.80138888889 39826.71944444445 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC 39826.833333333336 39826.26111111111 Jan F Exc/Dest Hrt Les Other Roman Catholic Clinic Referral Self SURGERY CENTER CARDIAC DYSRHYTHMIAS NEC 39826.833333333336 39826.26111111111 Jan F Exc/Dest Hrt Les Other Roman Catholic Emergency Room Ambulance EMERGENCY HEADACHE 39826.83888888889 39826.67291666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39826.850694444445 39815.74652777778 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39826.850694444445 39815.74652777778 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39826.850694444445 39815.74652777778 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC 39826.861805555556 39826.70763888889 Jan F 7th Day Adventist Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39826.861805555556 39826.711805555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39826.870833333334 39826.77361111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39826.88333333333 39826.79652777778 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.89861111111 39825.80416666667 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.89861111111 39825.80416666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39826.89861111111 39826.81180555555 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.902083333334 39826.66736111111 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.90902777778 39826.19027777778 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39826.90902777778 39826.19027777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VARICELLA UNCOMPLICATED 39826.92361111111 39826.861805555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39826.927083333336 39826.77777777778 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39826.92847222222 39826.81527777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX LUMBAR VERTEBRA-CLOSE 39826.92916666667 39826.66111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE 39826.92916666667 39826.85625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY LABORATORY EXAMINATION 39826.938888888886 39826.822916666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39826.938888888886 39826.833333333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC 39826.95208333333 39826.86388888889 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39826.961805555555 39825.82083333333 Jan F Clos Red-Int Fix Humerus Christian Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39826.961805555555 39825.82083333333 Jan F Clos Red-Int Fix Humerus Christian Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39826.96527777778 39826.88333333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY SWELLING OF LIMB 39826.97152777778 39826.76597222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39826.97152777778 39826.80972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39826.97222222222 39826.78402777778 Jan M Lutheran Emergency Room Ambulance EMERGENCY ABRASION FINGER 39826.972916666666 39826.85277777778 Jan M Christian Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39826.97361111111 39826.78055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ENDOCRINE ANOMALY NEC 39826.97638888889 39826.84861111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39826.98819444444 39826.89166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.01111111111 39826.873611111114 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY FEVER NOS 39827.01944444444 39826.95347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.021527777775 39826.78958333333 Jan M Bladder Operation Nec Lutheran Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.02361111111 39826.92013888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39827.027083333334 39826.845138888886 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39827.03402777778 39826.759722222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39827.03680555556 39826.89513888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.05347222222 39826.89791666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.05347222222 39826.89791666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.05416666667 39826.91458333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS 39827.06736111111 39826.94027777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39827.097916666666 39826.92291666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC 39827.100694444445 39826.86597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39827.11944444444 39826.99722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.12569444445 39826.96319444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39827.12847222222 39826.842361111114 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39827.14097222222 39827.095138888886 Jan M Christian Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39827.16458333333 39826.775 Jan F Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39827.165972222225 39827.115277777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA 39827.188888888886 39827.134722222225 Jan M Other Religion Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39827.25347222222 39827.163194444445 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.26944444444 39827.18194444444 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.271527777775 39827.197222222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS 39827.31180555555 39827.16805555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39827.33263888889 39827.29513888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39827.36111111111 39827.32916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39827.38125 39827.30069444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39827.40347222222 39827.37430555555 Jan F No Religious Preference Clinic Referral Self PICU CLEFT PALATE NOS 39827.427083333336 39826.563888888886 Jan F Cleft Palate Correction Presbyterian Clinic Referral Self PICU CLEFT PALATE NOS 39827.427083333336 39826.563888888886 Jan F Cleft Palate Correction Presbyterian Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV 39827.433333333334 39825.30625 Jan M Remove Impl Device Nec Roman Catholic Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV 39827.433333333334 39825.30625 Jan M Remove Impl Device Nec Roman Catholic Clinic Referral Self SURG 3 UNIT INFEC/INFLAM-INTERN ORTHO DEV 39827.433333333334 39825.30625 Jan M Remove Impl Device Nec Roman Catholic Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39827.44097222222 39827.279861111114 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39827.44097222222 39827.279861111114 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC 39827.45138888889 39827.334027777775 Jan F Labial Frenumectomy No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39827.45763888889 39827.38680555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UMBILICAL HERNIA 39827.48611111111 39827.339583333334 Jan F Open Rep Umbil Hern Nec Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39827.49652777778 39827.46944444445 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39827.498611111114 39826.41875 Jan M Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39827.498611111114 39826.41875 Jan M Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39827.498611111114 39826.41875 Jan M Repair Of Cleft Lip No Religious Preference Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED 39827.50902777778 39825.739583333336 Jan M Entral Infus Nutrit Sub Roman Catholic Clinic Referral Self MED 2G UNIT VARICELLA UNCOMPLICATED 39827.50902777778 39825.739583333336 Jan M Entral Infus Nutrit Sub Roman Catholic Emergency Room Ambulance EMERGENCY BACKACHE NOS 39827.5125 39827.40902777778 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39827.51388888889 39825.95347222222 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39827.51388888889 39825.95347222222 Jan F Roman Catholic Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC 39827.51666666667 39826.53611111111 Jan M Rhinoplasty Nec Roman Catholic Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC 39827.51666666667 39826.53611111111 Jan M Rhinoplasty Nec Roman Catholic Clinic Referral Self REHAB UNIT UNIL CLEFT PALAT/LIP-INC 39827.51666666667 39826.53611111111 Jan M Rhinoplasty Nec Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39827.51736111111 39827.333333333336 Jan F Cystoscopy Nec Christian Physician Referral Self SURGERY CENTER MALIG NEOPLASM PERITONEUM NEC 39827.520833333336 39827.342361111114 Jan M Closed Intra-Abd Mass Bx No Religious Preference Physician Referral Self SURGERY CENTER MALIG NEOPLASM PERITONEUM NEC 39827.520833333336 39827.342361111114 Jan M Closed Intra-Abd Mass Bx No Religious Preference Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39827.541666666664 39827.30069444444 Jan M Left Heart Cardiac Cath Islam Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39827.541666666664 39827.30069444444 Jan M Left Heart Cardiac Cath Islam Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.541666666664 39827.444444444445 Jan M Christian Emergency Room Ambulance EMERGENCY COUGH 39827.54861111111 39827.44097222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39827.558333333334 39827.472916666666 Jan F Christian Clinic Referral Self REHAB UNIT PERONEAL MUSCLE ATROPHY 39827.57986111111 39826.529861111114 Jan M Metatar/Tar Wedg Osteot No Religious Preference Clinic Referral Self REHAB UNIT PERONEAL MUSCLE ATROPHY 39827.57986111111 39826.529861111114 Jan M Metatar/Tar Wedg Osteot No Religious Preference Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN 39827.583333333336 39826.33888888889 Jan M Tonsillectomy/Adenoidec Christian Clinic Referral Self PICU HYPERTROPHY TONS AND ADEN 39827.583333333336 39826.33888888889 Jan M Tonsillectomy/Adenoidec Christian Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS 39827.58541666667 39817.01458333333 Jan F Other Brain Excision No Religious Preference Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS 39827.58541666667 39817.01458333333 Jan F Other Brain Excision No Religious Preference Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS 39827.58541666667 39817.01458333333 Jan F Other Brain Excision No Religious Preference Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS 39827.58541666667 39817.01458333333 Jan F Other Brain Excision No Religious Preference Emergency Room Ambulance SURG 3 UNIT MALIG NEO CEREBELLUM NOS 39827.58541666667 39817.01458333333 Jan F Other Brain Excision No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39827.586805555555 39827.40277777778 Jan F Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance EMERGENCY CERVICALGIA 39827.58819444444 39827.520833333336 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS 39827.604166666664 39827.30138888889 Jan M Trabeculotomy Ab Externo No Religious Preference Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS 39827.604166666664 39827.30138888889 Jan M Trabeculotomy Ab Externo No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39827.611805555556 39827.47430555556 Jan F Christian Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FACE 39827.6125 39825.67569444444 Jan M Christian Emergency Room Ambulance MED 2T UNIT CELLULITIS OF FACE 39827.6125 39825.67569444444 Jan M Christian Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39827.61666666667 39827.461805555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.618055555555 39827.39722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39827.63333333333 39827.45208333333 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.635416666664 39825.436111111114 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.635416666664 39825.436111111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39827.63888888889 39827.57430555556 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN 39827.645833333336 39819.10972222222 Jan F Venous Cath Nec Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN 39827.645833333336 39819.10972222222 Jan F Venous Cath Nec Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN 39827.645833333336 39819.10972222222 Jan F Venous Cath Nec Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA OF NEWBORN 39827.645833333336 39819.10972222222 Jan F Venous Cath Nec Christian Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS 39827.645833333336 39827.552777777775 Jan F Lutheran Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC 39827.65138888889 39826.42083333333 Jan F Insert Tissue Expander No Religious Preference Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC 39827.65138888889 39826.42083333333 Jan F Insert Tissue Expander No Religious Preference Clinic Referral Self SURG 3 UNIT ACQ HEAD DEFORMITY OTHER SPEC 39827.65138888889 39826.42083333333 Jan F Insert Tissue Expander No Religious Preference Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS 39827.666666666664 39825.45972222222 Jan F Adductor Tenotomy Of Hip No Religious Preference Clinic Referral Self SURG 3 UNIT JUV OSTEOCHONDROS PELVIS 39827.666666666664 39825.45972222222 Jan F Adductor Tenotomy Of Hip No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.666666666664 39825.93402777778 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.666666666664 39825.93402777778 Jan F No Religious Preference Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS 39827.66805555556 39825.79513888889 Jan F Christian Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS 39827.66805555556 39825.79513888889 Jan F Christian Emergency Room Ambulance REHAB UNIT CONSTIPATION NOS 39827.66805555556 39825.79513888889 Jan F Christian Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39827.67222222222 39827.600694444445 Jan M Christian Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39827.67222222222 39827.600694444445 Jan M Christian Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39827.68680555555 39827.61944444444 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.6875 39826.91805555556 Jan F Jehovah's Witness Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.6875 39826.91805555556 Jan F Jehovah's Witness Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.6875 39826.91805555556 Jan F Jehovah's Witness Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.6875 39826.91805555556 Jan F Jehovah's Witness Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS 39827.68819444445 39826.472916666666 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS 39827.68819444445 39826.472916666666 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS 39827.68819444445 39826.472916666666 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS 39827.68819444445 39826.472916666666 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self REHAB UNIT CHR MUCOID OM SIMP/NOS 39827.68819444445 39826.472916666666 Jan M Myringotomy W Intubation No Religious Preference Outside Hospital Self MED 2G UNIT URIN TRACT INFECTION NOS 39827.688888888886 39822.833333333336 Jan F Venous Cath Nec No Religious Preference Outside Hospital Self MED 2G UNIT URIN TRACT INFECTION NOS 39827.688888888886 39822.833333333336 Jan F Venous Cath Nec No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39827.694444444445 39827.49791666667 Jan F Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39827.700694444444 39827.57083333333 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DEHYDRATION 39827.705555555556 39826.82986111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DEHYDRATION 39827.705555555556 39826.82986111111 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS 39827.708333333336 39824.53125 Jan F C.A.T. Scan Of Head No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE LYMPHADENITIS 39827.708333333336 39824.53125 Jan F C.A.T. Scan Of Head No Religious Preference Physician Referral Self MED 2G UNIT FAILURE TO THRIVE 39827.708333333336 39825.70208333333 Jan M Percu Endosc Gastrostomy Baptist Physician Referral Self MED 2G UNIT FAILURE TO THRIVE 39827.708333333336 39825.70208333333 Jan M Percu Endosc Gastrostomy Baptist Physician Referral Self MED 2G UNIT FAILURE TO THRIVE 39827.708333333336 39825.70208333333 Jan M Percu Endosc Gastrostomy Baptist Physician Referral Self MED 2G UNIT FAILURE TO THRIVE 39827.708333333336 39825.70208333333 Jan M Percu Endosc Gastrostomy Baptist Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD 39827.708333333336 39827.433333333334 Jan F Bone Marrow Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER HODG NODUL SCLERO HEAD 39827.708333333336 39827.433333333334 Jan F Bone Marrow Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39827.71388888889 39827.65277777778 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.71527777778 39825.54791666667 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.71527777778 39825.54791666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER INTERMIT ALTRN ESOTROPIA 39827.72222222222 39827.54375 Jan M One Extraoc Mus Recess Christian Emergency Room Ambulance SURG 4 UNIT TETRALOGY OF FALLOT 39827.725694444445 39826.83888888889 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT TETRALOGY OF FALLOT 39827.725694444445 39826.83888888889 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS 39827.725694444445 39827.404861111114 Jan M Postop Revis Scl Fistul No Religious Preference Clinic Referral Self SURGERY CENTER BUPHTHALMOS NOS 39827.725694444445 39827.404861111114 Jan M Postop Revis Scl Fistul No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39827.729166666664 39826.26875 Jan M Repair Of Cleft Lip Roman Catholic Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39827.729166666664 39826.26875 Jan M Repair Of Cleft Lip Roman Catholic Clinic Referral Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST 39827.73611111111 39826.75902777778 Jan M Jewish Clinic Referral Ambulance MED 2G UNIT REG ENTERITIS, SM INTEST 39827.73611111111 39826.75902777778 Jan M Jewish Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.739583333336 39826.86875 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39827.739583333336 39826.86875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39827.740277777775 39827.58125 Jan F Baptist Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39827.74444444444 39827.68819444445 Jan M Christian Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS 39827.745833333334 39827.631944444445 Jan F Islam Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC 39827.75 39827.32638888889 Jan M Closed Liver Biopsy No Religious Preference Clinic Referral Self SURG 4 UNIT CHRONIC LIVER DIS NEC 39827.75 39827.32638888889 Jan M Closed Liver Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39827.756944444445 39827.66180555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.756944444445 39827.68125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY TEETHING SYNDROME 39827.77013888889 39827.705555555556 Jan M Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.77291666667 39827.59097222222 Jan F Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.77291666667 39827.59097222222 Jan F Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.77291666667 39827.59097222222 Jan F Christian Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.77777777778 39824.67916666667 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39827.77777777778 39824.67916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39827.782638888886 39827.60555555556 Jan F Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39827.794444444444 39827.69375 Jan M Christian Emergency Room Ambulance EMERGENCY CUTANEOUS CANDIDIASIS 39827.805555555555 39827.77638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39827.80902777778 39827.75 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39827.81180555555 39827.47638888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39827.81875 39827.779861111114 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39827.822916666664 39827.43958333333 Jan M Occlude Thoracic Ves Nec Other Religion Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39827.822916666664 39827.43958333333 Jan M Occlude Thoracic Ves Nec Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.83541666667 39827.799305555556 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39827.836805555555 39827.76597222222 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS 39827.84375 39826.53958333333 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS 39827.84375 39826.53958333333 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS 39827.84375 39826.53958333333 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT DYSPHAGIA NOS 39827.84375 39826.53958333333 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39827.85555555556 39827.82708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39827.86111111111 39827.80902777778 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER PATENT DUCTUS ARTERIOSUS 39827.875 39827.46666666667 Jan F Endo Repair Other Vessel No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39827.87847222222 39827.80763888889 Jan M Islam Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39827.895833333336 39825.62569444445 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39827.895833333336 39825.62569444445 Jan F No Religious Preference Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE 39827.90694444445 39825.95 Jan F Christian Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE 39827.90694444445 39825.95 Jan F Christian Emergency Room Ambulance REHAB UNIT ABDOMINAL PAIN UNSPEC SITE 39827.90694444445 39825.95 Jan F Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39827.90694444445 39827.87291666667 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39827.90972222222 39826.75 Jan M Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39827.90972222222 39826.75 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39827.91180555556 39827.785416666666 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39827.91736111111 39827.802777777775 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39827.927083333336 39827.85277777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39827.93541666667 39827.83611111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39827.93680555555 39827.808333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39827.941666666666 39827.884722222225 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39827.94305555556 39827.91180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY BELL'S PALSY 39827.95763888889 39827.896527777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39827.959027777775 39827.919444444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39827.97430555556 39827.91736111111 Jan M Christian Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39827.99166666667 39827.925 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39827.99791666667 39827.90069444444 Jan M Baptist Emergency Room Ambulance EMERGENCY FEVER NOS 39827.99930555555 39827.92013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39828.006944444445 39827.94583333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39828.029861111114 39827.99166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39828.03125 39827.90972222222 Jan F Baptist Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE 39828.035416666666 39827.94375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE 39828.03611111111 39827.94097222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SHORTNESS OF BREATH 39828.06527777778 39828.01736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39828.146527777775 39828.09166666667 Jan M No Religious Preference Emergency Room Ambulance NICU RESPIRATORY FAILURE OF NEWBORN 39828.194444444445 39827.415972222225 Jan F Insert Endotracheal Tube No Religious Preference Emergency Room Ambulance NICU RESPIRATORY FAILURE OF NEWBORN 39828.194444444445 39827.415972222225 Jan F Insert Endotracheal Tube No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39828.23333333333 39828.14097222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS 39828.24513888889 39828.10902777778 Jan F Bladder Operation Nec Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39828.35763888889 39828.26180555556 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39828.35763888889 39828.26180555556 Jan M Myringotomy W Intubation No Religious Preference Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39828.385416666664 39825.830555555556 Jan F Entral Infus Nutrit Sub Roman Catholic Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39828.385416666664 39825.830555555556 Jan F Entral Infus Nutrit Sub Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39828.40625 39828.27777777778 Jan M Adenoidectomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39828.40625 39828.27777777778 Jan M Adenoidectomy No Religious Preference Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS 39828.42361111111 39823.42361111111 Jan M Jehovah's Witness Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS 39828.42361111111 39823.42361111111 Jan M Jehovah's Witness Emergency Room Ambulance MED 1T UNIT ENCEPHALITIS NOS 39828.42361111111 39823.42361111111 Jan M Jehovah's Witness Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS 39828.42361111111 39828.291666666664 Jan M One Extraoc Mus Recess No Religious Preference Physician Referral Self SURGERY CENTER INTERMIT HETEROTROP NOS 39828.42361111111 39828.291666666664 Jan M One Extraoc Mus Recess No Religious Preference Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON 39828.427083333336 39828.25208333333 Jan F Other Tenotomy Christian Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON 39828.427083333336 39828.25208333333 Jan F Other Tenotomy Christian Emergency Room Ambulance EMERGENCY WHEEZING 39828.43680555555 39828.379166666666 Jan M Pentecostal Emergency Room Ambulance EMERGENCY FEVER NOS 39828.43680555555 39828.39513888889 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39828.4375 39828.26388888889 Jan F Tooth Restor By Filling Roman Catholic Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC 39828.4375 39828.27847222222 Jan F Anesthetized Eye Exam No Religious Preference Physician Referral Self SURGERY CENTER AFCARE FOL SURG OF SENSE ORGANS, NEC 39828.4375 39828.27847222222 Jan F Anesthetized Eye Exam No Religious Preference Emergency Room Ambulance OBSERVATION UNIT CELLULITIS OF BUTTOCK 39828.444444444445 39827.805555555555 Jan F Other Skin And Subq I And D Roman Catholic Emergency Room Ambulance OBSERVATION UNIT CELLULITIS OF BUTTOCK 39828.444444444445 39827.805555555555 Jan F Other Skin And Subq I And D Roman Catholic Emergency Room Ambulance EMERGENCY WHEEZING 39828.44930555556 39828.04375 Jan F No Religious Preference Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM 39828.458333333336 39828.32777777778 Jan F Nasolac Duct Intubat Other Religion Physician Referral Self SURGERY CENTER SPEC LACRIMAL PASS ANOM 39828.458333333336 39828.32777777778 Jan F Nasolac Duct Intubat Other Religion Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39828.458333333336 39828.37986111111 Jan M Egd With Closed Biopsy Islam Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39828.458333333336 39828.37986111111 Jan M Egd With Closed Biopsy Islam Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39828.46875 39828.42083333333 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39828.489583333336 39828.375 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39828.489583333336 39828.375 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39828.50347222222 39826.44861111111 Jan M Other Craniotomy Roman Catholic Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39828.50347222222 39826.44861111111 Jan M Other Craniotomy Roman Catholic Clinic Referral Self SURG 3 UNIT COMPRESSION OF BRAIN 39828.50347222222 39826.44861111111 Jan M Other Craniotomy Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39828.50347222222 39828.30486111111 Jan M Tonsillectomy/Adenoidec Baptist Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39828.50347222222 39828.30486111111 Jan M Tonsillectomy/Adenoidec Baptist Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39828.506944444445 39828.342361111114 Jan M Tooth Restor By Filling No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39828.506944444445 39828.342361111114 Jan M Tooth Restor By Filling No Religious Preference Physician Referral Self SURGERY CENTER URIN TRACT INFECTION NOS 39828.51388888889 39828.34444444445 Jan F Ureteral Operation Nec Lutheran Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE 39828.524305555555 39827.42083333333 Jan F Other Repair Of Knee No Religious Preference Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE 39828.524305555555 39827.42083333333 Jan F Other Repair Of Knee No Religious Preference Clinic Referral Self SURG 3 UNIT LOOSE BODY IN KNEE 39828.524305555555 39827.42083333333 Jan F Other Repair Of Knee No Religious Preference Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES 39828.532638888886 39828.51111111111 Jan M Christian Physician Referral Self SURGERY CENTER EXOTROPIA NOS 39828.53472222222 39828.35763888889 Jan M Temp Detach >1 Xtroc Mus
Christian
Physician Referral
Self
SURGERY CENTER
EXOTROPIA NOS
39828.53472222222
39828.35763888889
Jan
M
Temp Detach >1 Xtroc Mus
Christian
Clinic Referral
Self
SURG 3 UNIT
COMPRESSION OF BRAIN
39828.535416666666
39826.259722222225
Jan
F
Other Craniectomy
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
COMPRESSION OF BRAIN
39828.535416666666
39826.259722222225
Jan
F
Other Craniectomy
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
COMPRESSION OF BRAIN
39828.535416666666
39826.259722222225
Jan
F
Other Craniectomy
No Religious Preference
Clinic Referral
Ambulance
SCCA UNIT
TRANSFUSION REACTION NEC
39828.53680555556
39827.680555555555
Jan
F
No Religious Preference
Clinic Referral
Ambulance
SCCA UNIT
TRANSFUSION REACTION NEC
39828.53680555556
39827.680555555555
Jan
F
No Religious Preference
Clinic Referral
Ambulance
MED 2G UNIT
DYSPHAGIA NOS
39828.538194444445
39826.52777777778
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Ambulance
MED 2G UNIT
DYSPHAGIA NOS
39828.538194444445
39826.52777777778
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Ambulance
MED 2G UNIT
DYSPHAGIA NOS
39828.538194444445
39826.52777777778
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Ambulance
MED 2G UNIT
DYSPHAGIA NOS
39828.538194444445
39826.52777777778
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHRONIC TONSILLITIS
39828.541666666664
39828.32083333333
Jan
F
Tonsillectomy/Adenoidec
Other Religion
Clinic Referral
Self
SURGERY CENTER
AFCARE FOL SURG OF GENITOUR SYST, NEC
39828.541666666664
39828.42986111111
Jan
M
Cystoscopy Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
AFCARE FOL SURG OF GENITOUR SYST, NEC
39828.541666666664
39828.42986111111
Jan
M
Cystoscopy Nec
No Religious Preference
Outside Hospital
Ambulance
MED 1T UNIT
PNEUMOCOCCAL MENINGITIS
39828.544444444444
39817.157638888886
Jan
M
Spinal Tap
Roman Catholic
Outside Hospital
Ambulance
MED 1T UNIT
PNEUMOCOCCAL MENINGITIS
39828.544444444444
39817.157638888886
Jan
M
Spinal Tap
Roman Catholic
Outside Hospital
Ambulance
MED 1T UNIT
PNEUMOCOCCAL MENINGITIS
39828.544444444444
39817.157638888886
Jan
M
Spinal Tap
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
DERMATITIS NOS
39828.56736111111
39828.535416666666
Jan
M
No Religious Preference
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.57777777778
39827.506944444445
Jan
M
Lap Appendectomy
Roman Catholic
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.57777777778
39827.506944444445
Jan
M
Lap Appendectomy
Roman Catholic
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.57777777778
39827.506944444445
Jan
M
Lap Appendectomy
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
DERANG LAT MENISCUS NOS
39828.57916666667
39827.30069444444
Jan
F
Other Repair Of Knee
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
DERANG LAT MENISCUS NOS
39828.57916666667
39827.30069444444
Jan
F
Other Repair Of Knee
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
GASTRITIS/DUODEN NOS W/O HEMORRH
39828.57986111111
39828.38958333333
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
GASTRITIS/DUODEN NOS W/O HEMORRH
39828.57986111111
39828.38958333333
Jan
F
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ESOPHAGITIS, UNSPECIFIED
39828.583333333336
39828.40902777778
Jan
M
Egd With Closed Biopsy
Christian
Clinic Referral
Self
SURGERY CENTER
ESOPHAGITIS, UNSPECIFIED
39828.583333333336
39828.40902777778
Jan
M
Egd With Closed Biopsy
Christian
Emergency Room
Ambulance
EMERGENCY
SKIN SENSATION DISTURB
39828.584027777775
39828.444444444445
Jan
F
Patient Refused
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF FINGER
39828.586805555555
39828.52777777778
Jan
F
No Religious Preference
Clinic Referral
Ambulance
MED 2T UNIT
ACUTE PANCREATITIS
39828.59583333333
39822.66805555556
Jan
M
Parent Infus Nutrit Sub
Christian
Clinic Referral
Ambulance
MED 2T UNIT
ACUTE PANCREATITIS
39828.59583333333
39822.66805555556
Jan
M
Parent Infus Nutrit Sub
Christian
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39828.59722222222
39828.40833333333
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39828.59722222222
39828.40833333333
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Clinic Referral
Ambulance
SURG 3 UNIT
OSTEOMYELITIS NOS-L/LEG
39828.6
39819.57430555556
Jan
M
Arthrocentesis
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39828.603472222225
39828.51527777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39828.60555555556
39828.541666666664
Jan
M
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
FX ANKLE NOS-CLOSED
39828.606944444444
39827.56527777778
Jan
F
Op Red-Int Fix Tib/Fibul
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
FX ANKLE NOS-CLOSED
39828.606944444444
39827.56527777778
Jan
F
Op Red-Int Fix Tib/Fibul
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
FX ANKLE NOS-CLOSED
39828.606944444444
39827.56527777778
Jan
F
Op Red-Int Fix Tib/Fibul
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
FX ANKLE NOS-CLOSED
39828.606944444444
39827.56527777778
Jan
F
Op Red-Int Fix Tib/Fibul
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.61111111111
39828.45972222222
Jan
F
Ureteral Operation Nec
Jewish
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.61111111111
39828.45972222222
Jan
F
Ureteral Operation Nec
Jewish
Emergency Room
Ambulance
SURG 3 UNIT
ACUTE APPENDICITIS NOS
39828.614583333336
39826.67291666667
Jan
M
Lap Appendectomy
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
ACUTE APPENDICITIS NOS
39828.614583333336
39826.67291666667
Jan
M
Lap Appendectomy
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
HEAD INJURY UNSPECIFIED
39828.62708333333
39827.825
Jan
M
C.A.T. Scan Of Head
Christian
Emergency Room
Ambulance
SURG 4 UNIT
HEAD INJURY UNSPECIFIED
39828.62708333333
39827.825
Jan
M
C.A.T. Scan Of Head
Christian
Emergency Room
Ambulance
MED 1T UNIT
VIRAL PNEUMONIA NOS
39828.645833333336
39825.82430555556
Jan
F
Christian
Emergency Room
Ambulance
MED 1T UNIT
VIRAL PNEUMONIA NOS
39828.645833333336
39825.82430555556
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39828.649305555555
39828.42916666667
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT INGUINAL HERNIA
39828.649305555555
39828.42916666667
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
MALFUNC OTHER DEVICE/GRAFT
39828.649305555555
39828.49722222222
Jan
F
Venous Cath Nec
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
MALFUNC OTHER DEVICE/GRAFT
39828.649305555555
39828.49722222222
Jan
F
Venous Cath Nec
Latter Day Saints
Clinic Referral
Self
SURG 3 UNIT
HEMANGIOMA NOS
39828.65347222222
39827.29236111111
Jan
M
Exc Les Soft Tissue Nec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
HEMANGIOMA NOS
39828.65347222222
39827.29236111111
Jan
M
Exc Les Soft Tissue Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ABDOMINAL PAIN EPIGASTRIC
39828.65625
39828.48402777778
Jan
M
Egd With Closed Biopsy
Lutheran
Clinic Referral
Self
SURGERY CENTER
ABDOMINAL PAIN EPIGASTRIC
39828.65625
39828.48402777778
Jan
M
Egd With Closed Biopsy
Lutheran
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.663194444445
39828.53958333333
Jan
M
Inject Implant Urethra
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.663194444445
39828.53958333333
Jan
M
Inject Implant Urethra
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ATTEN TO GASTROSTOMY
39828.665972222225
39828.600694444445
Jan
M
Replace Gastrostomy Tube
Buddhist
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39828.67222222222
39827.566666666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39828.67222222222
39827.566666666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39828.675
39828.376388888886
Jan
M
Protestant
Physician Referral
Self
SURGERY CENTER
END STAGE RENAL DISEASE
39828.694444444445
39828.30625
Jan
F
Contrast Arteriogram-Leg
Latter Day Saints
Physician Referral
Self
SURGERY CENTER
END STAGE RENAL DISEASE
39828.694444444445
39828.30625
Jan
F
Contrast Arteriogram-Leg
Latter Day Saints
Clinic Referral
Self
SURGERY CENTER
LYMPHANGIOMA, ANY SITE
39828.694444444445
39828.50347222222
Jan
F
Wide Excision Of Lip Les
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
LYMPHANGIOMA, ANY SITE
39828.694444444445
39828.50347222222
Jan
F
Wide Excision Of Lip Les
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF ANKLE NOS
39828.69652777778
39828.625
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
EXT ASTHMA W STATUS ASTH
39828.697916666664
39827.84583333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
EXT ASTHMA W STATUS ASTH
39828.697916666664
39827.84583333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
GRAND MAL STATUS
39828.708333333336
39819.47708333333
Jan
F
Mri Of Brain And Brainstem
Christian
Emergency Room
Ambulance
MED 2G UNIT
GRAND MAL STATUS
39828.708333333336
39819.47708333333
Jan
F
Mri Of Brain And Brainstem
Christian
Emergency Room
Ambulance
MED 2G UNIT
GRAND MAL STATUS
39828.708333333336
39819.47708333333
Jan
F
Mri Of Brain And Brainstem
Christian
Emergency Room
Ambulance
MED 2G UNIT
GRAND MAL STATUS
39828.708333333336
39819.47708333333
Jan
F
Mri Of Brain And Brainstem
Christian
Clinic Referral
Self
SURGERY CENTER
MELENA, BLOOD IN STOOL
39828.708333333336
39828.540972222225
Jan
F
Egd With Closed Biopsy
Presbyterian
Clinic Referral
Self
SURGERY CENTER
MELENA, BLOOD IN STOOL
39828.708333333336
39828.540972222225
Jan
F
Egd With Closed Biopsy
Presbyterian
Clinic Referral
Self
SURG 3 UNIT
ENTEROSTOMY COMPLICATN NEC
39828.73333333333
39826.40416666667
Jan
F
Lg Bowel Stoma Revis Nec
Christian
Clinic Referral
Self
SURG 3 UNIT
ENTEROSTOMY COMPLICATN NEC
39828.73333333333
39826.40416666667
Jan
F
Lg Bowel Stoma Revis Nec
Christian
Clinic Referral
Self
SURG 3 UNIT
ENTEROSTOMY COMPLICATN NEC
39828.73333333333
39826.40416666667
Jan
F
Lg Bowel Stoma Revis Nec
Christian
Clinic Referral
Self
OBSERVATION UNIT
CORONARY ARTERY ANOMALY
39828.73819444444
39828.256944444445
Jan
F
Endo Repair Other Vessel
Other Religion
Clinic Referral
Self
OBSERVATION UNIT
CORONARY ARTERY ANOMALY
39828.73819444444
39828.256944444445
Jan
F
Endo Repair Other Vessel
Other Religion
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39828.740277777775
39828.69236111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39828.748611111114
39828.54305555556
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39828.75
39828.49930555555
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.75
39828.54722222222
Jan
F
Ureteral Operation Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39828.75
39828.54722222222
Jan
F
Ureteral Operation Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
LARYNGOTRACH ANOMALY NEC
39828.751388888886
39828.59027777778
Jan
M
Protestant
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39828.751388888886
39828.705555555556
Jan
M
No Religious Preference
Clinic Referral
Ambulance
SCCA UNIT
PERICARDIAL DISEASE NOS
39828.76111111111
39825.85486111111
Jan
M
Pericardiocentesis
No Religious Preference
Clinic Referral
Ambulance
SCCA UNIT
PERICARDIAL DISEASE NOS
39828.76111111111
39825.85486111111
Jan
M
Pericardiocentesis
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39828.768055555556
39828.54861111111
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FINGER
39828.77222222222
39828.52361111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39828.77777777778
39828.606944444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
NONINFEC GASTROENTERIT NEC
39828.779861111114
39827.79375
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
NONINFEC GASTROENTERIT NEC
39828.779861111114
39827.79375
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39828.78472222222
39828.652083333334
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
EPILEPSY NOS INTRACTABLE
39828.791666666664
39828.46805555555
Jan
M
Imp/Repl Peri Stim Lead
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
EPILEPSY NOS INTRACTABLE
39828.791666666664
39828.46805555555
Jan
M
Imp/Repl Peri Stim Lead
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
REDUCTION DEFORM LEG NOS
39828.791666666664
39828.52361111111
Jan
M
Limb Short Proc-Femur
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
REDUCTION DEFORM LEG NOS
39828.791666666664
39828.52361111111
Jan
M
Limb Short Proc-Femur
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF ANKLE NOS
39828.80069444444
39828.611805555556
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39828.802083333336
39827.68402777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39828.802083333336
39827.68402777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
OBSERVATION UNIT
FOREIGN BODY ESOPHAGUS
39828.80972222222
39827.85486111111
Jan
M
Sm Bowel Endoscopy Nec
Roman Catholic
Emergency Room
Ambulance
OBSERVATION UNIT
FOREIGN BODY ESOPHAGUS
39828.80972222222
39827.85486111111
Jan
M
Sm Bowel Endoscopy Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39828.81597222222
39828.75833333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF FINGER
39828.82430555556
39828.78125
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39828.83611111111
39828.78402777778
Jan
F
Latter Day Saints
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.84027777778
39827.558333333334
Jan
M
Lap Appendectomy
Christian
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.84027777778
39827.558333333334
Jan
M
Lap Appendectomy
Christian
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.84027777778
39827.558333333334
Jan
M
Lap Appendectomy
Christian
Emergency Room
Ambulance
OBSERVATION UNIT
ACUTE APPENDICITIS NOS
39828.84027777778
39827.558333333334
Jan
M
Lap Appendectomy
Christian
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39828.84375
39828.481944444444
Jan
F
Tooth Restor By Filling
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNSPEC DENTAL CARIES
39828.84375
39828.481944444444
Jan
F
Tooth Restor By Filling
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTHER GENERAL SYMPTOMS
39828.84583333333
39828.729166666664
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEMATOMA AURICLE/PINNA
39828.85208333333
39828.74375
Jan
F
No Religious Preference
Clinic Referral
Ambulance
MED 2T UNIT
FEEDING PROBLEM
39828.85277777778
39825.52847222222
Jan
F
Larygnoscopy/Tracheoscop
No Religious Preference
Clinic Referral
Ambulance
MED 2T UNIT
FEEDING PROBLEM
39828.85277777778
39825.52847222222
Jan
F
Larygnoscopy/Tracheoscop
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39828.85277777778
39828.70277777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STOMATITIS/MUCOSITIS NOS
39828.85625
39828.816666666666
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
STOMATITIS/MUCOSITIS NOS
39828.85972222222
39828.819444444445
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
UNILAT INGUINAL HERNIA
39828.868055555555
39828.822916666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STOMATITIS/MUCOSITIS NOS
39828.87152777778
39828.777083333334
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
39828.87222222222
39828.85833333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
39828.87222222222
39828.85833333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
39828.87222222222
39828.85833333333
Jan
F
Christian
Clinic Referral
Self
OBSERVATION UNIT
UNSPEC DENTAL CARIES
39828.87430555555
39828.41180555556
Jan
F
Deciduous Tooth Extract
No Religious Preference
Clinic Referral
Self
OBSERVATION UNIT
UNSPEC DENTAL CARIES
39828.87430555555
39828.41180555556
Jan
F
Deciduous Tooth Extract
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39828.875
39828.69652777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39828.87569444445
39828.825694444444
Jan
M
No Religious Preference
Clinic Referral
Ambulance
SURG 3 UNIT
FEEDING PROBLEM
39828.88333333333
39825.47430555556
Jan
F
Percu Endosc Gastrostomy
Other Religion
Clinic Referral
Ambulance
SURG 3 UNIT
FEEDING PROBLEM
39828.88333333333
39825.47430555556
Jan
F
Percu Endosc Gastrostomy
Other Religion
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39828.90069444444
39828.86319444444
Jan
M
Islam
Emergency Room
Ambulance
OBSERVATION UNIT
EXTRINSIC ASTHMA WITH EXAC
39828.90138888889
39828.479166666664
Jan
F
Christian
Emergency Room
Ambulance
OBSERVATION UNIT
EXTRINSIC ASTHMA WITH EXAC
39828.90138888889
39828.479166666664
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF GUM
39828.916666666664
39828.80902777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39828.92569444444
39828.875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COMPLIC MED CARE NEC/NOS
39828.927777777775
39828.88888888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEMARTHROSIS-FOREARM
39828.93541666667
39828.870833333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX TIBIA NOS-CLOSED
39828.93958333333
39828.82847222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OBSERVATION FOLLOWING RAPE
39828.94236111111
39828.779861111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
GENERALIZED PAIN
39828.94930555556
39828.839583333334
Jan
M
7th Day Adventist
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF FACE
39828.950694444444
39828.90069444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39828.96319444444
39828.69375
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URETHRITIS NOS
39828.96388888889
39828.893055555556
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ATTEN TO GASTROSTOMY
39828.979166666664
39828.92361111111
Jan
F
Insert Gastric Tube Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39828.99375
39828.82777777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39829.004166666666
39828.86597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF FOOT
39829.00763888889
39828.74791666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CELLULITIS OF FOOT
39829.00763888889
39828.74791666667
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39829.02847222222
39828.95347222222
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39829.06458333333
39828.944444444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39829.10763888889
39829.021527777775
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
POISONING-ANTICONVUL NEC/NOS
39829.1625
39828.933333333334
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39829.18402777778
39828.99930555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ULCERATIVE COLITIS NOS
39829.208333333336
39821.63263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ULCERATIVE COLITIS NOS
39829.208333333336
39821.63263888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SWELLING OR MASS OF EYE
39829.217361111114
39829.14722222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39829.24097222222
39829.052083333336
Jan
M
Spinal Tap
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39829.25833333333
39829.052777777775
Jan
M
Spinal Tap
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39829.25833333333
39829.15625
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39829.33819444444
39829.17916666667
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.34375
39829.2625
Jan
F
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.34375
39829.2625
Jan
F
Myringotomy W Intubation
Other Religion
Emergency Room
Ambulance
EMERGENCY
NONSPECIF SKIN ERUPT NEC
39829.36041666667
39829.33472222222
Jan
M
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
FOREIGN BODY MIDDLE EAR
39829.368055555555
39829.27777777778
Jan
M
Tympanostomy Tube Remove
Lutheran
Clinic Referral
Self
SURGERY CENTER
FOREIGN BODY MIDDLE EAR
39829.368055555555
39829.27777777778
Jan
M
Tympanostomy Tube Remove
Lutheran
Clinic Referral
Self
SURG 3 UNIT
HEMANGIOMA NEC
39829.37847222222
39828.274305555555
Jan
M
Radical Excis Skin Les
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
HEMANGIOMA NEC
39829.37847222222
39828.274305555555
Jan
M
Radical Excis Skin Les
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
HEMANGIOMA NEC
39829.37847222222
39828.274305555555
Jan
M
Radical Excis Skin Les
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
PHARYNGEAL ANOMALY NEC
39829.39722222222
39828.38402777778
Jan
F
Revis Cleft Palat Repair
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
PHARYNGEAL ANOMALY NEC
39829.39722222222
39828.38402777778
Jan
F
Revis Cleft Palat Repair
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
PHARYNGEAL ANOMALY NEC
39829.39722222222
39828.38402777778
Jan
F
Revis Cleft Palat Repair
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
ACQ EQUINUS DEFORMITY
39829.40972222222
39829.26944444444
Jan
M
Musc/Tend Lng Change Nec
Baptist
Clinic Referral
Self
SURGERY CENTER
ACQ EQUINUS DEFORMITY
39829.40972222222
39829.26944444444
Jan
M
Musc/Tend Lng Change Nec
Baptist
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39829.40972222222
39829.32638888889
Jan
M
No Religious Preference
Outside Health Care Facility
Self
OBSERVATION UNIT
SECUNDUM ATRIAL SEPT DEF
39829.415972222225
39828.40694444445
Jan
F
Pros Repair Atria Def-Cl
Other Religion
Outside Health Care Facility
Self
OBSERVATION UNIT
SECUNDUM ATRIAL SEPT DEF
39829.415972222225
39828.40694444445
Jan
F
Pros Repair Atria Def-Cl
Other Religion
Outside Health Care Facility
Self
OBSERVATION UNIT
SECUNDUM ATRIAL SEPT DEF
39829.415972222225
39828.40694444445
Jan
F
Pros Repair Atria Def-Cl
Other Religion
Clinic Referral
Self
REHAB UNIT
RECUR DISLOCAT-SHLDER
39829.41736111111
39827.47152777778
Jan
F
Rep Recur Shlder Disloc
Christian
Clinic Referral
Self
REHAB UNIT
RECUR DISLOCAT-SHLDER
39829.41736111111
39827.47152777778
Jan
F
Rep Recur Shlder Disloc
Christian
Clinic Referral
Self
REHAB UNIT
RECUR DISLOCAT-SHLDER
39829.41736111111
39827.47152777778
Jan
F
Rep Recur Shlder Disloc
Christian
Clinic Referral
Self
SURGERY CENTER
CROWDING OF TEETH
39829.42013888889
39829.263194444444
Jan
F
Surg Tooth Extract Nec
Christian
Clinic Referral
Self
SURGERY CENTER
VESICOURETERAL REFLUX UNSPEC
39829.430555555555
39829.291666666664
Jan
F
Ureteral Operation Nec
Quaker
Clinic Referral
Self
SURGERY CENTER
DERMATOSES NEC
39829.4375
39829.27916666667
Jan
F
Other Local Destruc Skin
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
DERMATOSES NEC
39829.4375
39829.27916666667
Jan
F
Other Local Destruc Skin
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39829.4375
39829.34097222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.44097222222
39829.311111111114
Jan
M
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.44097222222
39829.311111111114
Jan
M
Myringotomy W Intubation
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.45347222222
39827.7875
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.45347222222
39827.7875
Jan
M
No Religious Preference
Clinic Referral
Self
MED 1T UNIT
INFANTILE SPASMS INTRACTABLE
39829.45347222222
39828.35902777778
Jan
M
Video/Radio Eeg Monitor
No Religious Preference
Clinic Referral
Self
MED 1T UNIT
INFANTILE SPASMS INTRACTABLE
39829.45347222222
39828.35902777778
Jan
M
Video/Radio Eeg Monitor
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39829.45625
39829.35208333333
Jan
F
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONSILS
39829.46319444444
39828.356944444444
Jan
M
Tonsillectomy
Protestant
Clinic Referral
Self
SURG 3 UNIT
HYPERTROPHY TONSILS
39829.46319444444
39828.356944444444
Jan
M
Tonsillectomy
Protestant
Emergency Room
Ambulance
EMERGENCY
IDIOPATHIC URTICARIA
39829.46319444444
39829.34861111111
Jan
M
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
DYSFUNCT EUSTACHIAN TUBE
39829.46527777778
39829.28958333333
Jan
M
Myringotomy W Intubation
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
FX LOWER HUMERUS NOS-CLOSE
39829.46805555555
39827.24722222222
Jan
F
Open Red-Int Fix Humerus
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
FX LOWER HUMERUS NOS-CLOSE
39829.46805555555
39827.24722222222
Jan
F
Open Red-Int Fix Humerus
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
FX LOWER HUMERUS NOS-CLOSE
39829.46805555555
39827.24722222222
Jan
F
Open Red-Int Fix Humerus
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39829.46805555555
39829.373611111114
Jan
F
Roman Catholic
Clinic Referral
Self
REHAB UNIT
BENIGN NEO LONG BONES LEG
39829.479166666664
39827.3625
Jan
F
Loc Exc Bone Les Femur
No Religious Preference
Clinic Referral
Self
REHAB UNIT
BENIGN NEO LONG BONES LEG
39829.479166666664
39827.3625
Jan
F
Loc Exc Bone Les Femur
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
NONINFEC GASTROENTERIT NEC
39829.479166666664
39829.322222222225
Jan
F
Clos Large Bowel Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
NONINFEC GASTROENTERIT NEC
39829.479166666664
39829.322222222225
Jan
F
Clos Large Bowel Biopsy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39829.479166666664
39829.37986111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.481944444444
39825.53958333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.481944444444
39825.53958333333
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.48263888889
39829.325694444444
Jan
M
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURGERY CENTER
CHR MUCOID OM SIMP/NOS
39829.48263888889
39829.325694444444
Jan
M
Myringotomy W Intubation
Other Religion
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39829.48541666667
39829.38402777778
Jan
M
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
EOSINOPHILIC GASTROENT
39829.48611111111
39827.561111111114
Jan
M
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
EOSINOPHILIC GASTROENT
39829.48611111111
39827.561111111114
Jan
M
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39829.48611111111
39829.34027777778
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR NONSUP OM NOS/NEC
39829.48611111111
39829.34027777778
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
TONGUE TIE
39829.493055555555
39829.38680555556
Jan
M
Lingual Frenectomy
Other Religion
Clinic Referral
Self
SURGERY CENTER
TONGUE TIE
39829.493055555555
39829.38680555556
Jan
M
Lingual Frenectomy
Other Religion
Clinic Referral
Self
SURG 3 UNIT
LUMBAR DISC DISPLACEMENT
39829.49791666667
39828.58263888889
Jan
M
Excision Intervert Disc
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
LUMBAR DISC DISPLACEMENT
39829.49791666667
39828.58263888889
Jan
M
Excision Intervert Disc
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
LUMBAR DISC DISPLACEMENT
39829.49791666667
39828.58263888889
Jan
M
Excision Intervert Disc
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39829.50347222222
39829.35763888889
Jan
F
Tonsillectomy/Adenoidec
Baptist
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONS AND ADEN
39829.50347222222
39829.35763888889
Jan
F
Tonsillectomy/Adenoidec
Baptist
Clinic Referral
Self
SURGERY CENTER
SEBACEOUS CYST
39829.506944444445
39829.34861111111
Jan
M
Other Local Destruc Skin
Christian
Clinic Referral
Self
SURGERY CENTER
SEBACEOUS CYST
39829.506944444445
39829.34861111111
Jan
M
Other Local Destruc Skin
Christian
Clinic Referral
Self
MED 1T UNIT
39829.50833333333
39828.42152777778
Jan
F
Christian
Clinic Referral
Self
MED 1T UNIT
39829.50833333333
39828.42152777778
Jan
F
Christian
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39829.510416666664
39829.28611111111
Jan
M
Tonsillectomy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABRASION HEAD
39829.51180555556
39829.39027777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39829.51180555556
39829.419444444444
Jan
F
Jewish
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39829.518055555556
39829.3875
Jan
M
No Religious Preference
Clinic Referral
Ambulance
SURGERY CENTER
FX ANGLE OF JAW-CLOSED
39829.520833333336
39829.28125
Jan
M
Open Reduct Mandible Fx
Lutheran
Clinic Referral
Ambulance
SURGERY CENTER
FX ANGLE OF JAW-CLOSED
39829.520833333336
39829.28125
Jan
M
Open Reduct Mandible Fx
Lutheran
Clinic Referral
Self
SURGERY CENTER
DUODENITIS W HEMORRHAGE
39829.520833333336
39829.39791666667
Jan
M
Egd With Closed Biopsy
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
DUODENITIS W HEMORRHAGE
39829.520833333336
39829.39791666667
Jan
M
Egd With Closed Biopsy
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39829.52777777778
39829.365277777775
Jan
F
Surg Tooth Extract Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39829.52777777778
39829.365277777775
Jan
F
Surg Tooth Extract Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39829.541666666664
39829.30069444444
Jan
F
Surg Tooth Extract Nec
Baptist
Clinic Referral
Self
SURGERY CENTER
TOOTH ERUPTION DISTURB
39829.541666666664
39829.30069444444
Jan
F
Surg Tooth Extract Nec
Baptist
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39829.54861111111
39829.27291666667
Jan
F
Tonsillectomy
Baptist
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39829.54861111111
39829.27291666667
Jan
F
Tonsillectomy
Baptist
Emergency Room
Ambulance
REHAB UNIT
ACUTE APPEND W PERITONITIS
39829.552083333336
39824.54375
Jan
F
Lap Appendectomy
Christian
Emergency Room
Ambulance
REHAB UNIT
ACUTE APPEND W PERITONITIS
39829.552083333336
39824.54375
Jan
F
Lap Appendectomy
Christian
Emergency Room
Ambulance
REHAB UNIT
ACUTE APPEND W PERITONITIS
39829.552083333336
39824.54375
Jan
F
Lap Appendectomy
Christian
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39829.555555555555
39829.535416666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39829.56041666667
39829.461805555555
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FIT/ADJUST VASC CATHETER AFTERCARE
39829.569444444445
39829.39791666667
Jan
F
Removal Fb/Dev From Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FIT/ADJUST VASC CATHETER AFTERCARE
39829.569444444445
39829.39791666667
Jan
F
Removal Fb/Dev From Skin
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FEMORAL EPIPHYSIOLYSIS
39829.572916666664
39829.30625
Jan
F
Internal Fixation-Femur
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FEMORAL EPIPHYSIOLYSIS
39829.572916666664
39829.30625
Jan
F
Internal Fixation-Femur
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
ACUTE APPENDICITIS NOS
39829.575694444444
39828.770833333336
Jan
M
Lap Appendectomy
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
ACUTE APPENDICITIS NOS
39829.575694444444
39828.770833333336
Jan
M
Lap Appendectomy
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
ACUTE APPENDICITIS NOS
39829.575694444444
39828.770833333336
Jan
M
Lap Appendectomy
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ILL-DEFINED EYE DIS NEC
39829.57847222222
39829.53888888889
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39829.57916666667
39829.53888888889
Jan
F
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
NEUTROPENIA NOS
39829.580555555556
39827.74722222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
NEUTROPENIA NOS
39829.580555555556
39827.74722222222
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
FEEDING PROBLEM
39829.583333333336
39829.44652777778
Jan
M
Replace Gastrostomy Tube
Sikh
Clinic Referral
Self
SURGERY CENTER
FEEDING PROBLEM
39829.583333333336
39829.44652777778
Jan
M
Replace Gastrostomy Tube
Sikh
Outside Health Care Facility
Ambulance
MED 2G UNIT
ALLERGIC GASTROENTERITIS/COLITIS
39829.586805555555
39819.555555555555
Jan
M
Entral Infus Nutrit Sub
Russian Orthodox
Outside Health Care Facility
Ambulance
MED 2G UNIT
ALLERGIC GASTROENTERITIS/COLITIS
39829.586805555555
39819.555555555555
Jan
M
Entral Infus Nutrit Sub
Russian Orthodox
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.586805555555
39828.84930555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.586805555555
39828.84930555556
Jan
M
No Religious Preference
Physician Referral
Self
SURGERY CENTER
COMPLIC RENAL DIALYS DEVICE
39829.586805555555
39829.467361111114
Jan
M
Arterioven Fistula Rep
Christian
Physician Referral
Self
SURGERY CENTER
COMPLIC RENAL DIALYS DEVICE
39829.586805555555
39829.467361111114
Jan
M
Arterioven Fistula Rep
Christian
Clinic Referral
Self
SURGERY CENTER
CHR SUP OTITIS MEDIA NOS
39829.586805555555
39829.47986111111
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SUP OTITIS MEDIA NOS
39829.586805555555
39829.47986111111
Jan
F
Myringotomy W Intubation
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHRONIC TONSILLITIS
39829.592361111114
39829.3875
Jan
F
Tonsillectomy
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
CHRONIC TONSILLITIS
39829.592361111114
39829.3875
Jan
F
Tonsillectomy
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
SPRAIN HIP AND THIGH NOS
39829.6
39829.51527777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
OMPHALITIS OF NEWBORN
39829.60277777778
39828.49097222222
Jan
F
Hindu
Emergency Room
Ambulance
MED 1T UNIT
OMPHALITIS OF NEWBORN
39829.60277777778
39828.49097222222
Jan
F
Hindu
Emergency Room
Ambulance
EMERGENCY
SUPRCONDYL FX HUMERUS-CLOSE
39829.60277777778
39829.47986111111
Jan
M
No Religious Preference
Clinic Referral
Self
REHAB UNIT
GENU VARUM
39829.60763888889
39828.305555555555
Jan
F
Femoral Division Nec
Christian
Clinic Referral
Self
REHAB UNIT
GENU VARUM
39829.60763888889
39828.305555555555
Jan
F
Femoral Division Nec
Christian
Clinic Referral
Self
REHAB UNIT
GENU VARUM
39829.60763888889
39828.305555555555
Jan
F
Femoral Division Nec
Christian
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39829.60833333333
39828.35833333333
Jan
M
Inject Ca Chemother Nec
Latter Day Saints
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39829.60833333333
39828.35833333333
Jan
M
Inject Ca Chemother Nec
Latter Day Saints
Physician Referral
Self
SURGERY CENTER
BONE AND CARTILAGE DIS NOS
39829.61111111111
39829.33472222222
Jan
M
Loc Exc Bone Lesion Nec
No Religious Preference
Physician Referral
Self
SURGERY CENTER
BONE AND CARTILAGE DIS NOS
39829.61111111111
39829.33472222222
Jan
M
Loc Exc Bone Lesion Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ATTN REMOVAL OF SUTURES
39829.61875
39829.59722222222
Jan
M
Protestant
Clinic Referral
Self
SURGERY CENTER
MUSCLE WEAKNESS (GENERALIZED)
39829.62152777778
39829.46041666667
Jan
M
Soft Tissue Biopsy
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FEMORAL EPIPHYSIOLYSIS
39829.623611111114
39828.479166666664
Jan
M
Close Reduc-Femur Epiphy
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FEMORAL EPIPHYSIOLYSIS
39829.623611111114
39828.479166666664
Jan
M
Close Reduc-Femur Epiphy
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FEMORAL EPIPHYSIOLYSIS
39829.623611111114
39828.479166666664
Jan
M
Close Reduc-Femur Epiphy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39829.625
39829.54513888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
BACTEREMIA NOS
39829.63263888889
39826.64375
Jan
F
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
BACTEREMIA NOS
39829.63263888889
39826.64375
Jan
F
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
BACTEREMIA NOS
39829.63263888889
39826.64375
Jan
F
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
BACTEREMIA NOS
39829.63263888889
39826.64375
Jan
F
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
FLATUL/ERUCTAT/GAS PAIN
39829.63333333333
39826.586805555555
Jan
M
Insert Gastric Tube Nec
Christian
Emergency Room
Ambulance
SURG 3 UNIT
FLATUL/ERUCTAT/GAS PAIN
39829.63333333333
39826.586805555555
Jan
M
Insert Gastric Tube Nec
Christian
Clinic Referral
Self
OBSERVATION UNIT
SURGERY FOLLOWUP NEC
39829.634722222225
39829.31041666667
Jan
F
Cardiac Biopsy
No Religious Preference
Clinic Referral
Self
OBSERVATION UNIT
SURGERY FOLLOWUP NEC
39829.634722222225
39829.31041666667
Jan
F
Cardiac Biopsy
No Religious Preference
Clinic Referral
Self
OBSERVATION UNIT
SURGERY FOLLOWUP NEC
39829.634722222225
39829.31041666667
Jan
F
Cardiac Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
NONSUPP OTITIS MEDIA NOS
39829.645833333336
39829.42986111111
Jan
F
Myringotomy W Intubation
Other Religion
Clinic Referral
Self
SURGERY CENTER
NONSUPP OTITIS MEDIA NOS
39829.645833333336
39829.42986111111
Jan
F
Myringotomy W Intubation
Other Religion
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.64791666667
39828.12222222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.64791666667
39828.12222222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
CHOLEDOCHLITH NOS W OBSTRUC
39829.66180555556
39823.51527777778
Jan
M
Parent Infus Nutrit Sub
Christian
Emergency Room
Ambulance
MED 2G UNIT
CHOLEDOCHLITH NOS W OBSTRUC
39829.66180555556
39823.51527777778
Jan
M
Parent Infus Nutrit Sub
Christian
Emergency Room
Ambulance
MED 2G UNIT
CHOLEDOCHLITH NOS W OBSTRUC
39829.66180555556
39823.51527777778
Jan
M
Parent Infus Nutrit Sub
Christian
Emergency Room
Ambulance
SURG 4 UNIT
INFECT FOL INFUS/INJ/VAC
39829.67152777778
39824.68125
Jan
M
Remove Fb From Periton
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
INFECT FOL INFUS/INJ/VAC
39829.67152777778
39824.68125
Jan
M
Remove Fb From Periton
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
INFECT FOL INFUS/INJ/VAC
39829.67152777778
39824.68125
Jan
M
Remove Fb From Periton
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
INFECT FOL INFUS/INJ/VAC
39829.67152777778
39824.68125
Jan
M
Remove Fb From Periton
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
GASTROSTOMY COMPLICATION NEC
39829.67361111111
39829.53472222222
Jan
M
Egd With Closed Biopsy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
GASTROSTOMY COMPLICATION NEC
39829.67361111111
39829.53472222222
Jan
M
Egd With Closed Biopsy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF WRIST
39829.675
39829.59444444445
Jan
M
No Religious Preference
Clinic Referral
Ambulance
MED 2G UNIT
POLYART JUV RHEUM ARTHR
39829.677083333336
39827.7875
Jan
F
Roman Catholic
Clinic Referral
Ambulance
MED 2G UNIT
POLYART JUV RHEUM ARTHR
39829.677083333336
39827.7875
Jan
F
Roman Catholic
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39829.677083333336
39829.40625
Jan
F
Tonsillectomy
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
HYPERTROPHY TONSILS
39829.677083333336
39829.40625
Jan
F
Tonsillectomy
No Religious Preference
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.67986111111
39828.41875
Jan
M
Correct Ureteropelv Junc
No Religious Preference
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.67986111111
39828.41875
Jan
M
Correct Ureteropelv Junc
No Religious Preference
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.67986111111
39828.41875
Jan
M
Correct Ureteropelv Junc
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FINGER
39829.680555555555
39829.54375
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39829.68125
39826.93402777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
DIABETES TYPE I W KETOACIDOSIS-UNCONTR
39829.68125
39826.93402777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
REGIONAL ENTERITIS NOS
39829.68819444445
39826.930555555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
REGIONAL ENTERITIS NOS
39829.68819444445
39826.930555555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
REGIONAL ENTERITIS NOS
39829.68819444445
39826.930555555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
REGIONAL ENTERITIS NOS
39829.68819444445
39826.930555555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
REGIONAL ENTERITIS NOS
39829.68819444445
39826.930555555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.688888888886
39827.63055555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXT ASTHMA W STATUS ASTH
39829.688888888886
39827.63055555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
TETRALOGY OF FALLOT
39829.697222222225
39829.47430555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39829.697222222225
39829.535416666666
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CLOSE SKULL FX NEC-BRF COMA
39829.70416666667
39829.53958333333
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE URI NOS
39829.711805555555
39825.436111111114
Jan
M
Entral Infus Nutrit Sub
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE URI NOS
39829.711805555555
39825.436111111114
Jan
M
Entral Infus Nutrit Sub
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
PARTIAL ANOM PULM VEN CONNEC
39829.711805555555
39829.424305555556
Jan
M
Rt/Left Heart Card Cath
Other Religion
Clinic Referral
Self
SURGERY CENTER
PARTIAL ANOM PULM VEN CONNEC
39829.711805555555
39829.424305555556
Jan
M
Rt/Left Heart Card Cath
Other Religion
Clinic Referral
Self
SURGERY CENTER
UNILAT ING HERNIA W OBST
39829.711805555555
39829.48611111111
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
UNILAT ING HERNIA W OBST
39829.711805555555
39829.48611111111
Jan
M
Unilat Ing Hern Rep Nos
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
SENSRY HEARNG LOSS,BILAT
39829.71527777778
39829.43680555555
Jan
M
Audit And Vestib Test Nec
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
SENSRY HEARNG LOSS,BILAT
39829.71527777778
39829.43680555555
Jan
M
Audit And Vestib Test Nec
No Religious Preference
Outside Health Care Facility
Ambulance
MED 2G UNIT
FEVER NOS
39829.72361111111
39826.322916666664
Jan
F
Nonoperative Exams Nec
No Religious Preference
Outside Health Care Facility
Ambulance
MED 2G UNIT
FEVER NOS
39829.72361111111
39826.322916666664
Jan
F
Nonoperative Exams Nec
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
LOCAL SKIN INFECTION NOS
39829.72986111111
39826.77013888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
LOCAL SKIN INFECTION NOS
39829.72986111111
39826.77013888889
Jan
M
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
GEN CONVUL EPI INTRACTABLE
39829.73263888889
39826.41805555556
Jan
M
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
GEN CONVUL EPI INTRACTABLE
39829.73263888889
39826.41805555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NAUSEA WITH VOMITING
39829.73611111111
39829.50486111111
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX ANKLE NOS-CLOSED
39829.73611111111
39829.63333333333
Jan
F
Buddhist
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.739583333336
39826.93263888889
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.739583333336
39826.93263888889
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39829.739583333336
39826.93263888889
Jan
M
Christian
Emergency Room
Ambulance
SURG 4 UNIT
COMPLIC KIDNEY TRANSPLANT
39829.74097222222
39825.60763888889
Jan
F
Ven Cath Renal Dialysis
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
COMPLIC KIDNEY TRANSPLANT
39829.74097222222
39825.60763888889
Jan
F
Ven Cath Renal Dialysis
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
COMPLIC KIDNEY TRANSPLANT
39829.74097222222
39825.60763888889
Jan
F
Ven Cath Renal Dialysis
Roman Catholic
Emergency Room
Ambulance
SURG 4 UNIT
COMPLIC KIDNEY TRANSPLANT
39829.74097222222
39825.60763888889
Jan
F
Ven Cath Renal Dialysis
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ORAL APHTHAE
39829.74444444444
39829.615277777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39829.751388888886
39829.66736111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
FEVER NOS
39829.75555555556
39825.623611111114
Jan
F
Christian
Emergency Room
Ambulance
MED 2T UNIT
FEVER NOS
39829.75555555556
39825.623611111114
Jan
F
Christian
Emergency Room
Ambulance
MED 2T UNIT
FEVER NOS
39829.75555555556
39825.623611111114
Jan
F
Christian
Emergency Room
Ambulance
MED 2T UNIT
FEVER NOS
39829.75555555556
39825.623611111114
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39829.76111111111
39829.708333333336
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
EXCESSIVE CRYING OF INFANT (BABY)
39829.76180555556
39829.71527777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTALGIA NOS
39829.76527777778
39829.722916666666
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
EXT ASTHMA W STATUS ASTH
39829.77777777778
39828.774305555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
EXT ASTHMA W STATUS ASTH
39829.77777777778
39828.774305555555
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39829.78194444445
39829.728472222225
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39829.79861111111
39829.62013888889
Jan
F
Myringotomy W Intubation
Christian
Clinic Referral
Self
SURGERY CENTER
CHR SEROUS OM SIMP/NOS
39829.79861111111
39829.62013888889
Jan
F
Myringotomy W Intubation
Christian
Clinic Referral
Self
SURGERY CENTER
SUPRCONDYL FX HUMERUS-CLOSE
39829.805555555555
39829.48402777778
Jan
M
Clos Red-Int Fix Humerus
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
SUPRCONDYL FX HUMERUS-CLOSE
39829.805555555555
39829.48402777778
Jan
M
Clos Red-Int Fix Humerus
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39829.80694444444
39829.62777777778
Jan
F
7th Day Adventist
Emergency Room
Ambulance
OBSERVATION UNIT
SYNCOPE AND COLLAPSE
39829.81875
39828.60486111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
OBSERVATION UNIT
SYNCOPE AND COLLAPSE
39829.81875
39828.60486111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39829.819444444445
39829.7625
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
FEVER NOS
39829.822916666664
39828.459027777775
Jan
M
Spinal Tap
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
FEVER NOS
39829.822916666664
39828.459027777775
Jan
M
Spinal Tap
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ANAL OR RECTAL PAIN
39829.82361111111
39829.626388888886
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39829.82638888889
39829.53125
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
BACKACHE NOS
39829.82638888889
39829.76736111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39829.830555555556
39829.73888888889
Jan
F
No Religious Preference
Clinic Referral
Self
SURGERY CENTER
EX EAR ANM NEC-IMPR HEAR
39829.833333333336
39829.47083333333
Jan
F
Mastoidectomy Revision
Christian
Clinic Referral
Self
SURGERY CENTER
EX EAR ANM NEC-IMPR HEAR
39829.833333333336
39829.47083333333
Jan
F
Mastoidectomy Revision
Christian
Clinic Referral
Self
SURGERY CENTER
FX BIMALLEOLAR-CLOSED
39829.833333333336
39829.53611111111
Jan
F
Cl Red-Int Fix Tib/Fibu
Assembly of God
Clinic Referral
Self
SURGERY CENTER
FX BIMALLEOLAR-CLOSED
39829.833333333336
39829.53611111111
Jan
F
Cl Red-Int Fix Tib/Fibu
Assembly of God
Clinic Referral
Self
OBSERVATION UNIT
HEPATITIS NOS
39829.83472222222
39829.47777777778
Jan
F
Closed Liver Biopsy
No Religious Preference
Clinic Referral
Self
OBSERVATION UNIT
HEPATITIS NOS
39829.83472222222
39829.47777777778
Jan
F
Closed Liver Biopsy
No Religious Preference
Clinic Referral
Self
OBSERVATION UNIT
HEPATITIS NOS
39829.83472222222
39829.47777777778
Jan
F
Closed Liver Biopsy
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39829.847916666666
39829.589583333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF FINGER
39829.85902777778
39829.745833333334
Jan
M
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39829.86111111111
39828.49652777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39829.86111111111
39828.49652777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39829.86111111111
39828.49652777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39829.86111111111
39828.70347222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
EXTRINSIC ASTHMA WITH EXAC
39829.86111111111
39828.70347222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIABETES TYPE I W KETOACIDOSIS
39829.86597222222
39829.55069444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
SUPRCONDYL FX HUMERUS-CLOSE
39829.86666666667
39829.7875
Jan
M
No Religious Preference
Emergency Room
Ambulance
OBSERVATION UNIT
NWBRN TEMP REGULAT DIS NEC
39829.868055555555
39829.540972222225
Jan
M
No Religious Preference
Emergency Room
Ambulance
OBSERVATION UNIT
NWBRN TEMP REGULAT DIS NEC
39829.868055555555
39829.540972222225
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ATTN REMOVAL OF SUTURES
39829.87222222222
39829.770833333336
Jan
F
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
MUCOCUTAN LYMPH NODE SYN
39829.885416666664
39827.524305555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
MUCOCUTAN LYMPH NODE SYN
39829.885416666664
39827.524305555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39829.88888888889
39829.81875
Jan
M
Christian
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.88958333333
39828.518055555556
Jan
F
Correct Ureteropelv Junc
Christian
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.88958333333
39828.518055555556
Jan
F
Correct Ureteropelv Junc
Christian
Physician Referral
Self
SURG 3 UNIT
CONGENITAL OBSTRUC RENAL UPJ
39829.88958333333
39828.518055555556
Jan
F
Correct Ureteropelv Junc
Christian
Emergency Room
Ambulance
EMERGENCY
39829.895833333336
39829.89236111111
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
39829.895833333336
39829.89236111111
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF ANKLE NOS
39829.896527777775
39829.80069444444
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39829.896527777775
39829.813888888886
Jan
M
Christian
Emergency Room
Ambulance
MED 1T UNIT
EXT ASTHMA W STATUS ASTH
39829.915972222225
39828.91458333333
Jan
F
Christian
Emergency Room
Ambulance
MED 1T UNIT
EXT ASTHMA W STATUS ASTH
39829.915972222225
39828.91458333333
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
PERITONSILLAR ABSCESS
39829.916666666664
39829.64097222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONVULSIONS NEC
39829.91805555556
39829.6375
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE CONJUNCTIVITIS NOS
39829.92013888889
39829.82777777778
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
DEHYDRATION
39829.92361111111
39829.73333333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39829.92569444444
39829.75347222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39829.93263888889
39829.825
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39829.94097222222
39829.833333333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN OTHER SPEC SITE
39829.95
39829.83819444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39829.95277777778
39829.836805555555
Jan
F
Bladder Operation Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PLEURISY W/O EFFUS OR TB
39829.96319444444
39829.83194444444
Jan
F
Jehovah’s Witness
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN OTHER SPEC SITE
39829.964583333334
39829.76944444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39829.98541666667
39829.75208333333
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39829.99513888889
39829.876388888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
TONGUE ANOMALY NEC
39830.00486111111
39829.95277777778
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEADACHE
39830.006944444445
39829.45416666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39830.01527777778
39829.825694444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.02847222222
39829.93402777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTHER ATOPIC DERMATITIS
39830.03125
39829.955555555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.032638888886
39829.96319444444
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.032638888886
39829.96319444444
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39830.03472222222
39829.68680555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DIFFICULTY IN WALKING
39830.038194444445
39829.83541666667
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
PAIN IN LIMB
39830.041666666664
39829.79652777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39830.04583333333
39829.89722222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COMPLIC MED CARE NEC/NOS
39830.04861111111
39829.959027777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.05625
39829.83472222222
Jan
F
Bladder Operation Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NONINFEC GASTROENTERIT NEC
39830.061111111114
39829.865277777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.07083333333
39829.91736111111
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.08541666667
39829.96944444445
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39830.08888888889
39829.990277777775
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA UNSPECIFIED
39830.09027777778
39829.92152777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
NASAL AND SINUS DIS NEC
39830.09930555556
39829.972916666666
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
BILAT INGUINAL HERNIA
39830.10208333333
39829.98611111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39830.12986111111
39829.99375
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.1375
39829.830555555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39830.15972222222
39829.975
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
FOREIGN BODY IN EAR
39830.163194444445
39829.85833333333
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
OTHER ATOPIC DERMATITIS
39830.20416666667
39829.97638888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FUSSY INFANT (BABY)
39830.20972222222
39830.05069444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39830.20972222222
39830.1125
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.21666666667
39830.07847222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39830.21944444445
39830.04722222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39830.22708333333
39830.02361111111
Jan
F
Islam
Emergency Room
Ambulance
EMERGENCY
VIRAL EXANTHEMATA NEC
39830.25347222222
39830.20694444444
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39830.32152777778
39830.24513888889
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
39830.322916666664
39830.23055555556
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39830.3625
39830.27777777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39830.379166666666
39830.28194444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.3875
39830.146527777775
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.3875
39830.146527777775
Jan
M
Christian
Clinic Referral
Self
PICU
UNIL CLEFT PALAT/LIP-INC
39830.4
39829.39375
Jan
M
Repair Of Cleft Lip
No Religious Preference
Clinic Referral
Self
PICU
UNIL CLEFT PALAT/LIP-INC
39830.4
39829.39375
Jan
M
Repair Of Cleft Lip
No Religious Preference
Clinic Referral
Self
PICU
UNIL CLEFT PALAT/LIP-INC
39830.4
39829.39375
Jan
M
Repair Of Cleft Lip
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
COUGH
39830.404861111114
39830.342361111114
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 4 UNIT
COMPLIC OTHR CARDIAC DEVICE
39830.40694444445
39825.30416666667
Jan
F
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COMPLIC OTHR CARDIAC DEVICE
39830.40694444445
39825.30416666667
Jan
F
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COMPLIC OTHR CARDIAC DEVICE
39830.40694444445
39825.30416666667
Jan
F
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COMPLIC OTHR CARDIAC DEVICE
39830.40694444445
39825.30416666667
Jan
F
Angio Oth Non-Coronary
Other Religion
Clinic Referral
Self
SURG 4 UNIT
COMPLIC OTHR CARDIAC DEVICE
39830.40694444445
39825.30416666667
Jan
F
Angio Oth Non-Coronary
Other Religion
Emergency Room
Ambulance
EMERGENCY
RESP SYS/CHEST SYMP NEC
39830.42291666667
39830.28888888889
Jan
F
Protestant
Clinic Referral
Ambulance
SCCA UNIT
HYPOTENSION NOS
39830.427083333336
39827.76180555556
Jan
F
Bone Marrow Biopsy
No Religious Preference
Clinic Referral
Ambulance
SCCA UNIT
HYPOTENSION NOS
39830.427083333336
39827.76180555556
Jan
F
Bone Marrow Biopsy
No Religious Preference
Clinic Referral
Self
MED 2G UNIT
ASCITES NEC
39830.42986111111
39825.50277777778
Jan
M
Percu Abdominal Drainage
Christian
Clinic Referral
Self
MED 2G UNIT
ASCITES NEC
39830.42986111111
39825.50277777778
Jan
M
Percu Abdominal Drainage
Christian
Clinic Referral
Self
SURG 3 UNIT
ACQ HEAD DEFORMITY OTHER SPEC
39830.43402777778
39829.51527777778
Jan
M
Cranial Osteoplasty Nec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
ACQ HEAD DEFORMITY OTHER SPEC
39830.43402777778
39829.51527777778
Jan
M
Cranial Osteoplasty Nec
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
IDIOPATHIC SCOLIOSIS
39830.43472222222
39828.45486111111
Jan
M
Dorsal/Dorsolum Fus Post
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
IDIOPATHIC SCOLIOSIS
39830.43472222222
39828.45486111111
Jan
M
Dorsal/Dorsolum Fus Post
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
IDIOPATHIC SCOLIOSIS
39830.43472222222
39828.45486111111
Jan
M
Dorsal/Dorsolum Fus Post
No Religious Preference
Clinic Referral
Ambulance
SURG 4 UNIT
ABNORMAL COAGULATION PROFILE
39830.43819444445
39826.80972222222
Jan
F
Latter Day Saints
Clinic Referral
Ambulance
SURG 4 UNIT
ABNORMAL COAGULATION PROFILE
39830.43819444445
39826.80972222222
Jan
F
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
COUGH
39830.44027777778
39830.36736111111
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
BILAT CLFT PALAT/LIP-INC
39830.447222222225
39829.39861111111
Jan
M
Revis Cleft Palat Repair
No Religious Preference
Clinic Referral
Self
SURG 3 UNIT
BILAT CLFT PALAT/LIP-INC
39830.447222222225
39829.39861111111
Jan
M
Revis Cleft Palat Repair
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR IMMUNOTHERAPY FOR NEOPLASM
39830.458333333336
39826.37986111111
Jan
M
Immunotherapy As Antineo
Islam
Clinic Referral
Self
SCCA UNIT
ENC FOR IMMUNOTHERAPY FOR NEOPLASM
39830.458333333336
39826.37986111111
Jan
M
Immunotherapy As Antineo
Islam
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.46388888889
39830.407638888886
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTHER ATOPIC DERMATITIS
39830.48333333333
39830.38402777778
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPN WOUND OCULAR ADNEX NEC
39830.48541666667
39830.40972222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
DISLOCAT ELBOW NOS-CLOSE
39830.48611111111
39830.436111111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.486805555556
39830.3875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEMATURIA NOS
39830.48819444444
39830.41388888889
Jan
M
No Religious Preference
Clinic Referral
Self
SURG 4 UNIT
SECUNDUM ATRIAL SEPT DEF
39830.490277777775
39829.50555555556
Jan
F
Pros Repair Atria Def-Cl
Roman Catholic
Clinic Referral
Self
SURG 4 UNIT
SECUNDUM ATRIAL SEPT DEF
39830.490277777775
39829.50555555556
Jan
F
Pros Repair Atria Def-Cl
Roman Catholic
Clinic Referral
Self
SURG 4 UNIT
SECUNDUM ATRIAL SEPT DEF
39830.490277777775
39829.50555555556
Jan
F
Pros Repair Atria Def-Cl
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.49444444444
39830.44097222222
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.5
39830.44027777778
Jan
F
Protestant
Clinic Referral
Self
PICU
HYPERTROPHY TONS AND ADEN
39830.50833333333
39829.37152777778
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
PICU
HYPERTROPHY TONS AND ADEN
39830.50833333333
39829.37152777778
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Clinic Referral
Self
PICU
HYPERTROPHY TONS AND ADEN
39830.50833333333
39829.37152777778
Jan
F
Tonsillectomy/Adenoidec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF WRIST
39830.51180555556
39830.42916666667
Jan
M
Christian
Clinic Referral
Self
SURG 3 UNIT
UNILAT CLEFT PALATE-INC
39830.51527777778
39829.44861111111
Jan
F
Cleft Palate Correction
Other Religion
Clinic Referral
Self
SURG 3 UNIT
UNILAT CLEFT PALATE-INC
39830.51527777778
39829.44861111111
Jan
F
Cleft Palate Correction
Other Religion
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.51944444444
39830.43680555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
SURG 4 UNIT
ABDOMINAL PAIN RUQ
39830.52013888889
39828.07708333333
Jan
F
Other Religion
Emergency Room
Ambulance
SURG 4 UNIT
ABDOMINAL PAIN RUQ
39830.52013888889
39828.07708333333
Jan
F
Other Religion
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Clinic Referral
Self
SURG 3 UNIT
ANOMALY OF SPINE NEC
39830.520833333336
39818.461805555555
Jan
F
Dorsal/Dorsolum Fus Ant
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE PHARYNGITIS
39830.52361111111
39830.470138888886
Jan
M
Pentecostal
Emergency Room
Ambulance
EMERGENCY
SPRAIN OF WRIST NOS
39830.53333333333
39830.47361111111
Jan
M
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.53958333333
39827.345138888886
Jan
M
Inject Ca Chemother Nec
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.53958333333
39827.345138888886
Jan
M
Inject Ca Chemother Nec
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.53958333333
39827.345138888886
Jan
M
Inject Ca Chemother Nec
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
VIRAL ENTERITIS NOS
39830.54583333333
39829.5
Jan
M
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
VIRAL ENTERITIS NOS
39830.54583333333
39829.5
Jan
M
No Religious Preference
Emergency Room
Ambulance
REHAB UNIT
VIRAL ENTERITIS NOS
39830.54583333333
39829.5
Jan
M
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.54861111111
39827.32777777778
Jan
F
Inject Ca Chemother Nec
Roman Catholic
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.54861111111
39827.32777777778
Jan
F
Inject Ca Chemother Nec
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX ANKLE NOS-CLOSED
39830.54861111111
39830.455555555556
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ANAL AND RECTAL ABSCESS
39830.55972222222
39830.47708333333
Jan
M
No Religious Preference
Clinic Referral
Self
REHAB UNIT
OTHER ACQ LIMB DEFORMITY
39830.56319444445
39826.2875
Jan
F
Femoral Division Nec
No Religious Preference
Clinic Referral
Self
REHAB UNIT
OTHER ACQ LIMB DEFORMITY
39830.56319444445
39826.2875
Jan
F
Femoral Division Nec
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
PNEUMONIA, ORGANISM NOS
39830.56319444445
39830.475
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
STEVENS-JOHNSON SYNDROME
39830.56458333333
39826.74444444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
STEVENS-JOHNSON SYNDROME
39830.56458333333
39826.74444444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.572222222225
39830.464583333334
Jan
M
Roman Catholic
Clinic Referral
Ambulance
MED 1T UNIT
ESOPHAGEAL REFLUX
39830.572916666664
39829.635416666664
Jan
F
No Religious Preference
Clinic Referral
Ambulance
MED 1T UNIT
ESOPHAGEAL REFLUX
39830.572916666664
39829.635416666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39830.57638888889
39830.47361111111
Jan
F
Pentecostal
Emergency Room
Ambulance
EMERGENCY
DIARRHEA NOS
39830.5875
39830.44375
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39830.60138888889
39830.552777777775
Jan
F
Islam
Emergency Room
Ambulance
MED 2G UNIT
DEHYDRATION
39830.61111111111
39828.13125
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2G UNIT
DEHYDRATION
39830.61111111111
39828.13125
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39830.615277777775
39830.467361111114
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.618055555555
39830.55625
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONTUSION FACE/SCALP/NCK
39830.62222222222
39830.57847222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX PHALANX, HAND NOS-CLOSE
39830.63055555556
39830.53680555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
BELL’S PALSY
39830.638194444444
39830.44930555556
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.638194444444
39830.584027777775
Jan
M
Latter Day Saints
Emergency Room
Ambulance
EMERGENCY
ACUTE POSTOP PAIN NEC
39830.652083333334
39830.566666666666
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
SYNOVITIS NOS
39830.65347222222
39830.50347222222
Jan
F
Greek Orthodox
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF FINGER
39830.66805555556
39830.58194444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
UNILAT ING HERNIA W GANG
39830.68402777778
39830.62222222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39830.68402777778
39830.62777777778
Jan
M
No Religious Preference
Clinic Referral
Self
SCCA UNIT
ENC FOR ANTINEOPLASTIC CHEMO
39830.691666666666
39827.34930555556
Jan
F
Inject Ca Chemother Nec
Roman Catholic
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39830.708333333336
39829.60138888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39830.708333333336
39829.60138888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39830.708333333336
39829.60138888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
SURG 3 UNIT
CONSTIPATION NOS
39830.71527777778
39825.96944444445
Jan
F
Insert Gastric Tube Nec
Roman Catholic
Emergency Room
Ambulance
SURG 3 UNIT
CONSTIPATION NOS
39830.71527777778
39825.96944444445
Jan
F
Insert Gastric Tube Nec
Roman Catholic
Clinic Referral
Self
SCCA UNIT
FX LUMBAR VERTEBRA-CLOSE
39830.71527777778
39829.709027777775
Jan
M
Bone Marrow Biopsy
Greek Orthodox
Clinic Referral
Self
SCCA UNIT
FX LUMBAR VERTEBRA-CLOSE
39830.71527777778
39829.709027777775
Jan
M
Bone Marrow Biopsy
Greek Orthodox
Emergency Room
Ambulance
EMERGENCY
DIZZINESS AND GIDDINESS
39830.71597222222
39830.669444444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39830.72638888889
39830.66458333333
Jan
M
Christian
Clinic Referral
Self
REHAB UNIT
DENTOFACIAL ANOMALIES NEC
39830.729166666664
39829.56597222222
Jan
F
Bone Graft To Face Bone
Christian
Clinic Referral
Self
REHAB UNIT
DENTOFACIAL ANOMALIES NEC
39830.729166666664
39829.56597222222
Jan
F
Bone Graft To Face Bone
Christian
Emergency Room
Ambulance
MED 2G UNIT
ARTHROPATHY NEC-MULT
39830.739583333336
39829.850694444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
MED 2G UNIT
ARTHROPATHY NEC-MULT
39830.739583333336
39829.850694444445
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39830.768055555556
39830.540972222225
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX CLAVICLE SHAFT-CLOSED
39830.76875
39830.646527777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.77777777778
39830.70208333333
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ALLERGIC URTICARIA
39830.78125
39830.729166666664
Jan
F
Christian
Emergency Room
Ambulance
MED 1T UNIT
EXT ASTHMA W STATUS ASTH
39830.785416666666
39828.895833333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
EXT ASTHMA W STATUS ASTH
39830.785416666666
39828.895833333336
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
STREP SORE THROAT
39830.78680555556
39830.717361111114
Jan
F
Lutheran
Emergency Room
Ambulance
MED 1T UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39830.791666666664
39829.356944444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 1T UNIT
SYSTEMIC LUPUS ERYTHEMATOSUS
39830.791666666664
39829.356944444444
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
JOINT PAIN-PELVIS
39830.79305555556
39830.697222222225
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CONTUSION OF WRIST
39830.80763888889
39830.71944444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX SHAFT TIBIA-CLOSED
39830.81180555555
39830.63125
Jan
M
Christian
Emergency Room
Ambulance
EMERGENCY
FOREIGN BODY IN EAR
39830.81458333333
39830.725694444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.81736111111
39830.705555555556
Jan
F
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FEVER NOS
39830.839583333334
39830.80763888889
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.84027777778
39830.73125
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OPEN WOUND OF FACE NOS
39830.84583333333
39830.76597222222
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39830.850694444445
39830.625
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX ORBITAL FLOOR-CLOSED
39830.85138888889
39830.68819444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
HEAD INJURY UNSPECIFIED
39830.85625
39830.717361111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.856944444444
39830.82361111111
Jan
F
Baptist
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39830.86736111111
39830.7
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.88263888889
39830.825
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX MID/PRX PHAL, HAND-CLOSE
39830.88402777778
39830.73402777778
Jan
M
Protestant
Emergency Room
Ambulance
EMERGENCY
CONSTIPATION NOS
39830.884722222225
39830.82083333333
Jan
M
Jewish
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.9
39830.83888888889
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.90138888889
39830.84027777778
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39830.90555555555
39830.66111111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39830.92083333333
39830.80416666667
Jan
M
Islam
Emergency Room
Ambulance
EMERGENCY
FX DISTAL RADIUS NEC-CLOSE
39830.927777777775
39830.74097222222
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39830.927777777775
39830.89027777778
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39830.930555555555
39830.84305555555
Jan
F
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
HEMORRHAGE COMPLIC PROCEDURE
39830.93402777778
39830.09930555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
MED 2T UNIT
HEMORRHAGE COMPLIC PROCEDURE
39830.93402777778
39830.09930555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
URIN TRACT INFECTION NOS
39830.94861111111
39830.87569444445
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
MELENA, BLOOD IN STOOL
39830.94930555556
39830.873611111114
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39830.94930555556
39830.884722222225
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX LOW RADIUS W ULNA-CLOSE
39830.95694444444
39830.75347222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX LOW RADIUS W ULNA-CLOSE
39830.95694444444
39830.75347222222
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
FX RADIUS W ULNA NOS-CLOSE
39830.95763888889
39830.71111111111
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CROUP
39830.96111111111
39830.879166666666
Jan
M
Lutheran
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39830.9625
39830.896527777775
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
EXTRINSIC ASTHMA WITH EXAC
39830.98055555556
39830.87986111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
OTITIS MEDIA NOS
39831.01944444444
39830.93472222222
Jan
F
Christian
Emergency Room
Ambulance
EMERGENCY
ABDOMINAL PAIN UNSPEC SITE
39831.0375
39831.010416666664
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
CHEST PAIN NOS
39831.0375
39831.01111111111
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX MID/PRX PHAL, HAND-CLOSE
39831.06041666667
39830.96041666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
FX MID/PRX PHAL, HAND-CLOSE
39831.06041666667
39830.96041666667
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39831.06875
39830.9875
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/OTHR INFECT ORG
39831.07152777778
39830.98819444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE BRONCHIOLITIS/RESP SYNC VIRUS
39831.09375
39831.02569444444
Jan
F
Pentecostal
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39831.103472222225
39831.049305555556
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39831.135416666664
39831.058333333334
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
VOMITING ALONE
39831.13958333333
39830.96319444444
Jan
M
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
ESOPHAGEAL REFLUX
39831.14097222222
39831.044444444444
Jan
M
Roman Catholic
Emergency Room
Ambulance
EMERGENCY
ACUTE URI NOS
39831.14722222222
39830.995833333334
Jan
F
No Religious Preference
Emergency Room
Ambulance
EMERGENCY
IMPETIGO
39831.15277777778
39831.06041666667
Jan
F
Christian
Outside Hospital
Ambulance
NICU
SEPTICEMIA (SEPSIS) OF NEWBORN
39831.16805555556
39830.720138888886
Jan
F
Cont Inv Mec Ven <96 Hrs Outside Hospital Ambulance NICU SEPTICEMIA (SEPSIS) OF NEWBORN 39831.16805555556 39830.720138888886 Jan F Cont Inv Mec Ven <96 Hrs Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.17222222222 39831.092361111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39831.18472222222 39831.09027777778 Jan M Hindu Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39831.19097222222 39831.14166666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.26180555556 39831.20347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.3 39831.24513888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39831.333333333336 39831.28472222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39831.34861111111 39830.998611111114 Jan F Christian Emergency Room Ambulance EMERGENCY 39831.34930555556 39831.18819444445 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT 39831.399305555555 39829.31527777778 Jan F Open Reduc-Hip Dislocat Roman Catholic Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT 39831.399305555555 39829.31527777778 Jan F Open Reduc-Hip Dislocat Roman Catholic Clinic Referral Self SURG 3 UNIT CONGEN HIP DISLOC, BILAT 39831.399305555555 39829.31527777778 Jan F Open Reduc-Hip Dislocat Roman Catholic Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS 39831.40972222222 39828.91736111111 Jan F Drain Face And Mouth Floor No Religious Preference Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS 39831.40972222222 39828.91736111111 Jan F Drain Face And Mouth Floor No Religious Preference Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS 39831.40972222222 39828.91736111111 Jan F Drain Face And Mouth Floor No Religious Preference Emergency Room Ambulance SURG 3 UNIT DISEASES OF LIPS 39831.40972222222 39828.91736111111 Jan F Drain Face And Mouth Floor No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.436111111114 39831.41458333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39831.44236111111 39831.37013888889 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39831.44930555556 39831.38958333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEMATEMESIS 39831.450694444444 39831.36597222222 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT LIPOMA NEC 39831.47222222222 39829.26666666667 Jan F Excis Spinal Cord Lesion No Religious Preference Clinic Referral Self SURG 3 UNIT LIPOMA NEC 39831.47222222222 39829.26666666667 Jan F Excis Spinal Cord Lesion No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39831.48402777778 39831.433333333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39831.486805555556 39831.42291666667 Jan M No Religious Preference Physician Referral Ambulance MED 2G UNIT FEVER NOS 39831.49375 39829.79305555556 Jan F Protestant Physician Referral Ambulance MED 2G UNIT FEVER NOS 39831.49375 39829.79305555556 Jan F Protestant Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39831.49444444444 39827.28055555555 Jan M Pros Rep Ventric Def-Opn Roman Catholic Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39831.49444444444 39827.28055555555 Jan M Pros Rep Ventric Def-Opn Roman Catholic Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39831.49444444444 39827.28055555555 Jan M Pros Rep Ventric Def-Opn Roman Catholic Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39831.49444444444 39827.28055555555 Jan M Pros Rep Ventric Def-Opn Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39831.504166666666 39831.46319444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39831.509722222225 39831.46111111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.51111111111 39831.45 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE 39831.5125 39831.44513888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS 39831.52291666667 39818.71111111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS 39831.52291666667 39818.71111111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS 39831.52291666667 39818.71111111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS 39831.52291666667 39818.71111111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT BACTERIAL MENINGITIS NOS 39831.52291666667 39818.71111111111 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 1T UNIT HERPES SIMPLEX NOS 39831.52777777778 39829.50763888889 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT HERPES SIMPLEX NOS 39831.52777777778 39829.50763888889 Jan F Roman Catholic Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS 39831.53055555555 39826.84375 Jan M Spinal Tap Protestant Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS 39831.53055555555 39826.84375 Jan M Spinal Tap Protestant Outside Hospital Ambulance MED 1T UNIT COMPLX FEBRILE CONVULSNS 39831.53055555555 39826.84375 Jan M Spinal Tap Protestant Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39831.53055555555 39831.46388888889 Jan M Christian Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39831.53125 39830.67152777778 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39831.53125 39830.67152777778 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39831.53125 39830.67152777778 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39831.53125 39830.67152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39831.53333333333 39831.46805555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39831.538194444445 39831.45208333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39831.54027777778 39831.40555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39831.54375 39831.46527777778 Jan F Christian Emergency Room Ambulance EMERGENCY SHLDR/UPPER ARM INJURY NOS 39831.55486111111 39831.50277777778 Jan M No Religious Preference Clinic Referral Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE 39831.558333333334 39828.69375 Jan F Roman Catholic Clinic Referral Ambulance MED 2G UNIT OSTEOMYELITIS NOS-ANKLE 39831.558333333334 39828.69375 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39831.56180555555 39831.5125 Jan M Islam Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39831.57152777778 39831.48402777778 Jan M Islam Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC 39831.58125 39831.46944444445 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39831.59375 39830.21041666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39831.59375 39830.21041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS 39831.60138888889 39831.49930555555 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY HERPANGINA 39831.60555555556 39831.486805555556 Jan M Christian Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39831.61666666667 39831.56597222222 Jan M Christian Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY 39831.618055555555 39828.444444444445 Jan F Patellar Stabilization No Religious Preference Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY 39831.618055555555 39828.444444444445 Jan F Patellar Stabilization No Religious Preference Clinic Referral Self SURG 3 UNIT CONG KNEE DEFORMITY 39831.618055555555 39828.444444444445 Jan F Patellar Stabilization No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.618055555555 39831.42013888889 Jan F Islam Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39831.634722222225 39829.345138888886 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39831.634722222225 39829.345138888886 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39831.63680555556 39828.33194444444 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39831.63680555556 39831.45694444444 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EPISTAXIS 39831.64166666667 39831.60902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39831.66527777778 39831.527083333334 Jan M Islam Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39831.665972222225 39830.375 Jan M Reduct Intuss Ali Tract Roman Catholic Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39831.665972222225 39830.375 Jan M Reduct Intuss Ali Tract Roman Catholic Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR 39831.67916666667 39827.11597222222 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT POLYART JUV RHEUM ARTHR 39831.67916666667 39827.11597222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.67916666667 39831.58611111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39831.69097222222 39831.47152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39831.69652777778 39831.62430555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39831.69930555556 39831.538194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39831.70972222222 39831.615277777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39831.71944444445 39831.604166666664 Jan M Jewish Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39831.72152777778 39829.53333333333 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39831.72152777778 39829.53333333333 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39831.72152777778 39829.53333333333 Jan M Roman Catholic Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39831.722916666666 39830.86041666667 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39831.722916666666 39830.86041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.725 39831.50555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.725 39831.50555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY INJURY OF FACE AND NECK 39831.725694444445 39831.65 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39831.729166666664 39831.45486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.731944444444 39831.629166666666 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ANAL FISSURE 39831.73611111111 39831.62152777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.7375 39831.674305555556 Jan F Islam Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39831.75069444445 39831.67083333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39831.75555555556 39831.66875 Jan F Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39831.75555555556 39831.680555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE DACRYOCYSTITIS 39831.76597222222 39831.643055555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.76875 39831.709027777775 Jan F Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39831.79305555556 39831.61875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS 39831.79375 39831.70416666667 Jan F Christian Emergency Room Ambulance EMERGENCY FX SCAPULA NEC-CLOSED 39831.79583333333 39831.61666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC 39831.802083333336 39831.711805555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39831.80416666667 39831.68680555555 Jan M Other Religion Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39831.813888888886 39831.72986111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY WHEEZING 39831.82361111111 39831.597916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX DIST PHALANX, HAND-CLOSE 39831.82638888889 39831.73402777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39831.83194444444 39831.677083333336 Jan M No Religious Preference Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS 39831.833333333336 39831.615277777775 Jan F No Religious Preference Clinic Referral Ambulance MED 1T UNIT ULCERATIVE COLITIS NOS 39831.833333333336 39831.615277777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.84097222222 39831.77291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39831.84652777778 39831.78333333333 Jan M Other Religion Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39831.85972222222 39831.64722222222 Jan M Protestant Emergency Room Ambulance EMERGENCY WHEEZING 39831.85972222222 39831.80625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39831.86875 39831.69930555556 Jan F Christian Emergency Room Ambulance EMERGENCY WHEEZING 39831.87222222222 39831.79583333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY COUGH 39831.87847222222 39831.72430555556 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39831.88125 39831.8125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.893055555556 39831.84027777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39831.896527777775 39831.76666666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF TOE 39831.90277777778 39831.78055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39831.90347222222 39831.81875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39831.90694444445 39831.864583333336 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39831.92361111111 39830.811111111114 Jan M Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39831.92361111111 39830.811111111114 Jan M Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39831.92847222222 39829.80486111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39831.92847222222 39829.80486111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39831.92847222222 39829.80486111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39831.92847222222 39829.80486111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39831.92847222222 39829.80486111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39831.9375 39831.791666666664 Jan F Islam Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39831.94375 39831.86666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39831.947222222225 39831.82986111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39831.95 39831.85208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39831.96805555555 39831.76180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39831.97430555556 39831.87708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS 39831.97708333333 39831.94652777778 Jan F Baptist Emergency Room Ambulance EMERGENCY BELL'S PALSY 39831.99166666667 39831.86944444444 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39831.99930555555 39831.93402777778 Jan M Episcopal Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39832.00486111111 39831.95625 Jan F Bahai Emergency Room Ambulance EMERGENCY WHEEZING 39832.02222222222 39831.83541666667 Jan M Christian Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA 39832.02777777778 39831.930555555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ALLERGIC PURPURA 39832.02777777778 39831.930555555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39832.04722222222 39831.989583333336 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.072222222225 39832.00555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39832.075 39832.021527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39832.11041666667 39832.01875 Jan M Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39832.131944444445 39831.96875 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39832.17222222222 39832.07430555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.17847222222 39832.12847222222 Jan F Christian Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39832.194444444445 39832.12291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39832.211805555555 39832.14791666667 Jan M Sikh Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39832.25 39832.20138888889 Jan M Baptist Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39832.26597222222 39832.07916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39832.336805555555 39832.25902777778 Jan F Islam Emergency Room Ambulance EMERGENCY FEVER NOS 39832.339583333334 39832.26875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39832.34652777778 39832.25486111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39832.396527777775 39832.299305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URTICARIA NOS 39832.42222222222 39832.2875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHOLELITHIASIS NOS 39832.425 39832.19305555556 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39832.4375 39831.60138888889 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39832.4375 39831.60138888889 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39832.450694444444 39829.01458333333 Jan M Christian Emergency Room Ambulance SURG 3 UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39832.450694444444 39829.01458333333 Jan M Christian Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39832.46875 39830.993055555555 Jan M Christian Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39832.46875 39830.993055555555 Jan M Christian Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS 39832.47430555556 39832.38333333333 Jan F Other Religion Emergency Room Ambulance EMERGENCY FEVER NOS 39832.478472222225 39832.37847222222 Jan M Christian Emergency Room Ambulance MED 1T UNIT HEADACHE 39832.48611111111 39830.04652777778 Jan F Lutheran Emergency Room Ambulance MED 1T UNIT HEADACHE 39832.48611111111 39830.04652777778 Jan F Lutheran Emergency Room Ambulance EMERGENCY VOMITING ALONE 39832.49236111111 39832.38680555556 Jan M Islam Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE 39832.498611111114 39831.625 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT HEMORRHAGE COMPLIC PROCEDURE 39832.498611111114 39831.625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SIALOADENITIS 39832.5125 39832.46666666667 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39832.51736111111 39832.44930555556 Jan F Lutheran Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS 39832.51944444444 39827.433333333334 Jan F Other Skin And Subq I And D No Religious Preference Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS 39832.51944444444 39827.433333333334 Jan F Other Skin And Subq I And D No Religious Preference Emergency Room Ambulance MED 2T UNIT INFEC OTITIS EXTERNA NOS 39832.51944444444 39827.433333333334 Jan F Other Skin And Subq I And D No Religious Preference Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39832.52013888889 39831.854166666664 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39832.52013888889 39831.854166666664 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS 39832.520833333336 39828.78194444445 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT HB-SS DISEASE WITH CRISIS 39832.520833333336 39828.78194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA 39832.525 39832.475694444445 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NEC 39832.52916666667 39830.73819444444 Jan F Christian Emergency Room Ambulance MED 1T UNIT DELAY CONJUGAT JAUND NEC 39832.52916666667 39830.73819444444 Jan F Christian Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC 39832.53611111111 39832.402083333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39832.53611111111 39832.40416666667 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39832.54722222222 39832.46944444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39832.549305555556 39832.48333333333 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39832.555555555555 39825.28194444445 Jan M Caval-Pulmon Art Anastom Christian Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39832.555555555555 39825.28194444445 Jan M Caval-Pulmon Art Anastom Christian Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39832.555555555555 39825.28194444445 Jan M Caval-Pulmon Art Anastom Christian Clinic Referral Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39832.555555555555 39825.28194444445 Jan M Caval-Pulmon Art Anastom Christian Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.56875 39831.925 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.56875 39831.925 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.56875 39831.925 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY 39832.584027777775 39829.175 Jan M Abdominal Wall X-Ray Nec Baptist Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY 39832.584027777775 39829.175 Jan M Abdominal Wall X-Ray Nec Baptist Emergency Room Ambulance MED 2G UNIT INFECTION OF GASTROSTOMY 39832.584027777775 39829.175 Jan M Abdominal Wall X-Ray Nec Baptist Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC 39832.586805555555 39832.46111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39832.59652777778 39832.472916666666 Jan M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.59722222222 39832.524305555555 Jan F Christian Emergency Room Ambulance EMERGENCY CROUP 39832.59930555556 39832.525 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39832.60277777778 39832.495833333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ATTEN TO GASTROSTOMY 39832.60486111111 39832.509722222225 Jan F Replace Small Bowel Tube No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.60625 39832.49791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.62569444445 39832.51736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39832.63263888889 39832.520833333336 Jan F Islam Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.63333333333 39831.805555555555 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.63333333333 39831.805555555555 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.63333333333 39831.805555555555 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39832.63333333333 39831.805555555555 Jan M Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39832.635416666664 39829.99722222222 Jan M Other Religion Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39832.635416666664 39829.99722222222 Jan M Other Religion Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39832.635416666664 39832.50347222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39832.64097222222 39832.49930555555 Jan F Islam Emergency Room Ambulance EMERGENCY DERMATITIS NOS 39832.6625 39832.569444444445 Jan F Russian Orthodox Emergency Room Ambulance EMERGENCY URINARY CALCULUS NOS 39832.66805555556 39832.51458333333 Jan M No Religious Preference Physician Referral Self MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39832.67291666667 39829.96666666667 Jan M No Religious Preference Physician Referral Self MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39832.67291666667 39829.96666666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PYOGENIC GRANULOMA 39832.67291666667 39832.589583333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ONYCHIA OF FINGER 39832.68402777778 39832.57708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39832.68472222222 39832.62013888889 Jan M Christian Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC 39832.69236111111 39832.5 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39832.69583333333 39832.618055555555 Jan M Buddhist Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS 39832.69652777778 39832.51527777778 Jan M Christian Emergency Room Ambulance EMERGENCY SCARLET FEVER 39832.697222222225 39832.61111111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39832.7 39832.60833333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX TIBIA NOS-CLOSED 39832.70347222222 39832.486805555556 Jan M Christian Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39832.71319444444 39832.65416666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS 39832.71805555555 39832.478472222225 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DERMATITIS NEC 39832.71805555555 39832.65694444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.73402777778 39832.660416666666 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC 39832.73472222222 39832.64791666667 Jan M Christian Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS 39832.736805555556 39832.58125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED 39832.7375 39832.675 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ORAL APHTHAE 39832.74097222222 39832.61666666667 Jan M Hindu Emergency Room Ambulance EMERGENCY FEEDING PROBLEM 39832.768055555556 39832.6875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTALGIA NOS 39832.770833333336 39832.69583333333 Jan M Roman Catholic Emergency Room Ambulance MED 2T UNIT CHOLANGITIS 39832.77222222222 39829.938888888886 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT CHOLANGITIS 39832.77222222222 39829.938888888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39832.77638888889 39832.700694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM 39832.78680555556 39832.566666666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ORBITAL CELLULITIS 39832.791666666664 39832.65347222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39832.79513888889 39832.63333333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39832.79513888889 39832.69861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.79513888889 39832.7 Jan M Pentecostal Emergency Room Ambulance EMERGENCY CHRONC GINGITITIS,PLAQUE 39832.79791666667 39832.73402777778 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39832.80069444444 39831.606944444444 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39832.80069444444 39831.606944444444 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ONYCHIA OF TOE 39832.81180555555 39832.73541666667 Jan M Protestant Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39832.81458333333 39829.68263888889 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39832.81458333333 39829.68263888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39832.816666666666 39832.748611111114 Jan F Christian Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS 39832.82152777778 39830.97430555556 Jan M Christian Emergency Room Ambulance SURG 4 UNIT VIRAL ENTERITIS NOS 39832.82152777778 39830.97430555556 Jan M Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.822222222225 39832.649305555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39832.82638888889 39832.70138888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION 39832.842361111114 39829.71875 Jan F Buddhist Emergency Room Ambulance MED 2G UNIT UNSPECIFIED VIRAL INFECTION 39832.842361111114 39829.71875 Jan F Buddhist Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39832.84583333333 39832.70347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39832.85208333333 39832.754166666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39832.85486111111 39832.811111111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.85625 39832.76458333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39832.85763888889 39832.73055555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39832.85763888889 39832.77013888889 Jan F Christian Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39832.86319444444 39832.805555555555 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39832.881944444445 39831.84861111111 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39832.881944444445 39831.84861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.88402777778 39832.63055555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CRUSHING INJURY TOE 39832.888194444444 39832.77847222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39832.88888888889 39832.78194444445 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39832.893055555556 39832.79305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39832.89375 39832.79305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEEDING PROBLEM 39832.89722222222 39832.77361111111 Jan F Insert Gastric Tube Nec Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.9 39832.736805555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS 39832.90347222222 39832.76597222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED 39832.90972222222 39832.8 Jan M Patient Refused Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39832.913194444445 39832.822916666664 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39832.924305555556 39832.78472222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39832.93194444444 39832.81041666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.93680555555 39832.81875 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC 39832.9375 39830.69375 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC 39832.9375 39830.69375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39832.941666666666 39832.84027777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39832.944444444445 39832.836805555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39832.94861111111 39832.92083333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39832.95972222222 39832.84722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39832.9625 39832.876388888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39832.98611111111 39832.88888888889 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39832.98819444444 39832.802083333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39832.98819444444 39832.92916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39833.004166666666 39832.933333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39833.004166666666 39832.933333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39833.01111111111 39832.87013888889 Jan M Bladder Operation Nec Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39833.04236111111 39832.95347222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS 39833.10208333333 39832.98611111111 Jan F Islam Emergency Room Ambulance EMERGENCY FEVER NOS 39833.20486111111 39833.15277777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39833.21666666667 39833.11388888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39833.24236111111 39833.13402777778 Jan F Islam Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39833.254166666666 39833.15972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ORAL SOFT TISSUE DIS NEC 39833.270833333336 39833.197222222225 Jan F Christian Emergency Room Ambulance EMERGENCY TORTICOLLIS NOS 39833.302777777775 39833.14444444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39833.37430555555 39833.209027777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39833.38958333333 39833.299305555556 Jan M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39833.39722222222 39833.322222222225 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39833.404861111114 39833.333333333336 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39833.40625 39833.25833333333 Jan M Remove Impl Dev-Humerus No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39833.40625 39833.25833333333 Jan M Remove Impl Dev-Humerus No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39833.416666666664 39833.26111111111 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39833.416666666664 39833.26111111111 Jan F Myringotomy W Intubation No Religious Preference Physician Referral Ambulance MED 2T UNIT BACTEREMIA NOS 39833.42013888889 39828.87777777778 Jan F Christian Physician Referral Ambulance MED 2T UNIT BACTEREMIA NOS 39833.42013888889 39828.87777777778 Jan F Christian Clinic Referral Self SURGERY CENTER SEBACEOUS CYST 39833.43402777778 39833.28888888889 Jan F Other Local Destruc Skin Christian Clinic Referral Self SURGERY CENTER SEBACEOUS CYST 39833.43402777778 39833.28888888889 Jan F Other Local Destruc Skin Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39833.43402777778 39833.29375 Jan F Adenoidectomy Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39833.43402777778 39833.29375 Jan F Adenoidectomy Other Religion Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.438888888886 39829.49166666667 Jan M Venous Cath Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.438888888886 39829.49166666667 Jan M Venous Cath Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.438888888886 39829.49166666667 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39833.44513888889 39833.40694444445 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.447916666664 39833.26875 Jan M Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.447916666664 39833.26875 Jan M Crown Application No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39833.45 39833.40416666667 Jan M Roman Catholic Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39833.450694444444 39832.131944444445 Jan M Reduct Intuss Ali Tract Other Religion Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39833.450694444444 39832.131944444445 Jan M Reduct Intuss Ali Tract Other Religion Clinic Referral Self SURGERY CENTER 39833.47222222222 39833.27291666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER 39833.47222222222 39833.27291666667 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION 39833.479166666664 39832.77569444444 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT INTUSSUSCEPTION 39833.479166666664 39832.77569444444 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39833.493055555555 39833.35208333333 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39833.493055555555 39833.35208333333 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG 39833.49652777778 39827.46319444444 Jan F Loc Exc Bone Les Femur No Religious Preference Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG 39833.49652777778 39827.46319444444 Jan F Loc Exc Bone Les Femur No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.5 39829.71597222222 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.5 39829.71597222222 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE 39833.5 39833.30416666667 Jan M Egd With Closed Biopsy Baptist Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN OTHER SPEC SITE 39833.5 39833.30416666667 Jan M Egd With Closed Biopsy Baptist Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39833.5 39833.30972222222 Jan M Egd With Closed Biopsy Baptist Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39833.5 39833.30972222222 Jan M Egd With Closed Biopsy Baptist Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39833.51736111111 39830.461805555555 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39833.51736111111 39830.461805555555 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.520833333336 39833.396527777775 Jan F Deciduous Tooth Extract No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39833.53125 39833.430555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39833.532638888886 39833.472916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39833.53402777778 39833.48402777778 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS 39833.53472222222 39833.31875 Jan F Loc Exc Les Metatar/Tar Lutheran Clinic Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS 39833.53472222222 39833.31875 Jan F Loc Exc Les Metatar/Tar Lutheran Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39833.541666666664 39833.370833333334 Jan F Removal Fb/Dev From Skin Latter Day Saints Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39833.541666666664 39833.370833333334 Jan F Removal Fb/Dev From Skin Latter Day Saints Clinic Referral Self SURGERY CENTER ULCERATIVE PROCTITIS 39833.54513888889 39833.35 Jan F Colonoscopy No Religious Preference Clinic Referral Self SURGERY CENTER ULCERATIVE PROCTITIS 39833.54513888889 39833.35 Jan F Colonoscopy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39833.54513888889 39833.37847222222 Jan F Tonsillectomy/Adenoidec Episcopal Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39833.54513888889 39833.37847222222 Jan F Tonsillectomy/Adenoidec Episcopal Emergency Room Ambulance EMERGENCY ACUTE TONSILLITIS 39833.552083333336 39833.47986111111 Jan M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39833.55347222222 39833.50763888889 Jan F Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39833.55972222222 39832.27569444444 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39833.55972222222 39832.27569444444 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39833.55972222222 39832.27569444444 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39833.55972222222 39832.27569444444 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance EMERGENCY HORDEOLUM EXTERNUM 39833.56527777778 39833.51666666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ACCESSORY AURICLE 39833.569444444445 39833.25625 Jan M Destruct Ext Ear Les Nec Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39833.569444444445 39833.44930555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX UP END HUMERUS NOS-CLOSE 39833.575 39833.46944444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY LUMBAGO 39833.58611111111 39833.47708333333 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.586805555555 39833.44513888889 Jan F Tooth Restor By Filling No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.586805555555 39833.44513888889 Jan F Tooth Restor By Filling No Religious Preference Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS 39833.592361111114 39830.50763888889 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance MED 2G UNIT BRAN-CHAIN AMIN-ACID DIS 39833.592361111114 39830.50763888889 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39833.59652777778 39833.45486111111 Jan M Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.6 39828.36319444444 Jan M Inject Ca Chemother Nec Latter Day Saints Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39833.6 39828.36319444444 Jan M Inject Ca Chemother Nec Latter Day Saints Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39833.604166666664 39829.285416666666 Jan F Graft Repair Atrial Def No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39833.604166666664 39829.285416666666 Jan F Graft Repair Atrial Def No Religious Preference Clinic Referral Self SURG 4 UNIT SECUNDUM ATRIAL SEPT DEF 39833.604166666664 39829.285416666666 Jan F Graft Repair Atrial Def No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39833.60902777778 39833.50555555556 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC 39833.61319444444 39829.775 Jan F Christian Emergency Room Ambulance MED 2G UNIT RESPIRATORY ABNORM NEC 39833.61319444444 39829.775 Jan F Christian Emergency Room Ambulance EMERGENCY FX UPPER END TIBIA-CLOSE 39833.618055555555 39833.43819444445 Jan F Other Religion Emergency Room Ambulance EMERGENCY WHEEZING 39833.63888888889 39833.60138888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39833.63958333333 39833.538194444445 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS 39833.64375 39825.32777777778 Jan F Rectal Resection Nec Christian Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS 39833.64375 39825.32777777778 Jan F Rectal Resection Nec Christian Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS 39833.64375 39825.32777777778 Jan F Rectal Resection Nec Christian Clinic Referral Self SURG 3 UNIT ULCERATIVE COLITIS NOS 39833.64375 39825.32777777778 Jan F Rectal Resection Nec Christian Emergency Room Ambulance MED 2T UNIT OTHER ENTEROVIRAL CNS DIS 39833.645833333336 39827.799305555556 Jan F Christian Emergency Room Ambulance MED 2T UNIT OTHER ENTEROVIRAL CNS DIS 39833.645833333336 39827.799305555556 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39833.65138888889 39833.58611111111 Jan M Pentecostal Clinic Referral Self SURGERY CENTER EOSINOPHILIC GASTROENT 39833.65972222222 39833.37986111111 Jan F Clos Large Bowel Biopsy Clinic Referral Self SURGERY CENTER EOSINOPHILIC GASTROENT 39833.65972222222 39833.37986111111 Jan F Clos Large Bowel Biopsy Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39833.66180555556 39833.58263888889 Jan M Buddhist Outside Hospital Self MED 1T UNIT MUCOCUTAN LYMPH NODE SYN 39833.666666666664 39825.89861111111 Jan F No Religious Preference Outside Hospital Self MED 1T UNIT MUCOCUTAN LYMPH NODE SYN 39833.666666666664 39825.89861111111 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS 39833.666666666664 39833.07777777778 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT CONSTIPATION NOS 39833.666666666664 39833.07777777778 Jan M No Religious Preference Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.67361111111 39833.44027777778 Jan F Crown Application Christian Physician Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.67361111111 39833.44027777778 Jan F Crown Application Christian Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39833.680555555555 39833.430555555555 Jan M Removal Fb/Dev From Skin Christian Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39833.680555555555 39833.430555555555 Jan M Removal Fb/Dev From Skin Christian Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY 39833.680555555555 39833.47361111111 Jan M Sm Bowel Endoscopy Nec No Religious Preference Emergency Room Ambulance EMERGENCY OBSERVATION FOLLOWING RAPE 39833.68541666667 39833.53333333333 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39833.6875 39821.791666666664 Jan M Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39833.6875 39821.791666666664 Jan M Christian Emergency Room Ambulance MED 2G UNIT HEADACHE 39833.6875 39827.69027777778 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT HEADACHE 39833.6875 39827.69027777778 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39833.697916666664 39833.472916666666 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39833.697916666664 39833.472916666666 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS 39833.70208333333 39821.61319444444 Jan M Insert Vasc Access Dev Islam Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS 39833.70208333333 39821.61319444444 Jan M Insert Vasc Access Dev Islam Emergency Room Ambulance SCCA UNIT MALIG NEOPLASM NASOPHARYNX NOS 39833.70208333333 39821.61319444444 Jan M Insert Vasc Access Dev Islam Emergency Room Ambulance EMERGENCY HEADACHE 39833.705555555556 39833.57986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND 39833.70694444444 39833.65416666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39833.708333333336 39833.61666666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39833.71875 39833.50555555556 Jan M Tooth Restor By Filling Christian Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39833.72222222222 39827.626388888886 Jan F Mri Of Brain And Brainstem Christian Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39833.72222222222 39827.626388888886 Jan F Mri Of Brain And Brainstem Christian Physician Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39833.72222222222 39827.626388888886 Jan F Mri Of Brain And Brainstem Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39833.728472222225 39830.998611111114 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39833.728472222225 39830.998611111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39833.73888888889 39833.66875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC 39833.75555555556 39833.675 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39833.76736111111 39833.700694444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SCARLET FEVER 39833.76736111111 39833.714583333334 Jan M No Religious Preference Transfer from Critical Access Hospital Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION 39833.775 39820.64375 Jan M Inject Ca Chemother Nec Christian Transfer from Critical Access Hospital Self SCCA UNIT ACUTE LYMPHOID LEUK IN REMISSION 39833.775 39820.64375 Jan M Inject Ca Chemother Nec Christian Emergency Room Ambulance EMERGENCY CROUP 39833.78055555555 39833.72152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39833.78125 39833.67361111111 Jan M Baptist Emergency Room Ambulance MED 2G UNIT DEHYDRATION 39833.791666666664 39831.89236111111 Jan F Christian Emergency Room Ambulance MED 2G UNIT DEHYDRATION 39833.791666666664 39831.89236111111 Jan F Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39833.79791666667 39833.725 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39833.802083333336 39833.71944444445 Jan M Bladder Operation Nec Latter Day Saints Clinic Referral Self SURGERY CENTER ECTROPION NOS 39833.805555555555 39833.59722222222 Jan M Entropion/Ectrop Rep Nec No Religious Preference Clinic Referral Self SURGERY CENTER ECTROPION NOS 39833.805555555555 39833.59722222222 Jan M Entropion/Ectrop Rep Nec No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39833.805555555555 39833.64166666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39833.80972222222 39833.56805555556 Jan M Other Religion Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39833.8125 39833.67152777778 Jan F No Religious Preference Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39833.82361111111 39819.53611111111 Jan F Venous Cath Nec No Religious Preference Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39833.82361111111 39819.53611111111 Jan F Venous Cath Nec No Religious Preference Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39833.82361111111 39819.53611111111 Jan F Venous Cath Nec No Religious Preference Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39833.82361111111 39819.53611111111 Jan F Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39833.833333333336 39832.54652777778 Jan F Pentecostal Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39833.833333333336 39832.54652777778 Jan F Pentecostal Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39833.850694444445 39833.49791666667 Jan M Christian Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS 39833.85208333333 39833.81458333333 Jan M Christian Emergency Room Ambulance EMERGENCY LUMBAR PUNCTURE REACTION 39833.876388888886 39833.48819444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39833.87986111111 39833.799305555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CRUSHING INJURY TOE 39833.88333333333 39833.75069444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39833.89027777778 39833.79305555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY THRUSH 39833.89097222222 39833.7375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39833.89166666667 39833.79375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39833.9 39833.79583333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DERMATITIS NOS 39833.91875 39833.86875 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC 39833.927777777775 39833.606944444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39833.92847222222 39833.825694444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39833.93263888889 39833.763194444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39833.936111111114 39833.88125 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY PALSY OF CONJUGATE GAZE 39833.94305555556 39833.82013888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY TRANSIENT VISUAL LOSS 39833.94375 39833.822916666664 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39833.967361111114 39832.92638888889 Jan M Cl Fx Reduc-Femur Islam Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39833.967361111114 39832.92638888889 Jan M Cl Fx Reduc-Femur Islam Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39833.967361111114 39832.92638888889 Jan M Cl Fx Reduc-Femur Islam Emergency Room Ambulance SURG 3 UNIT FX FEMUR SHAFT-CLOSED 39833.967361111114 39832.92638888889 Jan M Cl Fx Reduc-Femur Islam Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39833.97222222222 39833.896527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39833.975694444445 39833.82847222222 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39833.98263888889 39833.884722222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39833.99166666667 39833.910416666666 Jan M Other Religion Emergency Room Ambulance EMERGENCY FEVER NOS 39833.99791666667 39833.875 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS 39834.001388888886 39833.74652777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.021527777775 39833.919444444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39834.024305555555 39833.90625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DISORDERS OF THYROID NEC 39834.03194444445 39833.907638888886 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39834.03958333333 39833.904861111114 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39834.05416666667 39834.021527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39834.05625 39833.924305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF TOE 39834.05763888889 39833.986805555556 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39834.069444444445 39834.00347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39834.09444444445 39833.986805555556 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39834.09861111111 39833.93194444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URTICARIA NOS 39834.100694444445 39834.018055555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39834.118055555555 39834.05694444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39834.13333333333 39834.07708333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39834.14513888889 39834.09305555555 Jan M No Religious Preference Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS 39834.313888888886 39827.711805555555 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS 39834.313888888886 39827.711805555555 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT MECONIUM ASPIRATION WITH RESPIRATORY SYMPTOMS 39834.313888888886 39827.711805555555 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM 39834.325 39834.21527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39834.35208333333 39834.15972222222 Jan F Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39834.36597222222 39830.325694444444 Jan M Inject Ca Chemother Nec Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39834.36597222222 39830.325694444444 Jan M Inject Ca Chemother Nec Christian Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39834.37569444445 39819.751388888886 Jan F C.A.T. Scan Of Head Lutheran Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39834.37569444445 39819.751388888886 Jan F C.A.T. Scan Of Head Lutheran Emergency Room Ambulance EMERGENCY CONJUNCTIVITIS NOS 39834.38888888889 39834.336805555555 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY 39834.39236111111 39834.30069444444 Jan M Replace Gastrostomy Tube Christian Clinic Referral Self SURGERY CENTER ATTEN TO GASTROSTOMY 39834.39236111111 39834.30069444444 Jan M Replace Gastrostomy Tube Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39834.40972222222 39834.322222222225 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39834.40972222222 39834.322222222225 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39834.42013888889 39834.25763888889 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39834.42013888889 39834.25763888889 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39834.42986111111 39834.29652777778 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT HEMANGIOMA SKIN 39834.43402777778 39833.49513888889 Jan M Other Local Destruc Skin Roman Catholic Clinic Referral Self MED 1T UNIT HEMANGIOMA SKIN 39834.43402777778 39833.49513888889 Jan M Other Local Destruc Skin Roman Catholic Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39834.444444444445 39834.28888888889 Jan F Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39834.444444444445 39834.28888888889 Jan F Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39834.45138888889 39834.32847222222 Jan M Adenoidectomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39834.45138888889 39834.32847222222 Jan M Adenoidectomy No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39834.45694444444 39834.393055555556 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39834.461805555555 39834.364583333336 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39834.461805555555 39834.364583333336 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39834.47708333333 39829.43125 Jan F Spine Canal Struc Op Nec Christian Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39834.47708333333 39829.43125 Jan F Spine Canal Struc Op Nec Christian Clinic Referral Self SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39834.47708333333 39829.43125 Jan F Spine Canal Struc Op Nec Christian Clinic Referral Self SURGERY CENTER ACHALASIA AND CARDIOSPASM 39834.479166666664 39834.29305555556 Jan M Injection Of Larynx Christian Clinic Referral Self SURGERY CENTER ACHALASIA AND CARDIOSPASM 39834.479166666664 39834.29305555556 Jan M Injection Of Larynx Christian Emergency Room Ambulance EMERGENCY APNEA 39834.49166666667 39834.40625 Jan M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39834.49444444444 39834.47083333333 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39834.5 39834.388194444444 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39834.5 39834.388194444444 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING 39834.50069444445 39833.475694444445 Jan M Exc Les Soft Tissue Nec No Religious Preference Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING 39834.50069444445 39833.475694444445 Jan M Exc Les Soft Tissue Nec No Religious Preference Clinic Referral Self SURG 3 UNIT NEUROFIBROM,TYPE I,VON RECKLING 39834.50069444445 39833.475694444445 Jan M Exc Les Soft Tissue Nec No Religious Preference Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS 39834.50277777778 39833.24722222222 Jan F Irrigate/Expl Vent Shunt Latter Day Saints Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS 39834.50277777778 39833.24722222222 Jan F Irrigate/Expl Vent Shunt Latter Day Saints Clinic Referral Self SURG 3 UNIT CONGENITAL HYDROCEPHALUS 39834.50277777778 39833.24722222222 Jan F Irrigate/Expl Vent Shunt Latter Day Saints Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX 39834.50555555556 39833.59722222222 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ESOPHAGEAL REFLUX 39834.50555555556 39833.59722222222 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.506944444445 39833.49236111111 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.506944444445 39833.49236111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39834.51736111111 39834.30694444444 Jan F Surg Tooth Extract Nec Roman Catholic Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39834.52013888889 39833.25347222222 Jan F Laparoscopic Cholecystec Baptist Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39834.52013888889 39833.25347222222 Jan F Laparoscopic Cholecystec Baptist Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39834.52013888889 39833.25347222222 Jan F Laparoscopic Cholecystec Baptist Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS 39834.52777777778 39834.42986111111 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS 39834.52777777778 39834.42986111111 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER ANOMALIES EAR OSSICLES 39834.53125 39834.30763888889 Jan M Ossicular Chain Op Nec Roman Catholic Clinic Referral Self SURGERY CENTER ANOMALIES EAR OSSICLES 39834.53125 39834.30763888889 Jan M Ossicular Chain Op Nec Roman Catholic Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39834.53888888889 39833.59930555556 Jan M Jewish Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39834.53888888889 39833.59930555556 Jan M Jewish Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39834.552083333336 39827.48888888889 Jan M Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39834.552083333336 39827.48888888889 Jan M Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39834.552083333336 39827.48888888889 Jan M Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39834.552083333336 39827.48888888889 Jan M Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39834.552083333336 39827.48888888889 Jan M Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39834.55902777778 39826.72083333333 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39834.55902777778 39826.72083333333 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39834.55902777778 39833.7875 Jan F Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance SURG 4 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39834.55902777778 39833.7875 Jan F Clos Red-Int Fix Humerus No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.55902777778 39834.51666666667 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS 39834.5625 39828.9375 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS 39834.5625 39828.9375 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance SURG 4 UNIT ACUTE URI NOS 39834.5625 39828.9375 Jan M Entral Infus Nutrit Sub Islam Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39834.57638888889 39834.42361111111 Jan M Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39834.57638888889 39834.42361111111 Jan M Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39834.583333333336 39834.41180555556 Jan F Tonsillectomy Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39834.583333333336 39834.41180555556 Jan F Tonsillectomy Christian Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.59166666667 39834.03472222222 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.59166666667 39834.03472222222 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39834.59375 39834.47361111111 Jan F Other Local Destruc Skin Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39834.59930555556 39834.47777777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39834.600694444445 39834.52569444444 Jan F Remov Imp Dev-Radius/Uln No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39834.600694444445 39834.52569444444 Jan F Remov Imp Dev-Radius/Uln No Religious Preference Emergency Room Ambulance EMERGENCY HAND INJURY NOS 39834.60208333333 39834.56319444445 Jan M Christian Clinic Referral Self SURGERY CENTER COMPLIC INTERN ORTHO DEVICE 39834.604166666664 39834.3 Jan F Remove Imp Device-Femur No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC 39834.60763888889 39826.395833333336 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC 39834.60763888889 39826.395833333336 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE 39834.60833333333 39830.14166666667 Jan F Colonoscopy Christian Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE 39834.60833333333 39830.14166666667 Jan F Colonoscopy Christian Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE 39834.60833333333 39830.14166666667 Jan F Colonoscopy Christian Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE 39834.60833333333 39830.14166666667 Jan F Colonoscopy Christian Emergency Room Ambulance SURG 3 UNIT VOLVULUS OF INTESTINE 39834.60833333333 39830.14166666667 Jan F Colonoscopy Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39834.61111111111 39834.438888888886 Jan F Adenoidectomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39834.61111111111 39834.438888888886 Jan F Adenoidectomy No Religious Preference Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES 39834.614583333336 39834.45486111111 Jan M Esophageal Dilation No Religious Preference Clinic Referral Self SURGERY CENTER CONG ESOPH FISTULA/ATRES 39834.614583333336 39834.45486111111 Jan M Esophageal Dilation No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39834.62013888889 39834.55972222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.62152777778 39833.17569444444 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39834.62152777778 39833.17569444444 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS 39834.625 39834.46388888889 Jan F One Extraoc Mus Recess Christian Clinic Referral Self SURGERY CENTER EYE MOVEMNT DISORDER NOS 39834.625 39834.46388888889 Jan F One Extraoc Mus Recess Christian Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39834.62569444445 39826.34305555555 Jan F Anal Sphinct Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39834.62569444445 39826.34305555555 Jan F Anal Sphinct Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39834.62569444445 39826.34305555555 Jan F Anal Sphinct Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39834.62569444445 39826.34305555555 Jan F Anal Sphinct Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39834.62569444445 39826.34305555555 Jan F Anal Sphinct Repair Nec No Religious Preference Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39834.62569444445 39833.56527777778 Jan M Replace Ventricle Shunt Roman Catholic Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39834.62569444445 39833.56527777778 Jan M Replace Ventricle Shunt Roman Catholic Emergency Room Ambulance SURG 3 UNIT MALFUN NEURO DEVICE/GRAF 39834.62569444445 39833.56527777778 Jan M Replace Ventricle Shunt Roman Catholic Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS 39834.62847222222 39834.520833333336 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER NONSUPP OTITIS MEDIA NOS 39834.62847222222 39834.520833333336 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39834.631944444445 39834.521527777775 Jan M Myringoplasty Christian Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39834.631944444445 39834.521527777775 Jan M Myringoplasty Christian Emergency Room Ambulance EMERGENCY DERMATOPHYT SCALP/BEARD 39834.635416666664 39834.563888888886 Jan M Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39834.638194444444 39834.552083333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39834.63958333333 39834.45 Jan M Christian Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC 39834.646527777775 39834.55625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39834.64861111111 39834.48541666667 Jan F Other Religion Emergency Room Ambulance EMERGENCY ATTN REM NONSURG DRESSNG 39834.649305555555 39834.46944444445 Jan F No Religious Preference Clinic Referral Ambulance MED 1T UNIT TRACHEOSTOMY COMPLICATION NEC 39834.65416666667 39826.70208333333 Jan M Replace Trach Tube Roman Catholic Clinic Referral Ambulance MED 1T UNIT TRACHEOSTOMY COMPLICATION NEC 39834.65416666667 39826.70208333333 Jan M Replace Trach Tube Roman Catholic Emergency Room Ambulance SCCA UNIT THALASSEMIA NEC 39834.65833333333 39831.8 Jan F No Religious Preference Emergency Room Ambulance SCCA UNIT THALASSEMIA NEC 39834.65833333333 39831.8 Jan F No Religious Preference Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG 39834.67013888889 39833.467361111114 Jan M Tibia/Fibula Div Nec Christian Clinic Referral Self REHAB UNIT JUV OSTEOCHONDROSIS LEG 39834.67013888889 39833.467361111114 Jan M Tibia/Fibula Div Nec Christian Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS 39834.67361111111 39819.248611111114 Jan F Repair Vess W Tis Patch Other Religion Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS 39834.67361111111 39819.248611111114 Jan F Repair Vess W Tis Patch Other Religion Clinic Referral Self SURG 4 UNIT AORTIC ATRESIA/STENOSIS 39834.67361111111 39819.248611111114 Jan F Repair Vess W Tis Patch Other Religion Emergency Room Ambulance EMERGENCY SPONDYLOLISTHESIS 39834.67569444444 39834.618055555555 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39834.67986111111 39832.85208333333 Jan M Christian Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39834.67986111111 39832.85208333333 Jan M Christian Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM 39834.6875 39833.28402777778 Jan F Oth Repair Han/Fin/Wris No Religious Preference Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM 39834.6875 39833.28402777778 Jan F Oth Repair Han/Fin/Wris No Religious Preference Clinic Referral Self SURG 3 UNIT JOINT DERANGMNT NEC-FOREARM 39834.6875 39833.28402777778 Jan F Oth Repair Han/Fin/Wris No Religious Preference Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE 39834.69027777778 39834.54861111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK 39834.69097222222 39834.54583333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA 39834.69652777778 39834.631944444445 Jan F Christian Emergency Room Ambulance EMERGENCY JOINT PAIN-MULT JTS 39834.70277777778 39834.54027777778 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS 39834.71111111111 39833.288194444445 Jan F Correct Ureteropelv Junc No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS 39834.71111111111 39833.288194444445 Jan F Correct Ureteropelv Junc No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUC DEFECT RENL PELV/URETR NOS 39834.71111111111 39833.288194444445 Jan F Correct Ureteropelv Junc No Religious Preference Clinic Referral Self SURGERY CENTER CHRONC GRAFT-VS-HOST DIS 39834.711805555555 39834.529861111114 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER CHRONC GRAFT-VS-HOST DIS 39834.711805555555 39834.529861111114 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39834.71666666667 39833.49930555555 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39834.71666666667 39833.49930555555 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURG 3 UNIT OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39834.71666666667 39833.49930555555 Jan M Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39834.71805555555 39834.490277777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS 39834.720138888886 39834.50347222222 Jan M Islam Outside Hospital Self MED 2G UNIT KLIPPEL-FEIL SYNDROME 39834.72222222222 39819.57986111111 Jan F Entral Infus Nutrit Sub Roman Catholic Outside Hospital Self MED 2G UNIT KLIPPEL-FEIL SYNDROME 39834.72222222222 39819.57986111111 Jan F Entral Infus Nutrit Sub Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39834.72222222222 39834.649305555555 Jan F Christian Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC 39834.729166666664 39833.865277777775 Jan F Entral Infus Nutrit Sub No Religious Preference Emergency Room Ambulance MED 2G UNIT GASTROSTOMY COMPLICATION NEC 39834.729166666664 39833.865277777775 Jan F Entral Infus Nutrit Sub No Religious Preference Clinic Referral Self SURGERY CENTER ANAPLASTIC LYMPH XTRNDL 39834.743055555555 39834.5125 Jan M Bone Biopsy Nec Greek Orthodox Clinic Referral Self SURGERY CENTER ANAPLASTIC LYMPH XTRNDL 39834.743055555555 39834.5125 Jan M Bone Biopsy Nec Greek Orthodox Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39834.743055555555 39834.572916666664 Jan F Remove Impl Dev-Humerus No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39834.743055555555 39834.572916666664 Jan F Remove Impl Dev-Humerus No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39834.74930555555 39834.6125 Jan M No Religious Preference Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self MED 2G UNIT HYPERTROPHY TONS AND ADEN 39834.75 39822.27916666667 Jan M Tonsillectomy/Adenoidec Roman Catholic Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39834.75833333333 39834.55763888889 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.770833333336 39832.7875 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.770833333336 39832.7875 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD 39834.770833333336 39834.57152777778 Jan F Anesthetized Eye Exam Christian Clinic Referral Self SURGERY CENTER GLAUCOMA OF CHILDHOOD 39834.770833333336 39834.57152777778 Jan F Anesthetized Eye Exam Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39834.77291666667 39834.731944444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39834.774305555555 39834.56180555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39834.78125 39834.64166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39834.78125 39834.64166666667 Jan M No Religious Preference Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC 39834.782638888886 39826.756944444445 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC 39834.782638888886 39826.756944444445 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC 39834.782638888886 39826.756944444445 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Ambulance SCCA UNIT SEC MALIG NEO NERVE NEC 39834.782638888886 39826.756944444445 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39834.78472222222 39834.50902777778 Jan M Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39834.78472222222 39834.50902777778 Jan M Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY FX CLAVICLE SHAFT-CLOSED 39834.79305555556 39834.760416666664 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39834.79861111111 39834.66458333333 Jan M Remov Ureteral Drain Latter Day Saints Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39834.79861111111 39834.66458333333 Jan M Remov Ureteral Drain Latter Day Saints Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK 39834.80625 39834.638194444444 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE 39834.8125 39834.53055555555 Jan M Rt/Left Heart Card Cath Other Religion Clinic Referral Self SURGERY CENTER COMPLIC OTHR VASCUL DEVICE 39834.8125 39834.53055555555 Jan M Rt/Left Heart Card Cath Other Religion Emergency Room Ambulance EMERGENCY VOMITING ALONE 39834.81527777778 39834.629166666666 Jan F No Religious Preference Clinic Referral Ambulance REHAB UNIT PERIAPICAL ABSCESS 39834.81805555556 39833.74791666667 Jan M No Religious Preference Clinic Referral Ambulance REHAB UNIT PERIAPICAL ABSCESS 39834.81805555556 39833.74791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39834.82777777778 39834.645833333336 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED 39834.82777777778 39834.708333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39834.847916666666 39834.79791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.853472222225 39834.77777777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.854166666664 39825.85763888889 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.854166666664 39825.85763888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT 39834.85972222222 39834.66388888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER FOREIGN BODY BRONCHUS 39834.875 39834.38958333333 Jan M Remov Intralum Trach Fb No Religious Preference Clinic Referral Self SURGERY CENTER FOREIGN BODY BRONCHUS 39834.875 39834.38958333333 Jan M Remov Intralum Trach Fb No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH 39834.879166666666 39834.82638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39834.87986111111 39834.802083333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39834.88888888889 39834.75 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39834.89097222222 39834.756944444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39834.89861111111 39834.80138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39834.89861111111 39834.81041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39834.913194444445 39834.86111111111 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH 39834.916666666664 39834.56805555556 Jan M Remove Fb From Periton Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST PERITONEAL DIALYSIS CATH 39834.916666666664 39834.56805555556 Jan M Remove Fb From Periton Roman Catholic Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39834.92152777778 39834.82777777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39834.936111111114 39834.82361111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SCABIES 39834.94236111111 39834.868055555555 Jan F Christian Emergency Room Ambulance EMERGENCY SCABIES 39834.94375 39834.86944444444 Jan F Christian Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.95277777778 39834.313888888886 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.95277777778 39834.313888888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39834.955555555556 39834.83125 Jan M Jehovah's Witness Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED 39834.958333333336 39834.93472222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SUPRCONDYL FX HUMERUS-CLOSE 39834.964583333334 39834.775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39834.964583333334 39834.89722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39834.98333333333 39834.618055555555 Jan F Christian Emergency Room Ambulance EMERGENCY EPILEPSY NOS INTRACTABLE 39834.98472222222 39834.68125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39834.99166666667 39834.893055555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39834.99513888889 39834.924305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39834.995833333334 39834.924305555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC 39834.99791666667 39834.873611111114 Jan M No Religious Preference Self INTERPRETER SERVICES 39834.99930555555 39834.541666666664 Jan F Roman Catholic Self INTERPRETER SERVICES 39834.99930555555 39834.541666666664 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.0 39834.83888888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.021527777775 39834.904861111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.02777777778 39834.936111111114 Jan F Christian Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39835.04027777778 39834.78611111111 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.04236111111 39834.92986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.04583333333 39834.93819444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39835.04652777778 39834.85555555556 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY POISONING-ANTIDEPRESSANT 39835.04652777778 39835.03194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY POISONING-ANTIDEPRESSANT 39835.04652777778 39835.03194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS 39835.05486111111 39834.913194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39835.07777777778 39834.944444444445 Jan F Pentecostal Emergency Room Ambulance EMERGENCY FEVER NOS 39835.09097222222 39834.927777777775 Jan M Buddhist Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39835.100694444445 39834.85277777778 Jan M Baptist Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES 39835.12291666667 39834.9875 Jan M Islam Emergency Room Ambulance EMERGENCY CROUP 39835.134722222225 39834.98333333333 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39835.134722222225 39835.0 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39835.15347222222 39834.91736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX FOREARM NOS-CLOSED 39835.166666666664 39834.96875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39835.2125 39835.061111111114 Jan M Russian Orthodox Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.22222222222 39835.08125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URTICARIA NOS 39835.236805555556 39835.16805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39835.26666666667 39834.94513888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39835.30972222222 39835.10277777778 Jan M Christian Emergency Room Ambulance EMERGENCY DEHYDRATION 39835.31527777778 39835.09930555556 Jan M Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39835.31736111111 39835.063888888886 Jan M Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39835.33263888889 39835.17013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39835.33819444444 39835.174305555556 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39835.34375 39835.26875 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39835.34375 39835.26875 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER OTHER URINARY INCONTINENCE 39835.38888888889 39835.25833333333 Jan M Insert Indwelling Cath No Religious Preference Clinic Referral Self SURGERY CENTER OTHER URINARY INCONTINENCE 39835.38888888889 39835.25833333333 Jan M Insert Indwelling Cath No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39835.38888888889 39835.27013888889 Jan F Remov Thor Ther Dev Nec Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39835.38888888889 39835.27013888889 Jan F Remov Thor Ther Dev Nec Roman Catholic Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS 39835.40625 39835.28958333333 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER ACUTE NONSUP OTITIS MED NOS 39835.40625 39835.28958333333 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER TONGUE DISORDER NEC 39835.42361111111 39835.251388888886 Jan M Destruction Tongue Les Other Religion Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.45 39833.518055555556 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.45 39833.518055555556 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.45 39833.518055555556 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.45208333333 39835.291666666664 Jan M No Religious Preference Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.458333333336 39833.933333333334 Jan M Lap Appendectomy Roman Catholic Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.458333333336 39833.933333333334 Jan M Lap Appendectomy Roman Catholic Emergency Room Ambulance REHAB UNIT ACUTE APPENDICITIS NOS 39835.458333333336 39833.933333333334 Jan M Lap Appendectomy Roman Catholic Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC 39835.458333333336 39835.27291666667 Jan M Larygnoscopy/Tracheoscop No Religious Preference Clinic Referral Self SURGERY CENTER LARYNGOTRACH ANOMALY NEC 39835.458333333336 39835.27291666667 Jan M Larygnoscopy/Tracheoscop No Religious Preference Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS 39835.458333333336 39835.3625 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS 39835.458333333336 39835.3625 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Clinic Referral Self REHAB UNIT PSYMOTR EPIL W INTR EPIL 39835.459027777775 39821.33472222222 Jan M Brain Lobectomy No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.461805555555 39835.34305555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.4625 39835.34305555555 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE 39835.472916666666 39834.62152777778 Jan M Islam Emergency Room Ambulance OBSERVATION UNIT ABDOMINAL PAIN UNSPEC SITE 39835.472916666666 39834.62152777778 Jan M Islam Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES 39835.48055555556 39834.49791666667 Jan F Toe Amputation Roman Catholic Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES 39835.48055555556 39834.49791666667 Jan F Toe Amputation Roman Catholic Clinic Referral Self OBSERVATION UNIT MACRODACTYLIA OF TOES 39835.48055555556 39834.49791666667 Jan F Toe Amputation Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.48263888889 39835.29027777778 Jan F Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.48263888889 39835.29027777778 Jan F Egd With Closed Biopsy Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.49444444444 39835.40347222222 Jan M Roman Catholic Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY 39835.498611111114 39833.28611111111 Jan M Endovasc Repair Head Ves No Religious Preference Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY 39835.498611111114 39833.28611111111 Jan M Endovasc Repair Head Ves No Religious Preference Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY 39835.498611111114 39833.28611111111 Jan M Endovasc Repair Head Ves No Religious Preference Physician Referral Self SURG 3 UNIT SPINAL VESSEL ANOMALY 39835.498611111114 39833.28611111111 Jan M Endovasc Repair Head Ves No Religious Preference Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39835.498611111114 39834.4125 Jan M Facial Bone Reconstr Nec Roman Catholic Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39835.498611111114 39834.4125 Jan M Facial Bone Reconstr Nec Roman Catholic Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39835.498611111114 39834.4125 Jan M Facial Bone Reconstr Nec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.5 39835.32083333333 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.5 39835.32083333333 Jan M Tonsillectomy/Adenoidec Other Religion Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.504166666666 39835.43125 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39835.506944444445 39834.399305555555 Jan M Pros Rep Ventrc Def-Clos Christian Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE 39835.5125 39834.39166666667 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE 39835.5125 39834.39166666667 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self SURG 3 UNIT SPRAIN CRUCIATE LIG KNEE 39835.5125 39834.39166666667 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39835.51388888889 39835.30416666667 Jan M Deciduous Tooth Extract No Religious Preference Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.51736111111 39835.38125 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.51736111111 39835.38125 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY IN EAR 39835.51736111111 39835.45763888889 Jan M Remov Intralum Ear Fb No Religious Preference Clinic Referral Ambulance SURGERY CENTER FOREIGN BODY IN EAR 39835.51736111111 39835.45763888889 Jan M Remov Intralum Ear Fb No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.520833333336 39835.316666666666 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.520833333336 39835.316666666666 Jan F Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.520833333336 39835.393055555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39835.52777777778 39835.40555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39835.52777777778 39835.40555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39835.52847222222 39835.413194444445 Jan F Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39835.54027777778 39834.813888888886 Jan M Latter Day Saints Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39835.54027777778 39834.813888888886 Jan M Latter Day Saints Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS 39835.54652777778 39834.520833333336 Jan M Close Reduc-Femur Epiphy Lutheran Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS 39835.54652777778 39834.520833333336 Jan M Close Reduc-Femur Epiphy Lutheran Clinic Referral Self SURG 3 UNIT FEMORAL EPIPHYSIOLYSIS 39835.54652777778 39834.520833333336 Jan M Close Reduc-Femur Epiphy Lutheran Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED 39835.54652777778 39835.50625 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.54791666667 39835.467361111114 Jan M Lutheran Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39835.552083333336 39835.356944444444 Jan F Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39835.552083333336 39835.356944444444 Jan F Tonsillectomy/Adenoidec Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.555555555555 39835.52847222222 Jan F Other Religion Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG 39835.55694444444 39821.55138888889 Jan M Insert Intercostal Cath Pentecostal Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG 39835.55694444444 39821.55138888889 Jan M Insert Intercostal Cath Pentecostal Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG 39835.55694444444 39821.55138888889 Jan M Insert Intercostal Cath Pentecostal Emergency Room Ambulance MED 1T UNIT SECONDARY MALIG NEO LUNG 39835.55694444444 39821.55138888889 Jan M Insert Intercostal Cath Pentecostal Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39835.56458333333 39824.6375 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT COMPLIC LIVER TRANSPLANT 39835.56458333333 39824.6375 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH 39835.57083333333 39828.94861111111 Jan M Parent Infus Nutrit Sub Christian Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH 39835.57083333333 39828.94861111111 Jan M Parent Infus Nutrit Sub Christian Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.572916666664 39835.40416666667 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39835.572916666664 39835.40416666667 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN 39835.57638888889 39834.50625 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN 39835.57638888889 39834.50625 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self OBSERVATION UNIT HYPERTROPHY TONS AND ADEN 39835.57638888889 39834.50625 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39835.57777777778 39834.37152777778 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39835.57777777778 39834.37152777778 Jan F Inject Ca Chemother Nec Roman Catholic Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN 39835.586805555555 39830.03402777778 Jan M Bone Marrow Biopsy Christian Emergency Room Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN 39835.586805555555 39830.03402777778 Jan M Bone Marrow Biopsy Christian Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39835.59027777778 39833.274305555555 Jan F Bone Division Nec Assembly of God Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39835.59027777778 39833.274305555555 Jan F Bone Division Nec Assembly of God Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39835.59027777778 39833.274305555555 Jan F Bone Division Nec Assembly of God Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA 39835.59722222222 39835.239583333336 Jan M Rt/Left Heart Card Cath Baptist Clinic Referral Self SURGERY CENTER COARCTATION OF AORTA 39835.59722222222 39835.239583333336 Jan M Rt/Left Heart Card Cath Baptist Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39835.600694444445 39835.35486111111 Jan F Deciduous Tooth Extract No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39835.60138888889 39835.486805555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39835.604166666664 39835.56597222222 Jan F Patient Refused Emergency Room Ambulance MED 2G UNIT APNEA 39835.60763888889 39832.68402777778 Jan M Larygnoscopy/Tracheoscop No Religious Preference Emergency Room Ambulance MED 2G UNIT APNEA 39835.60763888889 39832.68402777778 Jan M Larygnoscopy/Tracheoscop No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39835.614583333336 39835.34722222222 Jan M Tonsillectomy Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39835.614583333336 39835.34722222222 Jan M Tonsillectomy Roman Catholic Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS 39835.614583333336 39835.50208333333 Jan F Inject/Infuse Nec No Religious Preference Clinic Referral Self SURGERY CENTER SALIVARY SECRETION DIS 39835.614583333336 39835.50208333333 Jan F Inject/Infuse Nec No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM 39835.62777777778 39835.464583333334 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRH W/O COMA 39835.63125 39833.479166666664 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT SUBDURAL HEMORRH W/O COMA 39835.63125 39833.479166666664 Jan F No Religious Preference Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS 39835.645833333336 39834.26527777778 Jan M Adenoidectomy Islam Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS 39835.645833333336 39834.26527777778 Jan M Adenoidectomy Islam Clinic Referral Self MED 2G UNIT HYPERTROPHY ADENOIDS 39835.645833333336 39834.26527777778 Jan M Adenoidectomy Islam Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39835.645833333336 39835.37222222222 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39835.645833333336 39835.37222222222 Jan F Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY HERPANGINA 39835.64861111111 39835.575694444444 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39835.65277777778 39834.98819444444 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39835.65277777778 39834.98819444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE 39835.65694444445 39835.4 Jan F Baptist Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN OTHER SPEC SITE 39835.65694444445 39835.4 Jan F Baptist Clinic Referral Self SURGERY CENTER ENURESIS NOS 39835.65972222222 39835.493055555555 Jan F Bladder Operation Nec No Religious Preference Clinic Referral Self REHAB UNIT GENU VARUM 39835.66458333333 39833.41875 Jan F Femoral Division Nec Lutheran Clinic Referral Self REHAB UNIT GENU VARUM 39835.66458333333 39833.41875 Jan F Femoral Division Nec Lutheran Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39835.66458333333 39834.36111111111 Jan F Loc Exc Les Tibia/Fibula No Religious Preference Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39835.66458333333 39834.36111111111 Jan F Loc Exc Les Tibia/Fibula No Religious Preference Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39835.66458333333 39834.36111111111 Jan F Loc Exc Les Tibia/Fibula No Religious Preference Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39835.66527777778 39835.25555555556 Jan M Oth Bone Repa/Plast Nec Roman Catholic Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39835.66527777778 39835.25555555556 Jan M Oth Bone Repa/Plast Nec Roman Catholic Clinic Referral Self SURG 3 UNIT FIT/ADJUST PROSTHESIS NEC 39835.66527777778 39835.25555555556 Jan M Oth Bone Repa/Plast Nec Roman Catholic Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39835.666666666664 39834.79861111111 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39835.666666666664 39834.79861111111 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39835.68125 39834.1 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39835.68125 39834.1 Jan M No Religious Preference Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT 39835.686111111114 39832.614583333336 Jan M No Religious Preference Physician Referral Ambulance SURG 4 UNIT COMPLIC HEART TRANSPLANT 39835.686111111114 39832.614583333336 Jan M No Religious Preference Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39835.69097222222 39834.51944444444 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self PICU OBSTRUCTIVE SLEEP APNEA, ADULT AND PED 39835.69097222222 39834.51944444444 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC 39835.69652777778 39835.28194444445 Jan F Closed Renal Biopsy Other Religion Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC 39835.69652777778 39835.28194444445 Jan F Closed Renal Biopsy Other Religion Clinic Referral Self OBSERVATION UNIT SURGERY FOLLOWUP NEC 39835.69652777778 39835.28194444445 Jan F Closed Renal Biopsy Other Religion Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39835.697222222225 39835.663194444445 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH 39835.697916666664 39835.51458333333 Jan F Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER ATROPHIC GASTRITIS W/O HEMORRH 39835.697916666664 39835.51458333333 Jan F Egd With Closed Biopsy Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.70277777778 39835.592361111114 Jan F Christian Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED 39835.70347222222 39835.64861111111 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK 39835.70486111111 39833.45208333333 Jan F Other Skin And Subq I And D Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF BUTTOCK 39835.70486111111 39833.45208333333 Jan F Other Skin And Subq I And D Christian Emergency Room Ambulance MED 2G UNIT VIRAL ENCEPHALITIS NOS 39835.71597222222 39833.646527777775 Jan M Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT VIRAL ENCEPHALITIS NOS 39835.71597222222 39833.646527777775 Jan M Spinal Tap No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39835.72222222222 39835.56736111111 Jan M Unilat Ing Hern Rep Nos Jewish Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE 39835.72222222222 39835.59097222222 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.725694444445 39835.51388888889 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39835.725694444445 39835.51388888889 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS 39835.731944444444 39835.42361111111 Jan M Closed Liver Biopsy No Religious Preference Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS 39835.731944444444 39835.42361111111 Jan M Closed Liver Biopsy No Religious Preference Clinic Referral Self OBSERVATION UNIT HEPATITIS C W/O HEPATIC COMA NOS 39835.731944444444 39835.42361111111 Jan M Closed Liver Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY 39835.74791666667 39835.675 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX 39835.75 39835.60902777778 Jan M Destruct Larynx Les Nec Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39835.76944444444 39834.024305555555 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39835.76944444444 39834.024305555555 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39835.76944444444 39834.025 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39835.76944444444 39834.025 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT CONG FACTOR VIII DIORD 39835.770833333336 39834.481944444444 Jan M Christian Emergency Room Ambulance SURG 3 UNIT CONG FACTOR VIII DIORD 39835.770833333336 39834.481944444444 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW 39835.77847222222 39835.751388888886 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT FX TIBIA NOS-CLOSED 39835.779861111114 39833.675 Jan M Bone Scan Buddhist Emergency Room Ambulance MED 1T UNIT FX TIBIA NOS-CLOSED 39835.779861111114 39833.675 Jan M Bone Scan Buddhist Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39835.78472222222 39834.57361111111 Jan M Christian Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39835.78472222222 39834.57361111111 Jan M Christian Emergency Room Ambulance EMERGENCY EPISTAXIS 39835.78611111111 39835.71527777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39835.790972222225 39835.71111111111 Jan M Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39835.790972222225 39835.75763888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE 39835.811111111114 39835.75486111111 Jan F No Religious Preference Clinic Referral Self OBSERVATION UNIT BONE AND CARTILAGE DIS NEC 39835.81180555555 39834.41805555556 Jan F Loc Exc Les Tibia/Fibula No Religious Preference Clinic Referral Self OBSERVATION UNIT BONE AND CARTILAGE DIS NEC 39835.81180555555 39834.41805555556 Jan F Loc Exc Les Tibia/Fibula No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39835.81736111111 39835.70138888889 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER EPIPHORA NOS 39835.819444444445 39835.447222222225 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER EPIPHORA NOS 39835.819444444445 39835.447222222225 Jan F Nasolac Duct Intubat No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.83611111111 39835.8 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC 39835.84722222222 39835.51944444444 Jan F Crown Application Roman Catholic Clinic Referral Self SURGERY CENTER HEREDIT TOOTH STRUCT NEC 39835.84722222222 39835.51944444444 Jan F Crown Application Roman Catholic Emergency Room Ambulance EMERGENCY SCABIES 39835.854166666664 39835.794444444444 Jan F Christian Emergency Room Ambulance EMERGENCY SCABIES 39835.854166666664 39835.79652777778 Jan F Christian Emergency Room Ambulance EMERGENCY SCABIES 39835.854166666664 39835.79722222222 Jan F Christian Emergency Room Ambulance EMERGENCY SCABIES 39835.854166666664 39835.79791666667 Jan F Christian Emergency Room Ambulance EMERGENCY SCABIES 39835.854166666664 39835.79861111111 Jan F Christian Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39835.85902777778 39835.67291666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39835.87569444445 39835.65694444445 Jan M Christian Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39835.87847222222 39834.819444444445 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39835.87847222222 39834.819444444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE 39835.88402777778 39835.80347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39835.88888888889 39835.808333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG 39835.89236111111 39835.78680555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39835.89513888889 39835.78194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS 39835.896527777775 39835.72222222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39835.902083333334 39835.82361111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39835.90833333333 39835.839583333334 Jan M No Religious Preference Physician Referral Self SURGERY CENTER 39835.90972222222 39835.47361111111 Jan F No Religious Preference Physician Referral Self SURGERY CENTER 39835.90972222222 39835.47361111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.9125 39835.830555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY 39835.924305555556 39835.861805555556 Jan M Emergency Room Ambulance EMERGENCY 39835.924305555556 39835.861805555556 Jan M Emergency Room Ambulance EMERGENCY 39835.924305555556 39835.861805555556 Jan M Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39835.93263888889 39835.85208333333 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE 39835.93541666667 39835.8375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39835.93819444445 39835.845138888886 Jan F Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39835.950694444444 39835.870833333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39835.95138888889 39835.876388888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.96319444444 39835.88055555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39835.970138888886 39835.8875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39835.97083333333 39835.8125 Jan M Jewish Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.979166666664 39835.84305555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39835.97986111111 39835.82152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ALLERGIC URTICARIA 39835.98541666667 39835.854166666664 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39835.99513888889 39835.85902777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39836.00069444445 39835.861805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.00069444445 39835.95277777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39836.004166666666 39835.90902777778 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39836.020833333336 39835.79861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39836.027083333334 39835.96597222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39836.03402777778 39835.90347222222 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.04791666667 39835.97430555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39836.052083333336 39835.90625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39836.06041666667 39835.95625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.06597222222 39835.96041666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39836.07430555556 39835.868055555555 Jan F Latter Day Saints Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39836.07986111111 39836.01527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PROLAPSE URETHRAL MUCOSA 39836.09722222222 39836.01875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39836.1 39835.9875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39836.111805555556 39835.88958333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.12152777778 39836.04236111111 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39836.14791666667 39836.0125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39836.169444444444 39835.96944444445 Jan M Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39836.18125 39836.083333333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39836.21597222222 39836.08888888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39836.274305555555 39836.16388888889 Jan F Sikh Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39836.342361111114 39836.31805555556 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT 39836.35208333333 39834.384722222225 Jan M Vesicostomy Latter Day Saints Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT 39836.35208333333 39834.384722222225 Jan M Vesicostomy Latter Day Saints Clinic Referral Self SURG 3 UNIT COMPLIC-URINARY TRACT 39836.35208333333 39834.384722222225 Jan M Vesicostomy Latter Day Saints Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39836.364583333336 39836.256944444445 Jan F Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39836.364583333336 39836.256944444445 Jan F Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39836.37222222222 39836.299305555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39836.38680555556 39836.322222222225 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39836.39027777778 39836.29652777778 Jan M Patient Refused Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39836.39236111111 39836.25347222222 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39836.39236111111 39836.25347222222 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX 39836.40625 39836.27291666667 Jan M Destruct Larynx Les Nec No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO LARYNX 39836.40625 39836.27291666667 Jan M Destruct Larynx Les Nec No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN THORACIC REGION 39836.415972222225 39836.36319444444 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR 39836.430555555555 39836.282638888886 Jan F Injection Into Joint Jehovah's Witness Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR 39836.430555555555 39836.282638888886 Jan F Injection Into Joint Jehovah's Witness Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM 39836.43194444444 39836.373611111114 Jan F Roman Catholic Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS 39836.43263888889 39834.80069444444 Jan M Tooth Extraction Nec Buddhist Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS 39836.43263888889 39834.80069444444 Jan M Tooth Extraction Nec Buddhist Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS 39836.43263888889 39834.80069444444 Jan M Tooth Extraction Nec Buddhist Emergency Room Ambulance REHAB UNIT PERIAPICAL ABSCESS 39836.43263888889 39834.80069444444 Jan M Tooth Extraction Nec Buddhist Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC 39836.44097222222 39836.28125 Jan M Incision Pilonidal Sinus No Religious Preference Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC 39836.44097222222 39836.28125 Jan M Incision Pilonidal Sinus No Religious Preference Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39836.44097222222 39836.313888888886 Jan F Egd With Closed Biopsy Latter Day Saints Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39836.44097222222 39836.313888888886 Jan F Egd With Closed Biopsy Latter Day Saints Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.44375 39836.33125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.444444444445 39836.33125 Jan F Hindu Emergency Room Ambulance OBSERVATION UNIT CROUP 39836.45416666667 39836.07013888889 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT CROUP 39836.45416666667 39836.07013888889 Jan M No Religious Preference Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA 39836.46041666667 39835.29583333333 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA 39836.46041666667 39835.29583333333 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self MED 2G UNIT UNILAT INGUINAL HERNIA 39836.46041666667 39835.29583333333 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC 39836.46527777778 39827.520833333336 Jan F Thorac Seg Lung Resect No Religious Preference Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC 39836.46527777778 39827.520833333336 Jan F Thorac Seg Lung Resect No Religious Preference Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC 39836.46527777778 39827.520833333336 Jan F Thorac Seg Lung Resect No Religious Preference Clinic Referral Self SCCA UNIT OTHER LUNG DISEASE NEC 39836.46527777778 39827.520833333336 Jan F Thorac Seg Lung Resect No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39836.46527777778 39836.27569444444 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39836.46527777778 39836.27569444444 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance SURG 3 UNIT TRANSFUSION REACTION NEC 39836.47638888889 39835.65347222222 Jan M Inject/Inf Thrombo Agent Christian Emergency Room Ambulance SURG 3 UNIT TRANSFUSION REACTION NEC 39836.47638888889 39835.65347222222 Jan M Inject/Inf Thrombo Agent Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.48125 39836.45277777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39836.481944444444 39836.41736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPN WOUND OCULAR ADNEX NEC 39836.49097222222 39836.40138888889 Jan M Presbyterian Emergency Room Ambulance OBSERVATION UNIT CROUP 39836.49236111111 39835.83263888889 Jan M Jehovah's Witness Emergency Room Ambulance OBSERVATION UNIT CROUP 39836.49236111111 39835.83263888889 Jan M Jehovah's Witness Emergency Room Ambulance OBSERVATION UNIT CROUP 39836.49236111111 39835.83263888889 Jan M Jehovah's Witness Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39836.50486111111 39836.45625 Jan F Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39836.50625 39836.41875 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39836.506944444445 39836.350694444445 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39836.506944444445 39836.350694444445 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39836.506944444445 39836.41875 Jan M Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39836.50902777778 39834.78958333333 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39836.50902777778 39834.78958333333 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39836.50902777778 39834.78958333333 Jan F Lap Appendectomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39836.50902777778 39834.78958333333 Jan F Lap Appendectomy Roman Catholic Clinic Referral Ambulance MED 1T UNIT HERPES SIMPLEX NOS 39836.51111111111 39821.74722222222 Jan M Venous Cath Nec No Religious Preference Clinic Referral Ambulance MED 1T UNIT HERPES SIMPLEX NOS 39836.51111111111 39821.74722222222 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT CHOLESTEATOMA NOS 39836.51180555556 39832.60208333333 Jan M Christian Emergency Room Ambulance MED 2G UNIT CHOLESTEATOMA NOS 39836.51180555556 39832.60208333333 Jan M Christian Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS 39836.51388888889 39834.86319444444 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS 39836.51388888889 39834.86319444444 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS 39836.51388888889 39834.86319444444 Jan F Roman Catholic Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE 39836.51875 39835.2625 Jan F Imp/Repl Peri Stim Lead Christian Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE 39836.51875 39835.2625 Jan F Imp/Repl Peri Stim Lead Christian Clinic Referral Self REHAB UNIT EPILEPSY NOS INTRACTABLE 39836.51875 39835.2625 Jan F Imp/Repl Peri Stim Lead Christian Clinic Referral Self SURGERY CENTER CONSTIPATION NOS 39836.520833333336 39836.25 Jan F Closed Rectal Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER CONSTIPATION NOS 39836.520833333336 39836.25 Jan F Closed Rectal Biopsy No Religious Preference Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS 39836.521527777775 39830.0 Jan M Oth Arthrotomy-Hip Methodist Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS 39836.521527777775 39830.0 Jan M Oth Arthrotomy-Hip Methodist Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS 39836.521527777775 39830.0 Jan M Oth Arthrotomy-Hip Methodist Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-PELVIS 39836.521527777775 39830.0 Jan M Oth Arthrotomy-Hip Methodist Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39836.53125 39836.48472222222 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39836.532638888886 39835.01666666667 Jan M Christian Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39836.532638888886 39835.01666666667 Jan M Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39836.54861111111 39834.33819444444 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39836.54861111111 39834.33819444444 Jan F Inject Ca Chemother Nec Roman Catholic Emergency Room Ambulance EMERGENCY ENLARGEMENT LYMPH NODES 39836.552777777775 39836.49513888889 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39836.55902777778 39835.51944444444 Jan F Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39836.55902777778 39835.51944444444 Jan F Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39836.55902777778 39835.51944444444 Jan F Lap Appendectomy No Religious Preference Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION 39836.55972222222 39835.072222222225 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION 39836.55972222222 39835.072222222225 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION 39836.55972222222 39835.072222222225 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED 39836.561111111114 39836.461805555555 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS 39836.56597222222 39822.475694444445 Jan M Enterostomy Nec Christian Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS 39836.56597222222 39822.475694444445 Jan M Enterostomy Nec Christian Emergency Room Ambulance SURG 3 UNIT CONSTIPATION NOS 39836.56597222222 39822.475694444445 Jan M Enterostomy Nec Christian Emergency Room Ambulance SURG 3 UNIT 39836.56597222222 39824.586805555555 Jan M Christian Emergency Room Ambulance SURG 3 UNIT 39836.56597222222 39824.586805555555 Jan M Christian Emergency Room Ambulance SURG 3 UNIT 39836.56597222222 39824.586805555555 Jan M Christian Emergency Room Ambulance SURG 3 UNIT 39836.56597222222 39824.586805555555 Jan M Christian Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39836.572916666664 39836.26666666667 Jan M Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS 39836.575 39832.825 Jan M Christian Emergency Room Ambulance MED 1T UNIT VIRAL ENTERITIS NOS 39836.575 39832.825 Jan M Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.57708333333 39836.37777777778 Jan M Christian Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39836.58263888889 39834.87152777778 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39836.58263888889 39834.87152777778 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39836.58888888889 39833.43541666667 Jan F Baptist Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39836.58888888889 39833.43541666667 Jan F Baptist Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39836.59375 39836.39097222222 Jan F Surg Tooth Extract Nec Christian Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39836.59375 39836.39097222222 Jan F Surg Tooth Extract Nec Christian Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC 39836.59722222222 39836.45763888889 Jan F Nasal Les Destruct Nec No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC 39836.59722222222 39836.45763888889 Jan F Nasal Les Destruct Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39836.603472222225 39833.62291666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39836.603472222225 39833.62291666667 Jan M No Religious Preference Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39836.604166666664 39833.4125 Jan F Cerebral Scan No Religious Preference Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39836.604166666664 39833.4125 Jan F Cerebral Scan No Religious Preference Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS 39836.604166666664 39833.87847222222 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self MED 2G UNIT ULCERATIVE COLITIS NOS 39836.604166666664 39833.87847222222 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39836.604166666664 39836.361805555556 Jan F Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39836.604166666664 39836.361805555556 Jan F Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.60555555556 39836.5125 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK 39836.61111111111 39835.74444444444 Jan M Other Skin And Subq I And D No Religious Preference Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK 39836.61111111111 39835.74444444444 Jan M Other Skin And Subq I And D No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39836.611805555556 39835.27916666667 Jan F Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39836.611805555556 39835.27916666667 Jan F Repair Of Cleft Lip No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39836.614583333336 39836.43125 Jan M Surg Tooth Extract Nec Episcopal Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39836.614583333336 39836.43125 Jan M Surg Tooth Extract Nec Episcopal Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS 39836.62291666667 39836.48125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.62291666667 39836.55 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39836.623611111114 39835.268055555556 Jan M Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39836.623611111114 39835.268055555556 Jan M Christian Emergency Room Ambulance MED 1T UNIT CROUP 39836.625 39835.975694444445 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT CROUP 39836.625 39835.975694444445 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH 39836.625 39836.46944444445 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST EXTRACORPOR DIALY CATH 39836.625 39836.46944444445 Jan M Removal Fb/Dev From Skin No Religious Preference Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA 39836.62569444445 39836.56597222222 Jan M Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39836.62986111111 39834.35625 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39836.62986111111 39834.35625 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS 39836.634722222225 39836.44513888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39836.63888888889 39836.4875 Jan M Deciduous Tooth Extract Latter Day Saints Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39836.63888888889 39836.4875 Jan M Deciduous Tooth Extract Latter Day Saints Emergency Room Ambulance EMERGENCY FEVER NOS 39836.65416666667 39836.47708333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.65972222222 39836.62847222222 Jan M No Religious Preference Outside Hospital Ambulance MED 2T UNIT BILAT INGUINAL HERNIA 39836.675 39832.649305555555 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Outside Hospital Ambulance MED 2T UNIT BILAT INGUINAL HERNIA 39836.675 39832.649305555555 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Clinic Referral Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS 39836.675 39834.419444444444 Jan M Roman Catholic Clinic Referral Ambulance MED 1T UNIT REGIONAL ENTERITIS NOS 39836.675 39834.419444444444 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM 39836.680555555555 39836.44861111111 Jan F Turbinectomy Nec Roman Catholic Clinic Referral Self SURGERY CENTER DEVIATED NASAL SEPTUM 39836.680555555555 39836.44861111111 Jan F Turbinectomy Nec Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39836.68680555555 39836.63680555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39836.688888888886 39836.54652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39836.69513888889 39836.535416666666 Jan F No Religious Preference Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39836.708333333336 39826.41388888889 Jan F Kidney Transplant Nec Roman Catholic Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39836.708333333336 39826.41388888889 Jan F Kidney Transplant Nec Roman Catholic Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39836.708333333336 39826.41388888889 Jan F Kidney Transplant Nec Roman Catholic Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39836.708333333336 39826.41388888889 Jan F Kidney Transplant Nec Roman Catholic Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39836.708333333336 39826.41388888889 Jan F Kidney Transplant Nec Roman Catholic Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR 39836.708333333336 39833.75555555556 Jan F Christian Clinic Referral Ambulance MED 2G UNIT POLYART JUV RHEUM ARTHR 39836.708333333336 39833.75555555556 Jan F Christian Clinic Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS 39836.711805555555 39836.29375 Jan F Myringotomy W Intubation Roman Catholic Clinic Referral Self OBSERVATION UNIT CHR SEROUS OM SIMP/NOS 39836.711805555555 39836.29375 Jan F Myringotomy W Intubation Roman Catholic Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39836.720138888886 39836.597916666666 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG 39836.72083333333 39830.49791666667 Jan M Other Femoral Incision Christian Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG 39836.72083333333 39830.49791666667 Jan M Other Femoral Incision Christian Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG 39836.72083333333 39830.49791666667 Jan M Other Femoral Incision Christian Emergency Room Ambulance SURG 3 UNIT PYOGEN ARTHRITIS-L/LEG 39836.72083333333 39830.49791666667 Jan M Other Femoral Incision Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39836.72152777778 39836.566666666666 Jan F No Religious Preference Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA 39836.72708333333 39836.25486111111 Jan F Spinal Canal Inject Nec Latter Day Saints Clinic Referral Self REHAB UNIT CONGENITAL QUADRIPLEGIA 39836.72708333333 39836.25486111111 Jan F Spinal Canal Inject Nec Latter Day Saints Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39836.729166666664 39836.654861111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SKIN SENSATION DISTURB 39836.729166666664 39836.666666666664 Jan M Islam Emergency Room Ambulance EMERGENCY IMPETIGO 39836.7375 39836.67013888889 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39836.73888888889 39835.865277777775 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39836.73888888889 39835.865277777775 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39836.740277777775 39836.50902777778 Jan M Jewish Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39836.74236111111 39830.62708333333 Jan F Christian Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39836.74236111111 39830.62708333333 Jan F Christian Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS 39836.74375 39835.78472222222 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT PERIAPICAL ABSCESS 39836.74375 39835.78472222222 Jan M No Religious Preference Physician Referral Self SURG 4 UNIT FEEDING PROBLEM 39836.75 39834.686111111114 Jan F Percu Endosc Gastrostomy No Religious Preference Physician Referral Self SURG 4 UNIT FEEDING PROBLEM 39836.75 39834.686111111114 Jan F Percu Endosc Gastrostomy No Religious Preference Physician Referral Self SURG 4 UNIT FEEDING PROBLEM 39836.75 39834.686111111114 Jan F Percu Endosc Gastrostomy No Religious Preference Physician Referral Self SURG 4 UNIT FEEDING PROBLEM 39836.75 39834.686111111114 Jan F Percu Endosc Gastrostomy No Religious Preference Clinic Referral Self OBSERVATION UNIT CLEFT PALATE NOS 39836.759722222225 39836.31875 Jan F Oth Plastic Repair Palat No Religious Preference Clinic Referral Self OBSERVATION UNIT CLEFT PALATE NOS 39836.759722222225 39836.31875 Jan F Oth Plastic Repair Palat No Religious Preference Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39836.759722222225 39836.72083333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39836.76944444444 39836.663194444445 Jan M Christian Clinic Referral Self SCCA UNIT BACTERIAL PNEUMONIA NOS 39836.77291666667 39822.91111111111 Jan M Roman Catholic Clinic Referral Self SCCA UNIT BACTERIAL PNEUMONIA NOS 39836.77291666667 39822.91111111111 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT RITTER'S DISEASE 39836.774305555555 39832.666666666664 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT RITTER'S DISEASE 39836.774305555555 39832.666666666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.775 39836.74375 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC 39836.78125 39834.592361111114 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS, SITE NEC 39836.78125 39834.592361111114 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND 39836.78125 39836.379166666666 Jan M Rt/Left Heart Card Cath Roman Catholic Clinic Referral Self SURGERY CENTER HYPOPLASTIC LEFT HEART SYND 39836.78125 39836.379166666666 Jan M Rt/Left Heart Card Cath Roman Catholic Emergency Room Ambulance EMERGENCY MALIG NEO BRAIN NOS 39836.785416666666 39836.61388888889 Jan M Christian Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL 39836.79791666667 39834.58472222222 Jan F Mri Of Brain And Brainstem Christian Emergency Room Ambulance MED 1T UNIT DISORDERS MITOCHONDRIAL METABOL 39836.79791666667 39834.58472222222 Jan F Mri Of Brain And Brainstem Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39836.80763888889 39836.78333333333 Jan F Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39836.80972222222 39836.61319444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS 39836.81597222222 39836.69930555556 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39836.822916666664 39834.66111111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39836.822916666664 39834.66111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39836.825 39836.72430555556 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX 39836.82638888889 39834.15902777778 Jan M Drain Appendiceal Absc Roman Catholic Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX 39836.82638888889 39834.15902777778 Jan M Drain Appendiceal Absc Roman Catholic Emergency Room Ambulance MED 2T UNIT ABSCESS OF APPENDIX 39836.82638888889 39834.15902777778 Jan M Drain Appendiceal Absc Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39836.83611111111 39836.52361111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA 39836.83611111111 39836.79027777778 Jan M Islam Emergency Room Ambulance EMERGENCY ALTERED MENTAL STATUS 39836.853472222225 39836.75347222222 Jan F Patient Refused Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE 39836.85625 39836.68125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK 39836.86388888889 39836.80763888889 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC 39836.868055555555 39836.419444444444 Jan M Rt Heart Cardiac Cath Other Religion Clinic Referral Self SURGERY CENTER CHR PULMON HEART DIS NEC 39836.868055555555 39836.419444444444 Jan M Rt Heart Cardiac Cath Other Religion Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA 39836.86944444444 39835.725 Jan M Unilat Ing Hern Rep Nos Roman Catholic Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA 39836.86944444444 39835.725 Jan M Unilat Ing Hern Rep Nos Roman Catholic Emergency Room Ambulance SURG 3 UNIT UNILAT INGUINAL HERNIA 39836.86944444444 39835.725 Jan M Unilat Ing Hern Rep Nos Roman Catholic Emergency Room Ambulance EMERGENCY CONTUSION OF KNEE 39836.87777777778 39836.81597222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39836.88263888889 39836.688888888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39836.88611111111 39836.79305555556 Jan M Christian Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39836.90138888889 39836.75069444445 Jan F No Religious Preference Clinic Referral Self SCCA UNIT NEPHRITIS NEC 39836.90277777778 39835.458333333336 Jan F Closed Renal Biopsy No Religious Preference Clinic Referral Self SCCA UNIT NEPHRITIS NEC 39836.90277777778 39835.458333333336 Jan F Closed Renal Biopsy No Religious Preference Clinic Referral Self SCCA UNIT NEPHRITIS NEC 39836.90277777778 39835.458333333336 Jan F Closed Renal Biopsy No Religious Preference Clinic Referral Self SCCA UNIT NEPHRITIS NEC 39836.90277777778 39835.458333333336 Jan F Closed Renal Biopsy No Religious Preference Clinic Referral Self SCCA UNIT NEPHRITIS NEC 39836.90277777778 39835.458333333336 Jan F Closed Renal Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY ULCERATIVE COLITIS NOS 39836.91388888889 39836.729166666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY RECTAL PROLAPSE 39836.91388888889 39836.799305555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39836.92222222222 39836.78125 Jan F Latter Day Saints Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS 39836.93263888889 39836.86597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY TIETZE'S DISEASE 39836.93472222222 39836.822222222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39836.944444444445 39836.825 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39836.94513888889 39836.80416666667 Jan F Bahai Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39836.95208333333 39836.82986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39836.95347222222 39836.8625 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CELLULITIS OF ARM 39836.96111111111 39836.76875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK 39836.96319444444 39836.85972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED 39836.97986111111 39836.842361111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ANAL FISSURE 39836.97986111111 39836.925 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39836.99097222222 39836.86319444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39837.009722222225 39836.66180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39837.009722222225 39836.66180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH 39837.024305555555 39836.938888888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39837.032638888886 39836.93541666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39837.03472222222 39836.972916666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.06180555555 39837.01597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY RESPIRATORY PROBS AFTER BIRTH NEC 39837.072916666664 39836.98611111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.09583333333 39837.02291666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SEXUAL PRECOCITY NEC 39837.114583333336 39837.04513888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTALGIA NOS 39837.13888888889 39837.020833333336 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH 39837.14236111111 39836.959027777775 Jan M Baptist Emergency Room Ambulance EMERGENCY DEHYDRATION 39837.1625 39836.979166666664 Jan M Buddhist Emergency Room Ambulance EMERGENCY CROUP 39837.186111111114 39837.114583333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.19652777778 39837.058333333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.197916666664 39837.05625 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39837.20486111111 39837.15694444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39837.209027777775 39837.07916666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.21041666667 39837.118055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH 39837.27916666667 39837.04027777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DYSURIA 39837.28472222222 39837.169444444444 Jan M Christian Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39837.31041666667 39837.25208333333 Jan M Hindu Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39837.37152777778 39837.24722222222 Jan M No Religious Preference Outside Hospital Ambulance NICU PRETERM NEC 2000-2499G 39837.39791666667 39827.302083333336 Jan M Parent Infus Nutrit Sub Baptist Outside Hospital Ambulance NICU PRETERM NEC 2000-2499G 39837.39791666667 39827.302083333336 Jan M Parent Infus Nutrit Sub Baptist Emergency Room Ambulance EMERGENCY LYMPHADENITIS NOS 39837.40416666667 39837.33888888889 Jan M Christian Emergency Room Ambulance EMERGENCY ALOPECIA NOS 39837.413194444445 39837.368055555555 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39837.44097222222 39837.32361111111 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39837.44097222222 39837.32361111111 Jan F Tonsillectomy/Adenoidec Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39837.441666666666 39837.36041666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS 39837.44930555556 39832.45416666667 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT PYELONEPHRITIS NOS 39837.44930555556 39832.45416666667 Jan F No Religious Preference Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39837.450694444444 39834.47708333333 Jan F Ventr Septa Def Rep Nec No Religious Preference Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39837.450694444444 39834.47708333333 Jan F Ventr Septa Def Rep Nec No Religious Preference Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39837.450694444444 39834.47708333333 Jan F Ventr Septa Def Rep Nec No Religious Preference Clinic Referral Self SURG 4 UNIT VENTRICULAR SEPT DEFECT 39837.450694444444 39834.47708333333 Jan F Ventr Septa Def Rep Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.450694444444 39837.38611111111 Jan M No Religious Preference Outside Hospital Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS 39837.45694444444 39827.993055555555 Jan M Clos Large Bowel Biopsy Roman Catholic Outside Hospital Ambulance MED 2T UNIT REGIONAL ENTERITIS NOS 39837.45694444444 39827.993055555555 Jan M Clos Large Bowel Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39837.45763888889 39837.302777777775 Jan F Roman Catholic Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NEC 39837.458333333336 39835.28402777778 Jan M Cystoscopy Nec Christian Clinic Referral Self SURG 4 UNIT RENAL AND URETERAL DIS NEC 39837.458333333336 39835.28402777778 Jan M Cystoscopy Nec Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.46527777778 39837.334027777775 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.46527777778 39837.334027777775 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39837.46597222222 39837.39236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39837.50555555556 39837.427083333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECTED ABUSE/NEGLECT 39837.506944444445 39837.4125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39837.51111111111 39837.48333333333 Jan F Latter Day Saints Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39837.51180555556 39834.5875 Jan M Loc Exc Bone Les Femur Roman Catholic Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39837.51180555556 39834.5875 Jan M Loc Exc Bone Les Femur Roman Catholic Clinic Referral Self SURG 3 UNIT BONE AND CARTILAGE DIS NEC 39837.51180555556 39834.5875 Jan M Loc Exc Bone Les Femur Roman Catholic Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC 39837.51388888889 39836.37986111111 Jan M Cleft Palate Correction Christian Clinic Referral Self SURG 3 UNIT UNILAT CLEFT PALATE-INC 39837.51388888889 39836.37986111111 Jan M Cleft Palate Correction Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.51527777778 39837.37986111111 Jan F Baptist Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39837.51736111111 39837.3625 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39837.51736111111 39837.3625 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.51736111111 39837.40416666667 Jan M Myringotomy W Intubation Sikh Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.51736111111 39837.40416666667 Jan M Myringotomy W Intubation Sikh Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39837.53055555555 39837.45763888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.53125 39837.375 Jan M Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39837.53125 39837.375 Jan M Myringotomy W Intubation Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.53125 39837.475 Jan F Islam Emergency Room Ambulance EMERGENCY ABRASION TRUNK 39837.53611111111 39837.47986111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39837.538194444445 39837.46388888889 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39837.538194444445 39837.46388888889 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN 39837.541666666664 39835.25347222222 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN 39837.541666666664 39835.25347222222 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURG 3 UNIT HYPERTROPHY TONS AND ADEN 39837.541666666664 39835.25347222222 Jan M Tonsillectomy/Adenoidec Other Religion Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE 39837.541666666664 39836.97152777778 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT SYNCOPE AND COLLAPSE 39837.541666666664 39836.97152777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY BACTEREMIA NOS 39837.555555555555 39837.40972222222 Jan M Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39837.55694444444 39837.38333333333 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.56527777778 39837.50902777778 Jan F Pentecostal Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39837.569444444445 39837.48333333333 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39837.569444444445 39837.48333333333 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39837.572916666664 39837.32986111111 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39837.572916666664 39837.32986111111 Jan F Tonsillectomy/Adenoidec Christian Outside Hospital Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC 39837.57847222222 39829.60555555556 Jan M Entral Infus Nutrit Sub Christian Outside Hospital Ambulance MED 2G UNIT NEONAT ENDO/MET DIS NEC 39837.57847222222 39829.60555555556 Jan M Entral Infus Nutrit Sub Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39837.58541666667 39834.34583333333 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39837.58541666667 39834.34583333333 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY PALPITATIONS 39837.59166666667 39837.520833333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39837.592361111114 39837.54861111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS 39837.59375 39837.43680555555 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR SUP OTITIS MEDIA NOS 39837.59375 39837.43680555555 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39837.59722222222 39836.626388888886 Jan F Christian Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39837.597916666666 39837.58472222222 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.60138888889 39837.46875 Jan F Islam Emergency Room Ambulance EMERGENCY FETAL/NEONATAL JAUND NOS 39837.60486111111 39837.54791666667 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC 39837.61041666667 39836.478472222225 Jan F Plastic Op On Pharynx Other Religion Clinic Referral Self SURG 3 UNIT PHARYNGEAL ANOMALY NEC 39837.61041666667 39836.478472222225 Jan F Plastic Op On Pharynx Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.61319444444 39837.544444444444 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER END STAGE RENAL DISEASE 39837.631944444445 39837.41180555556 Jan M Ven Cath Renal Dialysis Christian Clinic Referral Self SURGERY CENTER END STAGE RENAL DISEASE 39837.631944444445 39837.41180555556 Jan M Ven Cath Renal Dialysis Christian Emergency Room Ambulance EMERGENCY HEADACHE 39837.634722222225 39837.561111111114 Jan F Islam Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39837.64166666667 39837.57986111111 Jan M No Religious Preference Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS 39837.645833333336 39836.52222222222 Jan F Clubfoot Release Nec Christian Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS 39837.645833333336 39836.52222222222 Jan F Clubfoot Release Nec Christian Clinic Referral Self REHAB UNIT TALIPES EQUINOVARUS 39837.645833333336 39836.52222222222 Jan F Clubfoot Release Nec Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.649305555555 39837.55416666667 Jan M Christian Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39837.649305555555 39837.55416666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39837.649305555555 39837.61666666667 Jan M Islam Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC 39837.65694444445 39837.49444444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY POISONING-CEPHALOSPORIN GROUP 39837.65833333333 39837.597916666666 Jan M Methodist Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39837.66388888889 39837.572916666664 Jan M Christian Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39837.67361111111 39833.96111111111 Jan F Hemorr Contrl Post T And A No Religious Preference Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39837.67361111111 39833.96111111111 Jan F Hemorr Contrl Post T And A No Religious Preference Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC 39837.677083333336 39836.32638888889 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT CHRONIC BRONCHITIS NEC 39837.677083333336 39836.32638888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONTUSION OF FOREARM 39837.691666666666 39837.60138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39837.697916666664 39837.65277777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT HYPOXEMIA 39837.69861111111 39822.524305555555 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance MED 2G UNIT HYPOXEMIA 39837.69861111111 39822.524305555555 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance MED 2G UNIT HYPOXEMIA 39837.69861111111 39822.524305555555 Jan M Replace Small Bowel Tube Christian Emergency Room Ambulance EMERGENCY ACUTE SUPP OM W DRUM RUPT 39837.708333333336 39837.56805555556 Jan M Christian Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39837.708333333336 39837.57013888889 Jan F Insert Gastric Tube Nec Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.71527777778 39837.615277777775 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT 39837.725694444445 39836.291666666664 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT 39837.725694444445 39836.291666666664 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 3 UNIT TETRALOGY OF FALLOT 39837.725694444445 39836.291666666664 Jan F Angio Oth Non-Coronary No Religious Preference Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS 39837.725694444445 39837.675 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39837.72638888889 39837.57638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39837.72708333333 39837.64444444444 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE 39837.729166666664 39836.83888888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT FX FACIAL BONE NEC-CLOSE 39837.729166666664 39836.83888888889 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39837.73263888889 39835.40555555555 Jan F Christian Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39837.73263888889 39835.40555555555 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.74791666667 39837.68958333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK 39837.754166666666 39837.60555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39837.768055555556 39837.62569444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK 39837.768055555556 39837.69236111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED 39837.779861111114 39837.62847222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.79652777778 39837.73472222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39837.79722222222 39837.74652777778 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39837.79722222222 39837.751388888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39837.81041666667 39837.64513888889 Jan F Christian Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH 39837.8125 39837.697916666664 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39837.81319444445 39837.71597222222 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39837.81736111111 39836.53611111111 Jan F Cleft Palate Correction Christian Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-INC 39837.81736111111 39836.53611111111 Jan F Cleft Palate Correction Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39837.82083333333 39836.458333333336 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39837.82083333333 39836.458333333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39837.839583333334 39837.75763888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ANEMIA NOS 39837.845138888886 39837.66458333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.85138888889 39837.66180555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39837.87152777778 39837.62222222222 Jan F Hindu Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39837.875 39835.597916666666 Jan F Christian Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39837.875 39835.597916666666 Jan F Christian Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39837.90347222222 39837.631944444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39837.90347222222 39837.86041666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39837.90625 39837.82430555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39837.90902777778 39837.77916666667 Jan F Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FACE NOS 39837.910416666666 39837.81597222222 Jan F Christian Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK 39837.92638888889 39837.77291666667 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39837.93819444445 39837.82083333333 Jan F Episcopal Emergency Room Ambulance EMERGENCY DYSURIA 39837.955555555556 39837.782638888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTALGIA NOS 39837.955555555556 39837.84097222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39837.96597222222 39837.88680555556 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39837.97152777778 39836.21875 Jan F Hindu Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39837.97152777778 39836.21875 Jan F Hindu Emergency Room Ambulance MED 2T UNIT NONINFEC GASTROENTERIT NEC 39837.97152777778 39836.21875 Jan F Hindu Emergency Room Ambulance EMERGENCY OTALGIA NOS 39837.972916666666 39837.82708333333 Jan M Lutheran Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39837.97708333333 39837.78402777778 Jan M Baptist Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK 39838.00069444445 39837.82152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39838.00902777778 39837.70416666667 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39838.00902777778 39837.88958333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39838.01597222222 39837.845138888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39838.01666666667 39837.89375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39838.01736111111 39837.87013888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39838.01736111111 39837.87013888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS 39838.021527777775 39837.94513888889 Jan M Christian Emergency Room Ambulance EMERGENCY DYSURIA 39838.03611111111 39837.96041666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39838.03958333333 39837.95347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39838.04791666667 39837.850694444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DISL FINGER NOS-CLOSED 39838.05902777778 39837.90347222222 Jan M Jewish Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39838.05972222222 39837.96875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39838.06875 39837.90833333333 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39838.069444444445 39838.021527777775 Jan M Christian Emergency Room Ambulance EMERGENCY WHEEZING 39838.07777777778 39837.90138888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39838.115277777775 39837.98819444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.11597222222 39837.990277777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39838.15833333333 39837.9125 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39838.19097222222 39838.05069444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39838.23611111111 39838.01388888889 Jan F Assembly of God Emergency Room Ambulance EMERGENCY FEVER NOS 39838.245833333334 39838.06041666667 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.24652777778 39838.02638888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HYPERVENTILATION 39838.25 39838.06805555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39838.25069444445 39838.15277777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39838.25555555556 39837.99722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39838.270833333336 39838.04375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PRURITIC DISORDER NOS 39838.27569444444 39838.05694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URINARY OBSTRUCTION NOS 39838.32916666667 39838.10277777778 Jan F Insert Indwelling Cath Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39838.330555555556 39838.23611111111 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39838.33541666667 39838.24375 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.37152777778 39838.290972222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39838.37222222222 39838.32083333333 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.38888888889 39838.29652777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.42083333333 39838.39097222222 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.436111111114 39834.99166666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.436111111114 39834.99166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY IMPETIGO 39838.467361111114 39838.410416666666 Jan M Christian Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA 39838.46805555555 39835.27569444444 Jan M Disarticulation Of Knee Roman Catholic Clinic Referral Self SURG 3 UNIT LONGITUDINAL DEFIC TIBIA 39838.46805555555 39835.27569444444 Jan M Disarticulation Of Knee Roman Catholic Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39838.478472222225 39838.46111111111 Jan M Islam Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE 39838.481944444444 39838.44375 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39838.489583333336 39835.76944444444 Jan F Jehovah's Witness Emergency Room Ambulance MED 2T UNIT DEHYDRATION 39838.489583333336 39835.76944444444 Jan F Jehovah's Witness Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.49722222222 39838.44513888889 Jan M No Religious Preference Outside Hospital Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS 39838.5 39826.72152777778 Jan M Ventricl Shunt-Abdomen No Religious Preference Outside Hospital Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS 39838.5 39826.72152777778 Jan M Ventricl Shunt-Abdomen No Religious Preference Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC 39838.50277777778 39829.74791666667 Jan F Colostomy Nos No Religious Preference Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC 39838.50277777778 39829.74791666667 Jan F Colostomy Nos No Religious Preference Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC 39838.50277777778 39829.74791666667 Jan F Colostomy Nos No Religious Preference Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC 39838.50277777778 39829.74791666667 Jan F Colostomy Nos No Religious Preference Clinic Referral Ambulance SURG 4 UNIT INTESTINAL ANOMALY NEC 39838.50277777778 39829.74791666667 Jan F Colostomy Nos No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39838.52291666667 39838.47638888889 Jan F Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.52569444444 39833.472916666666 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.52569444444 39833.472916666666 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39838.52569444444 39838.489583333336 Jan M Unitarian Universalist Emergency Room Ambulance EMERGENCY FEVER NOS 39838.52847222222 39838.49166666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39838.52916666667 39838.48055555556 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39838.53055555555 39837.674305555556 Jan M Reduct Intuss Ali Tract No Religious Preference Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39838.53055555555 39837.674305555556 Jan M Reduct Intuss Ali Tract No Religious Preference Emergency Room Ambulance SURG 3 UNIT INTUSSUSCEPTION 39838.53055555555 39837.674305555556 Jan M Reduct Intuss Ali Tract No Religious Preference Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39838.532638888886 39826.24930555555 Jan M Caval-Pulmon Art Anastom No Religious Preference Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39838.532638888886 39826.24930555555 Jan M Caval-Pulmon Art Anastom No Religious Preference Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39838.532638888886 39826.24930555555 Jan M Caval-Pulmon Art Anastom No Religious Preference Outside Health Care Facility Self SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39838.532638888886 39826.24930555555 Jan M Caval-Pulmon Art Anastom No Religious Preference Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS 39838.538194444445 39836.415972222225 Jan M Laparoscopic Cholecystec Roman Catholic Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS 39838.538194444445 39836.415972222225 Jan M Laparoscopic Cholecystec Roman Catholic Clinic Referral Self REHAB UNIT CHOLELITHIASIS NOS 39838.538194444445 39836.415972222225 Jan M Laparoscopic Cholecystec Roman Catholic Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE 39838.54791666667 39838.45416666667 Jan F Christian Clinic Referral Ambulance SURG 3 UNIT HYPEROSMOLALITY 39838.549305555556 39835.72083333333 Jan M Parent Infus Nutrit Sub No Religious Preference Clinic Referral Ambulance SURG 3 UNIT HYPEROSMOLALITY 39838.549305555556 39835.72083333333 Jan M Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE 39838.55 39838.43194444444 Jan M Jewish Emergency Room Ambulance EMERGENCY CONTUSION FACE/SCALP/NCK 39838.552083333336 39838.51111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39838.561111111114 39838.53194444445 Jan M 7th Day Adventist Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39838.57083333333 39838.50208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39838.572222222225 39838.458333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39838.57430555556 39838.48333333333 Jan F Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39838.57847222222 39838.54513888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39838.57916666667 39838.44097222222 Jan M Other Religion Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE 39838.583333333336 39821.2625 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE 39838.583333333336 39821.2625 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE 39838.583333333336 39821.2625 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE 39838.583333333336 39821.2625 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE RESPIRATORY FAILURE 39838.583333333336 39821.2625 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance EMERGENCY PYOGENIC GRANULOMA 39838.583333333336 39838.45138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39838.58611111111 39838.53680555556 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39838.586805555555 39836.90625 Jan M Latter Day Saints Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39838.586805555555 39836.90625 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39838.5875 39838.521527777775 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39838.595138888886 39838.53888888889 Jan F No Religious Preference Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39838.60763888889 39836.754166666666 Jan M No Religious Preference Clinic Referral Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39838.60763888889 39836.754166666666 Jan M No Religious Preference Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC 39838.60763888889 39836.80486111111 Jan M No Religious Preference Clinic Referral Ambulance SURG 3 UNIT BRAIN CONDITIONS NEC 39838.60763888889 39836.80486111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ROSEOLA INFANTUM NOS 39838.61597222222 39838.55069444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.61875 39838.55763888889 Jan M No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.62777777778 39835.333333333336 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.62777777778 39835.333333333336 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39838.63263888889 39838.58125 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39838.63402777778 39838.55486111111 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT NEUTROPENIA NOS 39838.635416666664 39834.61875 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT NEUTROPENIA NOS 39838.635416666664 39834.61875 Jan F Roman Catholic Physician Referral Ambulance MED 1T UNIT CHRONIC LIVER DIS NEC 39838.635416666664 39835.717361111114 Jan M Mri Of Brain And Brainstem No Religious Preference Physician Referral Ambulance MED 1T UNIT CHRONIC LIVER DIS NEC 39838.635416666664 39835.717361111114 Jan M Mri Of Brain And Brainstem No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39838.638194444444 39838.569444444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.64861111111 39838.572222222225 Jan F Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.66388888889 39835.32638888889 Jan M Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39838.66388888889 39835.32638888889 Jan M Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39838.67916666667 39837.470138888886 Jan F Other Appendectomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39838.67916666667 39837.470138888886 Jan F Other Appendectomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39838.67916666667 39837.470138888886 Jan F Other Appendectomy Roman Catholic Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39838.67986111111 39833.768055555556 Jan F Closed Renal Biopsy Roman Catholic Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39838.67986111111 39833.768055555556 Jan F Closed Renal Biopsy Roman Catholic Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39838.67986111111 39833.768055555556 Jan F Closed Renal Biopsy Roman Catholic Clinic Referral Ambulance SURG 4 UNIT COMPLIC KIDNEY TRANSPLANT 39838.67986111111 39833.768055555556 Jan F Closed Renal Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39838.680555555555 39838.60763888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39838.68541666667 39838.59375 Jan M Christian Emergency Room Ambulance EMERGENCY ALLERGY, UNSPECIFIED 39838.69305555556 39838.62986111111 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.697916666664 39838.59166666667 Jan M Christian Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39838.70208333333 39835.69236111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39838.70208333333 39835.69236111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT WHEEZING 39838.70416666667 39837.834027777775 Jan M Christian Emergency Room Ambulance MED 2G UNIT WHEEZING 39838.70416666667 39837.834027777775 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39838.722916666666 39838.5875 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.72430555556 39838.575 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY 2ND DEG BURN FOOT 39838.73055555556 39838.614583333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE 39838.74236111111 39838.63888888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39838.745833333334 39838.520833333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39838.756944444445 39838.66805555556 Jan M No Religious Preference Clinic Referral Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS 39838.75833333333 39830.61736111111 Jan M Parent Infus Nutrit Sub Christian Clinic Referral Ambulance SCCA UNIT STOMATITIS/MUCOSITIS NOS 39838.75833333333 39830.61736111111 Jan M Parent Infus Nutrit Sub Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39838.76111111111 39838.665972222225 Jan F Christian Emergency Room Ambulance EMERGENCY FX CLAVICLE NOS-CLOSED 39838.76180555556 39838.708333333336 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.7625 39835.510416666664 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.7625 39835.510416666664 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39838.7625 39835.510416666664 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA 39838.771527777775 39837.98888888889 Jan M Opn Rep Ind Ing Hern Nec No Religious Preference Emergency Room Ambulance SURG 4 UNIT UNILAT INGUINAL HERNIA 39838.771527777775 39837.98888888889 Jan M Opn Rep Ind Ing Hern Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM 39838.774305555555 39836.330555555556 Jan F Other Gastrostomy No Religious Preference Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM 39838.774305555555 39836.330555555556 Jan F Other Gastrostomy No Religious Preference Clinic Referral Self SURG 3 UNIT FEEDING PROBLEM 39838.774305555555 39836.330555555556 Jan F Other Gastrostomy No Religious Preference Outside Hospital Ambulance PICU CONGENITAL INFEC NEC 39838.78125 39833.785416666666 Jan M Umbilical Vein Cath Christian Outside Hospital Ambulance PICU CONGENITAL INFEC NEC 39838.78125 39833.785416666666 Jan M Umbilical Vein Cath Christian Outside Hospital Ambulance PICU CONGENITAL INFEC NEC 39838.78125 39833.785416666666 Jan M Umbilical Vein Cath Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39838.78125 39836.95625 Jan M Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39838.78125 39836.95625 Jan M Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39838.78125 39836.95625 Jan M Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39838.78125 39837.58541666667 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39838.78125 39837.58541666667 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39838.78472222222 39837.11041666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39838.78472222222 39837.11041666667 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39838.78472222222 39837.79375 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39838.78472222222 39837.79375 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK 39838.788194444445 39838.775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39838.791666666664 39838.680555555555 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID 39838.79236111111 39836.77361111111 Jan F Christian Emergency Room Ambulance MED 2G UNIT ABSCESS OF EYELID 39838.79236111111 39836.77361111111 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39838.79652777778 39838.75069444445 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT PSYMOTR EPIL W INTR EPIL 39838.802083333336 39836.728472222225 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT PSYMOTR EPIL W INTR EPIL 39838.802083333336 39836.728472222225 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS 39838.802083333336 39837.75902777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS 39838.802083333336 39837.75902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA 39838.80347222222 39838.725 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39838.80763888889 39838.65902777778 Jan M Christian Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS 39838.813888888886 39838.58541666667 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT CONG FACTOR VIII DIORD 39838.833333333336 39836.67916666667 Jan M Roman Catholic Emergency Room Ambulance MED 2T UNIT CONG FACTOR VIII DIORD 39838.833333333336 39836.67916666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF WRIST 39838.8375 39838.68472222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY POISONING-OPIATES NEC 39838.86319444444 39838.84305555555 Jan F Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.881944444445 39838.77222222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39838.90069444444 39838.77638888889 Jan F Christian Emergency Room Ambulance EMERGENCY LOCAL SUPRFICIAL SWELLNG 39838.90555555555 39838.73125 Jan F Latter Day Saints Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39838.90694444445 39838.77916666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FUSSY INFANT (BABY) 39838.92083333333 39838.81875 Jan F Christian Emergency Room Ambulance EMERGENCY FX MID/PRX PHAL, HAND-CLOSE 39838.92152777778 39838.79652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ 39838.92361111111 39838.76597222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX SHAFT TIBIA-CLOSED 39838.92638888889 39838.74513888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39838.94236111111 39838.802083333336 Jan M Christian Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39838.950694444444 39838.79375 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39838.95972222222 39838.85555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY GI NOS 39838.96041666667 39838.80902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FAILURE TO THRIVE 39838.9625 39838.740277777775 Jan M Christian Emergency Room Ambulance EMERGENCY CARDIAC ARREST 39838.96944444445 39838.775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39838.98402777778 39838.80416666667 Jan F Christian Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39838.99236111111 39838.864583333336 Jan M Other Religion Emergency Room Ambulance EMERGENCY FEVER NOS 39839.00069444445 39838.85972222222 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39839.0125 39838.85555555556 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.01458333333 39838.88125 Jan M Baptist Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW 39839.01527777778 39838.895833333336 Jan F Christian Emergency Room Ambulance EMERGENCY URTICARIA NOS 39839.020833333336 39838.9 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.02222222222 39838.850694444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.02291666667 39838.87222222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEMANGIOMA SKIN 39839.029861111114 39838.92569444444 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.03611111111 39838.85 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.044444444444 39838.64513888889 Jan F Christian Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39839.044444444444 39838.94513888889 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39839.04722222222 39838.915972222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39839.058333333334 39838.998611111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.05902777778 39838.938888888886 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39839.066666666666 39838.90625 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39839.07013888889 39839.02638888889 Jan M Other Religion Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39839.07152777778 39839.00625 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.09027777778 39839.03125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-UP/ARM 39839.10486111111 39838.90902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39839.12569444445 39838.92291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39839.12569444445 39838.92291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.13888888889 39838.87013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39839.15833333333 39838.910416666666 Jan F Christian Emergency Room Ambulance EMERGENCY 39839.175 39839.06041666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39839.20208333333 39839.14861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39839.208333333336 39839.07083333333 Jan F Christian Emergency Room Ambulance EMERGENCY DROWNING/NONFATAL SUBMER 39839.32708333333 39839.27013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39839.34166666667 39839.259722222225 Jan F Islam Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39839.381944444445 39839.271527777775 Jan F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39839.381944444445 39839.271527777775 Jan F Myringotomy W Intubation Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39839.384722222225 39839.28472222222 Jan M Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39839.385416666664 39839.28472222222 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39839.385416666664 39839.28472222222 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39839.399305555555 39839.27777777778 Jan M Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39839.399305555555 39839.27777777778 Jan M Egd With Closed Biopsy Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.416666666664 39835.33888888889 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.416666666664 39835.33888888889 Jan M Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.416666666664 39835.35555555556 Jan F Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.416666666664 39835.35555555556 Jan F Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.419444444444 39839.334027777775 Jan F No Religious Preference Physician Referral Ambulance MED 1T UNIT PANCREAT CYST/PSEUDOCYST 39839.42916666667 39832.58819444444 Jan F Parent Infus Nutrit Sub No Religious Preference Physician Referral Ambulance MED 1T UNIT PANCREAT CYST/PSEUDOCYST 39839.42916666667 39832.58819444444 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance EMERGENCY MESENTERIC LYMPHADENITIS 39839.433333333334 39839.31597222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39839.43402777778 39839.34930555556 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39839.4375 39839.32916666667 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39839.4375 39839.32916666667 Jan M Myringotomy W Intubation Other Religion Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED 39839.44305555556 39839.34027777778 Jan F Protestant Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39839.444444444445 39839.279861111114 Jan F Tooth Restor By Filling Protestant Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39839.444444444445 39839.279861111114 Jan F Tooth Restor By Filling Protestant Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION 39839.447916666664 39837.927777777775 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT UNSPECIFIED VIRAL INFECTION 39839.447916666664 39837.927777777775 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39839.447916666664 39839.330555555556 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39839.447916666664 39839.330555555556 Jan F Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER OTORRHEA NOS 39839.45138888889 39839.325 Jan M Tympanostomy Tube Remove No Religious Preference Clinic Referral Self SURGERY CENTER OTORRHEA NOS 39839.45138888889 39839.325 Jan M Tympanostomy Tube Remove No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39839.45486111111 39839.305555555555 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39839.45486111111 39839.305555555555 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39839.464583333334 39839.425 Jan M Christian Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39839.46875 39839.28680555556 Jan M Remove Imp Device-Femur Protestant Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39839.46875 39839.28680555556 Jan M Remove Imp Device-Femur Protestant Emergency Room Ambulance MED 2T UNIT CELLULITIS, TOE NOS 39839.479166666664 39837.5125 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT CELLULITIS, TOE NOS 39839.479166666664 39837.5125 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT RESP SYNCYT VIRAL PNEUM 39839.48125 39829.785416666666 Jan M C.A.T. Scan Of Thorax No Religious Preference Emergency Room Ambulance SURG 3 UNIT RESP SYNCYT VIRAL PNEUM 39839.48125 39829.785416666666 Jan M C.A.T. Scan Of Thorax No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.48819444444 39839.35763888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER ESOTROPIA NOS 39839.489583333336 39839.29722222222 Jan F One Extraoc Mus Recess No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.490277777775 39838.763194444444 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.490277777775 39838.763194444444 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.49097222222 39837.51736111111 Jan M Lutheran Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.49097222222 39837.51736111111 Jan M Lutheran Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.49513888889 39836.0 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.49513888889 39836.0 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39839.49513888889 39836.0 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39839.50555555556 39839.42083333333 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS 39839.510416666664 39839.33472222222 Jan M Excision Of Urachus Christian Clinic Referral Self SURGERY CENTER ANOMALIES OF URACHUS 39839.510416666664 39839.33472222222 Jan M Excision Of Urachus Christian Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY 39839.51736111111 39839.270833333336 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE 39839.520833333336 39839.35833333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER DUODENITIS W/O HEMORRHAGE 39839.520833333336 39839.35833333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.520833333336 39839.361805555556 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.520833333336 39839.361805555556 Jan F Tonsillectomy/Adenoidec Other Religion Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.52222222222 39838.59583333333 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.52222222222 39838.59583333333 Jan F Roman Catholic Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE 39839.524305555555 39835.66111111111 Jan M Irrigate/Expl Vent Shunt No Religious Preference Clinic Referral Ambulance SURG 3 UNIT SUBDURAL HEMORRHAGE 39839.524305555555 39835.66111111111 Jan M Irrigate/Expl Vent Shunt No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.52777777778 39839.40416666667 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.52777777778 39839.40416666667 Jan F Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY HEMATURIA NOS 39839.52847222222 39839.37569444445 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.52916666667 39833.88958333333 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.52916666667 39833.88958333333 Jan F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.52916666667 39833.88958333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39839.53680555556 39839.47638888889 Jan M Christian Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH 39839.538194444445 39835.69652777778 Jan F Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT INFECT D/T CENT VEN CATH 39839.538194444445 39835.69652777778 Jan F Parent Infus Nutrit Sub No Religious Preference Clinic Referral Self SURGERY CENTER CATARACT NEC 39839.541666666664 39839.43125 Jan M Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER CATARACT NEC 39839.541666666664 39839.43125 Jan M Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.54513888889 39839.28888888889 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.54513888889 39839.28888888889 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39839.54513888889 39839.493055555555 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC 39839.555555555555 39839.39236111111 Jan M Excision Of Pilonid Cyst No Religious Preference Clinic Referral Self SURGERY CENTER PILONIDAL CYST W/O ABSC 39839.555555555555 39839.39236111111 Jan M Excision Of Pilonid Cyst No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.555555555555 39839.41527777778 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.555555555555 39839.41527777778 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39839.555555555555 39839.447916666664 Jan F Myringoplasty Other Religion Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39839.555555555555 39839.447916666664 Jan F Myringoplasty Other Religion Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39839.57083333333 39828.44652777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39839.57083333333 39828.44652777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39839.57083333333 39828.44652777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39839.57083333333 39828.44652777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39839.572916666664 39834.79375 Jan M Other Skin And Subq I And D Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39839.572916666664 39834.79375 Jan M Other Skin And Subq I And D Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39839.572916666664 39834.79375 Jan M Other Skin And Subq I And D Christian Emergency Room Ambulance MED 2G UNIT CELLULITIS OF LEG 39839.572916666664 39834.79375 Jan M Other Skin And Subq I And D Christian Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39839.572916666664 39839.45972222222 Jan M Myringotomy W Intubation Other Religion Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39839.572916666664 39839.45972222222 Jan M Myringotomy W Intubation Other Religion Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER 39839.57708333333 39830.549305555556 Jan F Chest Cage Bone Biopsy No Religious Preference Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER 39839.57708333333 39830.549305555556 Jan F Chest Cage Bone Biopsy No Religious Preference Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER 39839.57708333333 39830.549305555556 Jan F Chest Cage Bone Biopsy No Religious Preference Emergency Room Ambulance SURG 3 UNIT OSTEOMYELITIS NOS-SHLDER 39839.57708333333 39830.549305555556 Jan F Chest Cage Bone Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39839.59305555555 39839.49652777778 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39839.59652777778 39836.777083333334 Jan F Episcopal Emergency Room Ambulance MED 2G UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39839.59652777778 39836.777083333334 Jan F Episcopal Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39839.59722222222 39839.50208333333 Jan M Islam Emergency Room Ambulance SURG 3 UNIT ACUTE LYMPHADENITIS 39839.60763888889 39832.854166666664 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE LYMPHADENITIS 39839.60763888889 39832.854166666664 Jan F Soft Tissue Incision Nec No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR 39839.60763888889 39839.42638888889 Jan F Destruct Ext Ear Les Nec No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN EAR 39839.60763888889 39839.42638888889 Jan F Destruct Ext Ear Les Nec No Religious Preference Clinic Referral Self SURGERY CENTER FEEDING PROBLEM 39839.60763888889 39839.43680555555 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER FEEDING PROBLEM 39839.60763888889 39839.43680555555 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.61041666667 39839.45208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39839.61111111111 39839.54652777778 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39839.614583333336 39839.37430555555 Jan F Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39839.614583333336 39839.37430555555 Jan F Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB 39839.614583333336 39839.49444444444 Jan F Mid And Inner Ear Biopsy Christian Clinic Referral Self SURGERY CENTER CENT PERF TYMPANIC MEMB 39839.614583333336 39839.49444444444 Jan F Mid And Inner Ear Biopsy Christian Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR 39839.618055555555 39839.48888888889 Jan F Injection Into Joint No Religious Preference Clinic Referral Self SURGERY CENTER PAUCIART JUV RHEUM ARTHR 39839.618055555555 39839.48888888889 Jan F Injection Into Joint No Religious Preference Clinic Referral Self SURGERY CENTER EPIPHORA D/T INSUF DRAIN 39839.62152777778 39839.447916666664 Jan M Nasolac Duct Intubat Latter Day Saints Clinic Referral Self SURGERY CENTER EPIPHORA D/T INSUF DRAIN 39839.62152777778 39839.447916666664 Jan M Nasolac Duct Intubat Latter Day Saints Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39839.625 39839.467361111114 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39839.625 39839.467361111114 Jan M Myringotomy W Intubation No Religious Preference Outside Hospital Ambulance SURG 4 UNIT DEHYDRATION 39839.631944444445 39835.65277777778 Jan M Roman Catholic Outside Hospital Ambulance SURG 4 UNIT DEHYDRATION 39839.631944444445 39835.65277777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39839.634722222225 39839.51666666667 Jan M Christian Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK 39839.63611111111 39835.99097222222 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK 39839.63611111111 39835.99097222222 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK 39839.63611111111 39835.99097222222 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK 39839.63611111111 39835.99097222222 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance REHAB UNIT CELLULITIS OF NECK 39839.63611111111 39835.99097222222 Jan F Soft Tissue Incision Nec No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39839.64236111111 39839.48125 Jan F Injection Into Joint No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39839.64236111111 39839.48125 Jan F Injection Into Joint No Religious Preference Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT 39839.65277777778 39837.654861111114 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT 39839.65277777778 39837.654861111114 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT POISONING-ANTIDEPRESSANT 39839.65277777778 39837.654861111114 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39839.65277777778 39838.498611111114 Jan M Christian Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39839.65277777778 39838.498611111114 Jan M Christian Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39839.65277777778 39839.32013888889 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39839.65277777778 39839.32013888889 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Emergency Room Ambulance MED 1T UNIT INFECTIVE MYOSITIS 39839.65555555555 39835.53125 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT INFECTIVE MYOSITIS 39839.65555555555 39835.53125 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39839.65625 39839.43472222222 Jan M Removal Fb/Dev From Skin Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39839.65972222222 39839.4625 Jan M Christian Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP 39839.65972222222 39839.527083333334 Jan F Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER ATROPHIC NONFLACCID TYMP 39839.65972222222 39839.527083333334 Jan F Myringotomy W Intubation Roman Catholic Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS 39839.66458333333 39835.069444444445 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS 39839.66458333333 39835.069444444445 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT PYELONEPHRITIS NOS 39839.66458333333 39835.069444444445 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.66458333333 39838.97430555556 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.66458333333 39838.97430555556 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.66458333333 39838.97430555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.66805555556 39839.464583333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39839.677777777775 39839.584027777775 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM 39839.680555555555 39836.936111111114 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT CHR DUODEN ULCER W HEM 39839.680555555555 39836.936111111114 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS 39839.68402777778 39838.92986111111 Jan F Christian Emergency Room Ambulance SCCA UNIT APLASTIC ANEMIA NOS 39839.68402777778 39838.92986111111 Jan F Christian Emergency Room Ambulance MED 2G UNIT PANCYTOPENIA 39839.6875 39835.1125 Jan F Christian Emergency Room Ambulance MED 2G UNIT PANCYTOPENIA 39839.6875 39835.1125 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.68819444445 39839.59444444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.69375 39839.57777777778 Jan M Christian Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS 39839.697222222225 39838.467361111114 Jan M Roman Catholic Emergency Room Ambulance SCCA UNIT SICKLE-CELL THALASS W CRISIS 39839.697222222225 39838.467361111114 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS 39839.69861111111 39837.708333333336 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT DRUG DERMATITIS NOS 39839.69861111111 39837.708333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.69861111111 39839.53958333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39839.70277777778 39839.55138888889 Jan M 7th Day Adventist Emergency Room Ambulance EMERGENCY COUGH 39839.70347222222 39839.55486111111 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT GEN CONVUL EPI INTRACTABLE 39839.70625 39833.40347222222 Jan M Mri Of Brain And Brainstem No Religious Preference Clinic Referral Self MED 1T UNIT GEN CONVUL EPI INTRACTABLE 39839.70625 39833.40347222222 Jan M Mri Of Brain And Brainstem No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.72222222222 39839.489583333336 Jan M Unilat Ing Hern Rep Nos Presbyterian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39839.72222222222 39839.489583333336 Jan M Unilat Ing Hern Rep Nos Presbyterian Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE 39839.722916666666 39836.93263888889 Jan F Clos Large Bowel Biopsy Christian Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE 39839.722916666666 39836.93263888889 Jan F Clos Large Bowel Biopsy Christian Emergency Room Ambulance SURG 3 UNIT CLOSTRIDIUM DIFFICILE 39839.722916666666 39836.93263888889 Jan F Clos Large Bowel Biopsy Christian Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS 39839.729166666664 39839.5875 Jan F No Religious Preference Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA 39839.73541666667 39834.6125 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA 39839.73541666667 39834.6125 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA 39839.73541666667 39834.6125 Jan F Angio Oth Non-Coronary No Religious Preference Clinic Referral Ambulance SURG 4 UNIT COARCTATION OF AORTA 39839.73541666667 39834.6125 Jan F Angio Oth Non-Coronary No Religious Preference Emergency Room Ambulance EMERGENCY ABN INVOLUN MOVEMENT NEC 39839.736805555556 39839.57430555556 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER UNSPEC DENTAL CARIES 39839.75 39839.48055555556 Jan M Tooth Restor By Filling No Religious Preference Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN 39839.75 39839.48472222222 Jan F One Extraoc Mus Recess No Religious Preference Clinic Referral Self SURGERY CENTER ALT EXOTROP W X/Y PATTRN 39839.75 39839.48472222222 Jan F One Extraoc Mus Recess No Religious Preference Emergency Room Ambulance EMERGENCY DIZZINESS AND GIDDINESS 39839.75 39839.55069444444 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS 39839.75347222222 39836.30763888889 Jan F Insert/Replac Skull Tong No Religious Preference Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS 39839.75347222222 39836.30763888889 Jan F Insert/Replac Skull Tong No Religious Preference Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS 39839.75347222222 39836.30763888889 Jan F Insert/Replac Skull Tong No Religious Preference Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS 39839.75347222222 39836.30763888889 Jan F Insert/Replac Skull Tong No Religious Preference Clinic Referral Self SURG 3 UNIT NECK DISORDER/SYMPT NOS 39839.75347222222 39836.30763888889 Jan F Insert/Replac Skull Tong No Religious Preference Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39839.75347222222 39839.52777777778 Jan F Type 2 Tympanoplasty Patient Refused Clinic Referral Self SURGERY CENTER PERFORAT TYMPAN MEMB NOS 39839.75347222222 39839.52777777778 Jan F Type 2 Tympanoplasty Patient Refused Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.75763888889 39839.64097222222 Jan M Roman Catholic Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39839.770833333336 39839.45138888889 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39839.770833333336 39839.45138888889 Jan M Bilat Ing Hernia Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39839.770833333336 39839.54583333333 Jan M Gum Lesion Excision Roman Catholic Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39839.770833333336 39839.54583333333 Jan M Gum Lesion Excision Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.777083333334 39838.82708333333 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39839.777083333334 39838.82708333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.78194444445 39839.63055555556 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT DEHYDRATION 39839.78402777778 39838.72222222222 Jan F Other Religion Emergency Room Ambulance SURG 3 UNIT DEHYDRATION 39839.78402777778 39838.72222222222 Jan F Other Religion Emergency Room Ambulance EMERGENCY EPISTAXIS 39839.785416666666 39839.63611111111 Jan M Latter Day Saints Clinic Referral Self SURGERY CENTER EXOTROPIA NOS 39839.788194444445 39839.558333333334 Jan M One Extraoc Mus Recess No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39839.79027777778 39839.71597222222 Jan F No Religious Preference Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39839.791666666664 39836.745833333334 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39839.791666666664 39836.745833333334 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39839.791666666664 39836.745833333334 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Ambulance SURG 4 UNIT HYPOPLASTIC LEFT HEART SYND 39839.791666666664 39836.745833333334 Jan F Rt/Left Heart Card Cath Christian Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39839.79375 39839.57708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39839.79513888889 39839.69305555556 Jan M No Religious Preference Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39839.79583333333 39819.657638888886 Jan F Venous Cath Nec Christian Clinic Referral Ambulance MED 2T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39839.79583333333 39819.657638888886 Jan F Venous Cath Nec Christian Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT 39839.79861111111 39839.62847222222 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39839.808333333334 39839.74444444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ 39839.82083333333 39839.53055555555 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39839.83125 39839.70625 Jan F Islam Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.833333333336 39839.705555555556 Jan F Islam Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS 39839.83611111111 39837.875 Jan M Islam Emergency Room Ambulance MED 2G UNIT GRAND MAL STATUS 39839.83611111111 39837.875 Jan M Islam Emergency Room Ambulance MED 2T UNIT MALIG NEO BRAIN STEM 39839.839583333334 39837.72152777778 Jan F Bahai Emergency Room Ambulance MED 2T UNIT MALIG NEO BRAIN STEM 39839.839583333334 39837.72152777778 Jan F Bahai Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39839.84166666667 39839.66875 Jan M No Religious Preference Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE 39839.842361111114 39839.38888888889 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE 39839.842361111114 39839.38888888889 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self OBSERVATION UNIT OLD DISRUPT ANT CRUCIATE 39839.842361111114 39839.38888888889 Jan M Cruciate Lig Repair Nec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.84375 39839.53611111111 Jan F Tonsillectomy/Adenoidec Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39839.84375 39839.53611111111 Jan F Tonsillectomy/Adenoidec Christian Emergency Room Ambulance EMERGENCY UNILAT INGUINAL HERNIA 39839.84444444445 39839.785416666666 Jan M Christian Emergency Room Ambulance EMERGENCY WHEEZING 39839.84722222222 39839.62569444445 Jan M Christian Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39839.854166666664 39836.663194444445 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39839.854166666664 39836.663194444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEEDING PROBLEM 39839.856944444444 39839.77916666667 Jan M Replace Small Bowel Tube No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39839.85833333333 39839.76180555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE 39839.85902777778 39839.541666666664 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ORAL APHTHAE 39839.861805555556 39836.42986111111 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ORAL APHTHAE 39839.861805555556 39836.42986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS 39839.861805555556 39839.7125 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39839.8625 39839.638194444444 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS 39839.86875 39839.78333333333 Jan F Protestant Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39839.86944444444 39839.771527777775 Jan F Islam Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39839.875 39836.260416666664 Jan M Other Craniectomy Christian Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39839.875 39836.260416666664 Jan M Other Craniectomy Christian Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39839.875 39836.260416666664 Jan M Other Craniectomy Christian Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39839.87847222222 39839.67152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF ELBOW 39839.90972222222 39839.82847222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR 39839.910416666666 39839.853472222225 Jan M Hindu Emergency Room Ambulance EMERGENCY OBSERVATION-INFLICTED INJ NEC 39839.91875 39839.720138888886 Jan M Christian Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE 39839.92361111111 39839.808333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39839.92361111111 39839.83888888889 Jan M Islam Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39839.925 39839.79375 Jan M Baptist Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39839.93194444444 39839.63333333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39839.938888888886 39839.82430555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE 39839.94027777778 39839.84861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTHER ATOPIC DERMATITIS 39839.94305555556 39839.84375 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39839.944444444445 39839.79722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39839.95347222222 39839.73541666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39839.95763888889 39839.81527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY ESOPHAGUS 39839.967361111114 39839.83611111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY DEHYDRATION 39839.96944444445 39839.78125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39839.97222222222 39839.9 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FX LOWER HUMERUS NOS-CLOSE 39839.97638888889 39839.80069444444 Jan F Christian Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS 39839.98125 39839.87847222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39839.99236111111 39839.85555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39839.99236111111 39839.947222222225 Jan F Jewish Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39839.998611111114 39839.90694444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39840.00208333333 39839.847916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39840.00347222222 39839.75486111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC 39840.01180555556 39838.040972222225 Jan M Spinal Tap Episcopal Emergency Room Ambulance MED 2G UNIT NWBRN TEMP REGULAT DIS NEC 39840.01180555556 39838.040972222225 Jan M Spinal Tap Episcopal Emergency Room Ambulance EMERGENCY VOMITING ALONE 39840.01458333333 39839.7875 Jan F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39840.01944444444 39839.959027777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39840.025 39839.91805555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39840.035416666666 39839.99166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39840.0375 39839.99652777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39840.03888888889 39839.955555555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39840.04236111111 39839.85138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39840.04375 39839.85 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39840.07013888889 39839.92291666667 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39840.07916666667 39839.88125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39840.09444444445 39839.96805555555 Jan M Islam Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39840.11666666667 39839.930555555555 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39840.13263888889 39840.07430555556 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39840.145833333336 39839.98611111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE PYELONEPHRITIS NOS 39840.19861111111 39840.04791666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39840.20138888889 39840.004166666666 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FX NAVICULAR, WRIST-CLOSE 39840.254166666666 39840.08194444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39840.25486111111 39840.09583333333 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39840.316666666666 39840.1625 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA 39840.353472222225 39839.254166666666 Jan M Bilat Ing Hernia Rep Nos Hindu Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA 39840.353472222225 39839.254166666666 Jan M Bilat Ing Hernia Rep Nos Hindu Clinic Referral Self SURG 3 UNIT BILAT INGUINAL HERNIA 39840.353472222225 39839.254166666666 Jan M Bilat Ing Hernia Rep Nos Hindu Emergency Room Ambulance EMERGENCY FEVER NOS 39840.368055555555 39840.2875 Jan M Buddhist Emergency Room Ambulance EMERGENCY LOW VISION, 2 EYES NOS 39840.373611111114 39840.330555555556 Jan F No Religious Preference Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39840.381944444445 39840.27013888889 Jan F Other Local Destruc Skin Roman Catholic Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39840.381944444445 39840.27013888889 Jan F Other Local Destruc Skin Roman Catholic Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39840.40277777778 39840.30069444444 Jan F Other Local Destruc Skin No Religious Preference Physician Referral Self SURGERY CENTER VASCULAR HAMARTOMAS 39840.40277777778 39840.30069444444 Jan F Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39840.430555555555 39840.28611111111 Jan M Removal Fb/Dev From Skin Christian Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39840.430555555555 39840.28611111111 Jan M Removal Fb/Dev From Skin Christian Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39840.4375 39840.27569444444 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39840.4375 39840.27569444444 Jan F Egd With Closed Biopsy Roman Catholic Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39840.44930555556 39840.22361111111 Jan F Latter Day Saints Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39840.45486111111 39840.353472222225 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39840.45486111111 39840.353472222225 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC 39840.479166666664 39840.26527777778 Jan F Ureteral Operation Nec No Religious Preference Clinic Referral Self SURGERY CENTER VESICOURETERAL REFLUX UNSPEC 39840.479166666664 39840.26527777778 Jan F Ureteral Operation Nec No Religious Preference Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY 39840.48888888889 39836.27361111111 Jan F Sm Bowel Stoma Closure No Religious Preference Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY 39840.48888888889 39836.27361111111 Jan F Sm Bowel Stoma Closure No Religious Preference Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY 39840.48888888889 39836.27361111111 Jan F Sm Bowel Stoma Closure No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39840.49652777778 39840.427777777775 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39840.506944444445 39840.38958333333 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER EOSINOPHILIC ESOPHAGITIS 39840.506944444445 39840.38958333333 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance MED 1T UNIT CARDIAC DYSRHYTHMIAS NEC 39840.51111111111 39838.83472222222 Jan M Cont Inv Mec Ven <96 Hrs Christian Emergency Room Ambulance MED 1T UNIT CARDIAC DYSRHYTHMIAS NEC 39840.51111111111 39838.83472222222 Jan M Cont Inv Mec Ven <96 Hrs Christian Emergency Room Ambulance EMERGENCY 39840.524305555555 39840.52222222222 Jan M Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC 39840.52638888889 39839.26388888889 Jan M Closed Renal Biopsy Christian Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC 39840.52638888889 39839.26388888889 Jan M Closed Renal Biopsy Christian Clinic Referral Self SURG 4 UNIT SURGERY FOLLOWUP NEC 39840.52638888889 39839.26388888889 Jan M Closed Renal Biopsy Christian Clinic Referral Self OBSERVATION UNIT ESOPHAGITIS, UNSPECIFIED 39840.52847222222 39839.47777777778 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self OBSERVATION UNIT ESOPHAGITIS, UNSPECIFIED 39840.52847222222 39839.47777777778 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT 39840.53402777778 39839.34722222222 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT 39840.53402777778 39839.34722222222 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURG 4 UNIT TETRALOGY OF FALLOT 39840.53402777778 39839.34722222222 Jan M Angio Oth Non-Coronary Other Religion Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION 39840.53472222222 39840.24652777778 Jan F Syndactyly Correction No Religious Preference Clinic Referral Self SURGERY CENTER SYNDACTYL FING-NO FUSION 39840.53472222222 39840.24652777778 Jan F Syndactyly Correction No Religious Preference Clinic Referral Self SURGERY CENTER SPASM OF MUSCLE 39840.53472222222 39840.36388888889 Jan M Soft Tissue Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER SPASM OF MUSCLE 39840.53472222222 39840.36388888889 Jan M Soft Tissue Biopsy No Religious Preference Physician Referral Ambulance SURG 4 UNIT OBSERV NEWBN SUSP RESPIR CONDN 39840.54305555556 39839.665972222225 Jan M Christian Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS 39840.55972222222 39839.26388888889 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS 39840.55972222222 39839.26388888889 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURG 3 UNIT CHR MUCOID OM SIMP/NOS 39840.55972222222 39839.26388888889 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION 39840.5625 39838.79027777778 Jan M Spinal Tap No Religious Preference Emergency Room Ambulance MED 1T UNIT UNSPECIFIED VIRAL INFECTION 39840.5625 39838.79027777778 Jan M Spinal Tap No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39840.572222222225 39840.510416666664 Jan M Roman Catholic Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39840.575 39839.4625 Jan M Ins Non-D-E Perphrl Sten Protestant Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39840.575 39839.4625 Jan M Ins Non-D-E Perphrl Sten Protestant Clinic Referral Self SURG 4 UNIT COARCTATION OF AORTA 39840.575 39839.4625 Jan M Ins Non-D-E Perphrl Sten Protestant Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED 39840.57638888889 39839.62291666667 Jan M Cl Fx Reduc-Femur Christian Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED 39840.57638888889 39839.62291666667 Jan M Cl Fx Reduc-Femur Christian Emergency Room Ambulance REHAB UNIT FX FEMUR SHAFT-CLOSED 39840.57638888889 39839.62291666667 Jan M Cl Fx Reduc-Femur Christian Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS 39840.57638888889 39840.27777777778 Jan M Humerus Sequestrectomy Christian Clinic Referral Self SURGERY CENTER OSTEOCHONDRIT DISSECANS 39840.57638888889 39840.27777777778 Jan M Humerus Sequestrectomy Christian Emergency Room Ambulance EMERGENCY ERYTHEMA MULTIFORME NOS 39840.57777777778 39840.50763888889 Jan M Christian Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC 39840.583333333336 39839.31319444445 Jan F Percutaneous Cystostomy Roman Catholic Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC 39840.583333333336 39839.31319444445 Jan F Percutaneous Cystostomy Roman Catholic Clinic Referral Self REHAB UNIT NEUROGENIC BLADDER NEC 39840.583333333336 39839.31319444445 Jan F Percutaneous Cystostomy Roman Catholic Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39840.583333333336 39839.37222222222 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39840.583333333336 39839.37222222222 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPENDICITIS NOS 39840.583333333336 39839.37222222222 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS 39840.583333333336 39839.59861111111 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT URIN TRACT INFECTION NOS 39840.583333333336 39839.59861111111 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON 39840.583333333336 39840.35972222222 Jan M Musc/Tend Lng Change Nec No Religious Preference Clinic Referral Self SURGERY CENTER CONTRACTURE OF TENDON 39840.583333333336 39840.35972222222 Jan M Musc/Tend Lng Change Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39840.586805555555 39840.493055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC 39840.5875 39840.49236111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39840.58819444444 39840.44375 Jan M Christian Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY 39840.59027777778 39840.30347222222 Jan F Ureteral Operation Nec Christian Clinic Referral Self SURGERY CENTER CALCULUS OF KIDNEY 39840.59027777778 39840.30347222222 Jan F Ureteral Operation Nec Christian Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39840.59722222222 39840.37847222222 Jan F Surg Tooth Extract Nec No Religious Preference Outside Health Care Facility Ambulance MED 1T UNIT CONSTIPATION NEC 39840.60902777778 39839.475694444445 Jan F Insert Gastric Tube Nec Presbyterian Outside Health Care Facility Ambulance MED 1T UNIT CONSTIPATION NEC 39840.60902777778 39839.475694444445 Jan F Insert Gastric Tube Nec Presbyterian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39840.61111111111 39840.41527777778 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39840.61111111111 39840.41527777778 Jan M Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY INCONTINENCE OF FECES 39840.611805555556 39840.299305555556 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39840.611805555556 39840.433333333334 Jan F Christian Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN 39840.6125 39836.26180555556 Jan F Other Brain Excision No Religious Preference Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN 39840.6125 39836.26180555556 Jan F Other Brain Excision No Religious Preference Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN 39840.6125 39836.26180555556 Jan F Other Brain Excision No Religious Preference Clinic Referral Self SURG 3 UNIT BENIGN NEOPLASM BRAIN 39840.6125 39836.26180555556 Jan F Other Brain Excision No Religious Preference Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS 39840.6125 39839.504166666666 Jan M Hemodialysis No Religious Preference Emergency Room Ambulance SURG 4 UNIT BACTEREMIA NOS 39840.6125 39839.504166666666 Jan M Hemodialysis No Religious Preference Emergency Room Ambulance EMERGENCY 39840.614583333336 39840.393055555556 Jan M Christian Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS 39840.61875 39837.73611111111 Jan M Roman Catholic Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS 39840.61875 39837.73611111111 Jan M Roman Catholic Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS 39840.61875 39837.73611111111 Jan M Roman Catholic Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED 39840.625 39837.131944444445 Jan M Other Bronchoscopy No Religious Preference Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED 39840.625 39837.131944444445 Jan M Other Bronchoscopy No Religious Preference Outside Hospital Ambulance MED 1T UNIT EXTRINSIC ASTHMA UNSPECIFIED 39840.625 39837.131944444445 Jan M Other Bronchoscopy No Religious Preference Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39840.63888888889 39840.455555555556 Jan F Insert Vasc Access Dev Roman Catholic Clinic Referral Self SURGERY CENTER MALFUNC VASC DEVICE/GRAF 39840.63888888889 39840.455555555556 Jan F Insert Vasc Access Dev Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39840.63888888889 39840.563888888886 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN 39840.645833333336 39840.441666666666 Jan F Pedicle Graft Advancemen Pentecostal Clinic Referral Self SURGERY CENTER SCAR AND FIBROSIS OF SKIN 39840.645833333336 39840.441666666666 Jan F Pedicle Graft Advancemen Pentecostal Clinic Referral Self SURGERY CENTER CHONDRODYSTROPHY 39840.65277777778 39840.45208333333 Jan F Loc Exc Bone Lesion Nec Roman Catholic Clinic Referral Self SURGERY CENTER CHONDRODYSTROPHY 39840.65277777778 39840.45208333333 Jan F Loc Exc Bone Lesion Nec Roman Catholic Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39840.65555555555 39840.57152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39840.657638888886 39840.525 Jan M Christian Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE 39840.663194444445 39840.49513888889 Jan M Close Red-Int Fix Finger Christian Clinic Referral Self SURGERY CENTER FX MID/PRX PHAL, HAND-CLOSE 39840.663194444445 39840.49513888889 Jan M Close Red-Int Fix Finger Christian Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC 39840.67013888889 39840.470138888886 Jan M Explor Tend Sheath-Hand Jehovah's Witness Clinic Referral Self SURGERY CENTER SOFT TISSUE ANOMALY NEC 39840.67013888889 39840.470138888886 Jan M Explor Tend Sheath-Hand Jehovah's Witness Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39840.67013888889 39840.49236111111 Jan M Deciduous Tooth Extract Roman Catholic Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39840.67013888889 39840.49236111111 Jan M Deciduous Tooth Extract Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39840.67569444444 39840.49652777778 Jan M Spinal Tap No Religious Preference Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC 39840.677083333336 39833.791666666664 Jan M Lymphatic Struct Biopsy No Religious Preference Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC 39840.677083333336 39833.791666666664 Jan M Lymphatic Struct Biopsy No Religious Preference Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC 39840.677083333336 39833.791666666664 Jan M Lymphatic Struct Biopsy No Religious Preference Outside Hospital Self MED 2G UNIT PULMONARY TB NOS-UNSPEC 39840.677083333336 39833.791666666664 Jan M Lymphatic Struct Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39840.69236111111 39840.59722222222 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39840.7125 39840.55694444444 Jan F No Religious Preference Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION 39840.717361111114 39835.638194444444 Jan F Soft Tissue Incision Nec No Religious Preference Clinic Referral Ambulance SURG 3 UNIT OTHER POSTOP INFECTION 39840.717361111114 39835.638194444444 Jan F Soft Tissue Incision Nec No Religious Preference Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT 39840.72361111111 39840.48541666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39840.72708333333 39840.646527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39840.73125 39840.64791666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39840.73333333333 39840.63333333333 Jan M Christian Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE 39840.74652777778 39839.520833333336 Jan F Entral Infus Nutrit Sub Roman Catholic Clinic Referral Ambulance MED 1T UNIT FAILURE TO THRIVE 39840.74652777778 39839.520833333336 Jan F Entral Infus Nutrit Sub Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39840.748611111114 39840.51944444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOLUME DEPLETION NOS 39840.756944444445 39840.586805555555 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER JOINT CONTRACTURE-HAND 39840.760416666664 39840.49652777778 Jan F Hand Joint Struct Divis No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39840.76388888889 39840.53055555555 Jan F Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39840.76388888889 39840.53055555555 Jan F Unilat Ing Hern Rep Nos No Religious Preference Emergency Room Ambulance EMERGENCY CEREBRAL CYSTS 39840.774305555555 39840.64861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39840.782638888886 39840.669444444444 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC 39840.791666666664 39838.561111111114 Jan M Other Religion Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC 39840.791666666664 39838.561111111114 Jan M Other Religion Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA 39840.79236111111 39836.78125 Jan M Christian Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA 39840.79236111111 39836.78125 Jan M Christian Outside Hospital Ambulance MED 2G UNIT SUBDURAL HEMORRH W/O COMA 39840.79236111111 39836.78125 Jan M Christian Emergency Room Ambulance EMERGENCY SYNCOPE AND COLLAPSE 39840.80069444444 39840.600694444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VIRAL CONJUNC DUE TO VIRUSES NOS 39840.80416666667 39840.73125 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CONGENITAL HYDROCEPHALUS 39840.80763888889 39840.72430555556 Jan F Protestant Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39840.81180555555 39840.74166666667 Jan F Roman Catholic Emergency Room Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND 39840.8125 39838.75625 Jan M No Religious Preference Emergency Room Ambulance SURG 4 UNIT OTHR CONG MULTI SYSTEM SYND 39840.8125 39838.75625 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS 39840.82916666667 39840.72708333333 Jan F Christian Emergency Room Ambulance EMERGENCY RECTAL AND ANAL HEMORRHAGE 39840.82986111111 39840.69583333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39840.83194444444 39840.72152777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ASTHMA UNSPECIFIED 39840.833333333336 39840.74097222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39840.839583333334 39840.774305555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT 39840.842361111114 39840.771527777775 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39840.853472222225 39840.76597222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39840.870833333334 39840.811111111114 Jan M Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39840.875 39840.33888888889 Jan F Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39840.875 39840.33888888889 Jan F Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39840.881944444445 39840.78888888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39840.893055555556 39840.75625 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39840.89375 39838.535416666666 Jan M Christian Emergency Room Ambulance MED 2T UNIT EXT ASTHMA W STATUS ASTH 39840.89375 39838.535416666666 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39840.90902777778 39840.830555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39840.91736111111 39840.79652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39840.925 39840.90416666667 Jan F Jewish Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE 39840.938888888886 39840.275 Jan F Endo Repair Other Vessel Christian Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE 39840.938888888886 39840.275 Jan F Endo Repair Other Vessel Christian Clinic Referral Self OBSERVATION UNIT PERIPH VASC ANOMALY OTHR SPEC SITE 39840.938888888886 39840.275 Jan F Endo Repair Other Vessel Christian Emergency Room Ambulance EMERGENCY SPRAIN OF NECK 39840.94305555556 39840.84027777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY THROMBOCYTOPENIA NOS 39840.94375 39840.790972222225 Jan F Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39840.95208333333 39840.854166666664 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39840.95277777778 39840.77777777778 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39840.96805555555 39840.80347222222 Jan F Episcopal Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39840.96805555555 39840.87430555555 Jan M Islam Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC 39840.972916666666 39840.28472222222 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT EXTRINSIC ASTHMA WITH EXAC 39840.972916666666 39840.28472222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS 39840.975694444445 39840.879166666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NWBRN FEEDING PROBLEMS 39840.97638888889 39840.91180555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39840.98263888889 39840.83263888889 Jan F Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39840.986805555556 39840.84652777778 Jan M Christian Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39840.986805555556 39840.90277777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY 39841.0 39840.915972222225 Jan F Insert Indwelling Cath Baptist Emergency Room Ambulance EMERGENCY FEVER NOS 39841.001388888886 39840.93194444444 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39841.01180555556 39840.870833333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39841.02847222222 39840.89861111111 Jan M 7th Day Adventist Emergency Room Ambulance EMERGENCY SPRAIN OF HAND NOS 39841.03611111111 39840.895833333336 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FOREIGN BDY EXT EYE NOS 39841.04305555556 39840.95486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39841.04375 39840.99097222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL 39841.04513888889 39840.845138888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK 39841.05694444444 39840.95138888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY WHEEZING 39841.05694444444 39841.018055555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ERYTHEMATOUS COND NOS 39841.069444444445 39840.81875 Jan F Christian Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39841.09166666667 39840.92222222222 Jan M Christian Emergency Room Ambulance EMERGENCY ENTERITIS OF INFECTION ORIG 39841.13055555556 39840.90833333333 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39841.13611111111 39841.044444444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.20625 39840.96111111111 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.25833333333 39840.52847222222 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.25833333333 39840.52847222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39841.27361111111 39841.225694444445 Jan M Islam Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39841.27847222222 39841.14375 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39841.279861111114 39841.18263888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39841.313888888886 39841.25277777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39841.34722222222 39841.24791666667 Jan F Islam Emergency Room Ambulance EMERGENCY VOMITING ALONE 39841.356944444444 39841.240277777775 Jan M Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.39722222222 39836.35555555556 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.39722222222 39836.35555555556 Jan F Inject Ca Chemother Nec Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39841.40277777778 39841.30347222222 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39841.40972222222 39839.40347222222 Jan M Video/Radio Eeg Monitor Christian Clinic Referral Self MED 1T UNIT EPILEPSY NOS INTRACTABLE 39841.40972222222 39839.40347222222 Jan M Video/Radio Eeg Monitor Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.413194444445 39841.319444444445 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.413194444445 39841.319444444445 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.416666666664 39838.78125 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.416666666664 39838.78125 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39841.430555555555 39841.34444444445 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR SEROUS OM SIMP/NOS 39841.430555555555 39841.34444444445 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39841.4375 39841.32013888889 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER CELIAC DISEASE 39841.4375 39841.32013888889 Jan F Egd With Closed Biopsy Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39841.444444444445 39841.275 Jan M Tonsillectomy No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONSILS 39841.444444444445 39841.275 Jan M Tonsillectomy No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39841.447916666664 39841.31319444445 Jan F Remov Imp Dev-Radius/Uln No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39841.447916666664 39841.31319444445 Jan F Remov Imp Dev-Radius/Uln No Religious Preference Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN 39841.45138888889 39841.26666666667 Jan F Irrigation Of Ear No Religious Preference Clinic Referral Self SURGERY CENTER IMPACTED CERUMEN 39841.45138888889 39841.26666666667 Jan F Irrigation Of Ear No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39841.45138888889 39841.30763888889 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC 39841.45486111111 39839.48402777778 Jan M Renal Anastomosis Christian Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC 39841.45486111111 39839.48402777778 Jan M Renal Anastomosis Christian Clinic Referral Self SURG 3 UNIT RENAL AND URETERAL DIS NEC 39841.45486111111 39839.48402777778 Jan M Renal Anastomosis Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.459027777775 39841.373611111114 Jan F Roman Catholic Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM 39841.461805555555 39840.26527777778 Jan F Cleft Palate Correction No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM 39841.461805555555 39840.26527777778 Jan F Cleft Palate Correction No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-COM 39841.461805555555 39840.26527777778 Jan F Cleft Palate Correction No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.461805555555 39840.62013888889 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.461805555555 39840.62013888889 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.461805555555 39840.62013888889 Jan M Lap Appendectomy No Religious Preference Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS 39841.46527777778 39841.34861111111 Jan F Clos Large Bowel Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ULCERATIVE COLITIS NOS 39841.46527777778 39841.34861111111 Jan F Clos Large Bowel Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC 39841.47222222222 39841.38333333333 Jan M Gum Lesion Excision No Religious Preference Clinic Referral Self SURGERY CENTER PERIODONTAL DISEASE NEC 39841.47222222222 39841.38333333333 Jan M Gum Lesion Excision No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.475 39841.34166666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.47638888889 39840.7 Jan M Patient Refused Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.47638888889 39840.7 Jan M Patient Refused Emergency Room Ambulance EMERGENCY COUGH 39841.47777777778 39841.37152777778 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.479166666664 39839.529861111114 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.479166666664 39839.529861111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39841.481944444444 39841.40625 Jan F Baptist Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39841.493055555555 39838.13402777778 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39841.493055555555 39838.13402777778 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.495833333334 39824.80902777778 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.495833333334 39824.80902777778 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance EMERGENCY FEVER NOS 39841.501388888886 39841.43819444445 Jan M No Religious Preference Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.50277777778 39827.62222222222 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.50277777778 39827.62222222222 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.50277777778 39827.62222222222 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.50277777778 39827.62222222222 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39841.50347222222 39841.37847222222 Jan M Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39841.50347222222 39841.37847222222 Jan M Egd With Closed Biopsy Christian Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39841.506944444445 39835.53333333333 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39841.506944444445 39835.53333333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39841.506944444445 39841.438888888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY IN NOSE 39841.50833333333 39841.458333333336 Jan F No Religious Preference Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC 39841.510416666664 39828.64027777778 Jan F Entral Infus Nutrit Sub Christian Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC 39841.510416666664 39828.64027777778 Jan F Entral Infus Nutrit Sub Christian Outside Hospital Ambulance MED 2T UNIT RESPIRATORY ABNORM NEC 39841.510416666664 39828.64027777778 Jan F Entral Infus Nutrit Sub Christian Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE 39841.510416666664 39839.41805555556 Jan F Head Scan Nec No Religious Preference Clinic Referral Self MED 1T UNIT INFANTILE SPASMS NOT INTRACTABLE 39841.510416666664 39839.41805555556 Jan F Head Scan Nec No Religious Preference Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC 39841.510416666664 39841.42152777778 Jan M Excision Of Mouth Nec No Religious Preference Clinic Referral Self SURGERY CENTER ORAL SOFT TISSUE DIS NEC 39841.510416666664 39841.42152777778 Jan M Excision Of Mouth Nec No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39841.52013888889 39841.44583333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39841.52291666667 39841.44652777778 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS 39841.53125 39841.27916666667 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER ACQ NASOLACRML STENOSIS 39841.53125 39841.27916666667 Jan F Nasolac Duct Intubat No Religious Preference Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS 39841.53125 39841.294444444444 Jan M Ossicular Chain Op Nec No Religious Preference Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS 39841.53125 39841.294444444444 Jan M Ossicular Chain Op Nec No Religious Preference Clinic Referral Self SURGERY CENTER GANGLION NOS 39841.53125 39841.31736111111 Jan F Other Soft Tissue Excis No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.53125 39841.34722222222 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.53125 39841.34722222222 Jan M Tonsillectomy/Adenoidec No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Emergency Room Ambulance SURG 3 UNIT ACUTE APPEND W PERITONITIS 39841.541666666664 39835.861805555556 Jan M Lap Appendectomy No Religious Preference Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39841.541666666664 39841.32847222222 Jan F Bilat Ing Hernia Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER BILAT INGUINAL HERNIA 39841.541666666664 39841.32847222222 Jan F Bilat Ing Hernia Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39841.541666666664 39841.35555555556 Jan M Adenoidectomy Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39841.541666666664 39841.35555555556 Jan M Adenoidectomy Christian Clinic Referral Self SURGERY CENTER ENTERITIS OF INFECTION ORIG 39841.541666666664 39841.42986111111 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ENTERITIS OF INFECTION ORIG 39841.541666666664 39841.42986111111 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY MALFUNC VASC DEVICE/GRAF 39841.541666666664 39841.49166666667 Jan F Christian Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39841.544444444444 39840.552083333336 Jan M Laparoscopic Cholecystec Christian Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39841.544444444444 39840.552083333336 Jan M Laparoscopic Cholecystec Christian Clinic Referral Self SURG 3 UNIT CHOLELITHIASIS NOS 39841.544444444444 39840.552083333336 Jan M Laparoscopic Cholecystec Christian Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39841.55138888889 39841.498611111114 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS 39841.552083333336 39841.361805555556 Jan M Replace Large Bowel Tube No Religious Preference Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS 39841.552083333336 39841.361805555556 Jan M Replace Large Bowel Tube No Religious Preference Clinic Referral Self SURGERY CENTER ENTEROSTOMY COMPLICATION NOS 39841.552083333336 39841.361805555556 Jan M Replace Large Bowel Tube No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39841.56180555555 39841.45625 Jan F Christian Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY 39841.56319444445 39840.334027777775 Jan M Transjugular Liver Bx No Religious Preference Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY 39841.56319444445 39840.334027777775 Jan M Transjugular Liver Bx No Religious Preference Physician Referral Self SURG 4 UNIT ABNORMAL LIVER FUNCTION STUDY 39841.56319444445 39840.334027777775 Jan M Transjugular Liver Bx No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.563888888886 39841.42152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.57013888889 39841.35555555556 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39841.575 39841.0 Jan M Removal Fb/Dev From Skin Roman Catholic Clinic Referral Self PICU ENCEPHALOCELE 39841.575694444444 39840.30416666667 Jan M Plastic Op On Pharynx Roman Catholic Clinic Referral Self PICU ENCEPHALOCELE 39841.575694444444 39840.30416666667 Jan M Plastic Op On Pharynx Roman Catholic Clinic Referral Self PICU ENCEPHALOCELE 39841.575694444444 39840.30416666667 Jan M Plastic Op On Pharynx Roman Catholic Emergency Room Ambulance EMERGENCY DIABETES TYPE I W MANIF NEC 39841.58125 39841.41458333333 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC 39841.58888888889 39840.43819444445 Jan F Revis Cleft Palat Repair No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC 39841.58888888889 39840.43819444445 Jan F Revis Cleft Palat Repair No Religious Preference Clinic Referral Self SURG 3 UNIT BILAT CLFT PALAT/LIP-INC 39841.58888888889 39840.43819444445 Jan F Revis Cleft Palat Repair No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39841.589583333334 39841.40347222222 Jan M Bladder Operation Nec Islam Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39841.59097222222 39840.49166666667 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39841.59097222222 39840.49166666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39841.59097222222 39841.44236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF WRIST 39841.59583333333 39841.52569444444 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS 39841.59722222222 39841.46319444444 Jan M Anesthetized Eye Exam No Religious Preference Clinic Referral Self SURGERY CENTER RETINOPH PREMATURITY NOS 39841.59722222222 39841.46319444444 Jan M Anesthetized Eye Exam No Religious Preference Emergency Room Ambulance MED 2G UNIT SLEEP APNEA NOS 39841.604166666664 39838.99652777778 Jan M Larygnoscopy/Tracheoscop No Religious Preference Emergency Room Ambulance MED 2G UNIT SLEEP APNEA NOS 39841.604166666664 39838.99652777778 Jan M Larygnoscopy/Tracheoscop No Religious Preference Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39841.60555555556 39839.544444444444 Jan F Roman Catholic Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39841.60555555556 39839.544444444444 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL 39841.606944444444 39841.43541666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39841.60972222222 39841.540972222225 Jan M Protestant Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39841.614583333336 39841.54375 Jan F Native American Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39841.618055555555 39841.40416666667 Jan F Myringotomy W Intubation Protestant Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39841.618055555555 39841.40416666667 Jan F Myringotomy W Intubation Protestant Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39841.618055555555 39841.41458333333 Jan M Tonsillectomy Other Religion Clinic Referral Self SURGERY CENTER CHRONIC TONSILLITIS 39841.618055555555 39841.41458333333 Jan M Tonsillectomy Other Religion Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39841.62152777778 39841.438888888886 Jan F Egd With Closed Biopsy Jewish Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39841.62152777778 39841.438888888886 Jan F Egd With Closed Biopsy Jewish Clinic Referral Self SURGERY CENTER PREAURICULAR CYST 39841.625 39841.36388888889 Jan M Preauricular Sinus Excis No Religious Preference Clinic Referral Self SURGERY CENTER PREAURICULAR CYST 39841.625 39841.36388888889 Jan M Preauricular Sinus Excis No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.625 39841.47152777778 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.625 39841.47152777778 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.62847222222 39840.90972222222 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39841.62847222222 39840.90972222222 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39841.631944444445 39838.47152777778 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance MED 1T UNIT BACTERIAL PNEUMONIA NOS 39841.631944444445 39838.47152777778 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39841.635416666664 39841.46111111111 Jan M Surg Tooth Extract Nec No Religious Preference Clinic Referral Self SURGERY CENTER TOOTH ERUPTION DISTURB 39841.635416666664 39841.46111111111 Jan M Surg Tooth Extract Nec No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39841.643055555556 39841.46805555555 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT INADEQUATE DEVELOPMENT NOS 39841.645833333336 39838.77013888889 Jan F Spinal Tap No Religious Preference Emergency Room Ambulance MED 2G UNIT INADEQUATE DEVELOPMENT NOS 39841.645833333336 39838.77013888889 Jan F Spinal Tap No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39841.645833333336 39841.49236111111 Jan M Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39841.645833333336 39841.49236111111 Jan M Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY HEMOPTYSIS 39841.64722222222 39841.475 Jan F Roman Catholic Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39841.65069444444 39838.104166666664 Jan F No Religious Preference Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39841.65069444444 39838.104166666664 Jan F No Religious Preference Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39841.65069444444 39838.104166666664 Jan F No Religious Preference Outside Hospital Ambulance MED 2G UNIT DIABETES TYPE I W KETOACIDOSIS-UNCONTR 39841.65069444444 39838.104166666664 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39841.65347222222 39839.98472222222 Jan F Jewish Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39841.65347222222 39839.98472222222 Jan F Jewish Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39841.65625 39832.825694444444 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39841.65625 39832.825694444444 Jan M Entral Infus Nutrit Sub Islam Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE 39841.66180555556 39836.444444444445 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT GEN NONCONVUL EPILEPSY INTRACTABLE 39841.66180555556 39836.444444444445 Jan M No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.663194444445 39837.34097222222 Jan M Inject Ca Chemother Nec Christian Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.663194444445 39837.34097222222 Jan M Inject Ca Chemother Nec Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39841.66875 39841.47986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DERMATITIS NOS 39841.66875 39841.59027777778 Jan M Presbyterian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39841.67083333333 39841.55486111111 Jan M Islam Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39841.68819444445 39841.65625 Jan F Roman Catholic Clinic Referral Self REHAB UNIT FLAT FOOT 39841.694444444445 39840.478472222225 Jan M Musc/Tend Lng Change Nec Christian Clinic Referral Self REHAB UNIT FLAT FOOT 39841.694444444445 39840.478472222225 Jan M Musc/Tend Lng Change Nec Christian Clinic Referral Self REHAB UNIT FLAT FOOT 39841.694444444445 39840.478472222225 Jan M Musc/Tend Lng Change Nec Christian Emergency Room Ambulance EMERGENCY ABRASION NEC 39841.697222222225 39841.57361111111 Jan M Christian Clinic Referral Self SURGERY CENTER CH MYL LEUK WO ACHV RMSN 39841.697916666664 39841.43819444445 Jan M Venous Cath Nec Latter Day Saints Clinic Referral Self SURGERY CENTER CH MYL LEUK WO ACHV RMSN 39841.697916666664 39841.43819444445 Jan M Venous Cath Nec Latter Day Saints Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.70694444444 39841.49444444444 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.708333333336 39841.549305555556 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.708333333336 39841.549305555556 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.711805555555 39841.51180555556 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.711805555555 39841.51180555556 Jan F Tonsillectomy/Adenoidec Other Religion Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.71388888889 39836.56041666667 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.71388888889 39836.56041666667 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Ambulance SURG 3 UNIT OBSTRUCTIV HYDROCEPHALUS 39841.71388888889 39836.56041666667 Jan F Ventricl Shunt-Abdomen Christian Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39841.72638888889 39840.44930555556 Jan F Revis Cleft Palat Repair Christian Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39841.72638888889 39840.44930555556 Jan F Revis Cleft Palat Repair Christian Clinic Referral Self SURG 3 UNIT UNIL CLEFT PALAT/LIP-COM 39841.72638888889 39840.44930555556 Jan F Revis Cleft Palat Repair Christian Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS 39841.73611111111 39838.243055555555 Jan M Parent Infus Nutrit Sub Christian Emergency Room Ambulance SCCA UNIT NEUTROPENIA NOS 39841.73611111111 39838.243055555555 Jan M Parent Infus Nutrit Sub Christian Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39841.73611111111 39841.635416666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39841.74097222222 39841.48055555556 Jan M Bladder Operation Nec No Religious Preference Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME 39841.74652777778 39840.361805555556 Jan M Therapeu Plasmapheresis No Religious Preference Clinic Referral Self SURG 4 UNIT HEMOLYTIC-UREMIC SYNDROME 39841.74652777778 39840.361805555556 Jan M Therapeu Plasmapheresis No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39841.74791666667 39839.950694444444 Jan M Intra-Ab Bowel Manip Nos No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39841.74791666667 39839.950694444444 Jan M Intra-Ab Bowel Manip Nos No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39841.74791666667 39839.950694444444 Jan M Intra-Ab Bowel Manip Nos No Religious Preference Emergency Room Ambulance MED 2G UNIT INTUSSUSCEPTION 39841.74791666667 39839.950694444444 Jan M Intra-Ab Bowel Manip Nos No Religious Preference Emergency Room Ambulance EMERGENCY CONJUNCTIVAL HEMORRHAGE 39841.75208333333 39841.70972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39841.760416666664 39841.57916666667 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA 39841.76736111111 39841.313888888886 Jan F Cath Base Invasv Ep Test Other Religion Clinic Referral Self SURGERY CENTER PAROX ATRIAL TACHYCARDIA 39841.76736111111 39841.313888888886 Jan F Cath Base Invasv Ep Test Other Religion Admitted as transfer from another unit Ambulance REHAB UNIT REHABILITATION PROC NEC 39841.77361111111 39827.58541666667 Jan F No Religious Preference Admitted as transfer from another unit Ambulance REHAB UNIT REHABILITATION PROC NEC 39841.77361111111 39827.58541666667 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.77777777778 39841.50347222222 Jan F Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39841.77777777778 39841.50347222222 Jan F Myringotomy W Intubation Roman Catholic Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC 39841.7875 39834.615277777775 Jan F Destruct Larynx Les Nec Baptist Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC 39841.7875 39834.615277777775 Jan F Destruct Larynx Les Nec Baptist Clinic Referral Ambulance MED 1T UNIT HEMANGIOMA NEC 39841.7875 39834.615277777775 Jan F Destruct Larynx Les Nec Baptist Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.79583333333 39839.33541666667 Jan F Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39841.79583333333 39839.33541666667 Jan F Inject Ca Chemother Nec No Religious Preference Emergency Room Ambulance EMERGENCY FLU W RESP MANIFEST NEC 39841.799305555556 39841.74722222222 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU 39841.802083333336 39841.513194444444 Jan F Preauricular Sinus Excis Christian Clinic Referral Self SURGERY CENTER PREAURICULAR SINUS/FISTU 39841.802083333336 39841.513194444444 Jan F Preauricular Sinus Excis Christian Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39841.80347222222 39840.93680555555 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39841.80347222222 39840.93680555555 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ATTEN TO ENTEROSTOMY NEC 39841.80902777778 39840.84861111111 Jan M Replace Large Bowel Tube Christian Emergency Room Ambulance OBSERVATION UNIT ATTEN TO ENTEROSTOMY NEC 39841.80902777778 39840.84861111111 Jan M Replace Large Bowel Tube Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.819444444445 39841.57986111111 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39841.819444444445 39841.57986111111 Jan M Tonsillectomy/Adenoidec Other Religion Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39841.819444444445 39841.61944444444 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39841.819444444445 39841.61944444444 Jan M Unilat Ing Hern Rep Nos No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39841.83819444444 39836.40138888889 Jan M Pull-Thru Rect Resec Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39841.83819444444 39836.40138888889 Jan M Pull-Thru Rect Resec Nec No Religious Preference Clinic Referral Self SURG 3 UNIT ATRESIA LARGE INTESTINE 39841.83819444444 39836.40138888889 Jan M Pull-Thru Rect Resec Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39841.84166666667 39841.73541666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39841.8625 39841.7375 Jan M Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39841.864583333336 39841.739583333336 Jan F Christian Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39841.87013888889 39841.65347222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39841.88263888889 39841.77777777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39841.888194444444 39841.75833333333 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY PERIAPICAL ABSCESS 39841.88958333333 39841.67291666667 Jan M Christian Emergency Room Ambulance EMERGENCY MECHANICAL COMPLIC OF GASTROSTOMY 39841.88958333333 39841.78611111111 Jan M Islam Emergency Room Ambulance EMERGENCY FEBRILE CONVULSIONS NOS 39841.88958333333 39841.799305555556 Jan M Islam Emergency Room Ambulance EMERGENCY 39841.90069444444 39841.896527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY 39841.90069444444 39841.896527777775 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39841.90902777778 39841.842361111114 Jan M Protestant Emergency Room Ambulance EMERGENCY LUMBAGO 39841.90972222222 39841.62777777778 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY HEMORRHAGE COMPLIC PROCEDURE 39841.91527777778 39841.805555555555 Jan M Latter Day Saints Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39841.93194444444 39840.96527777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39841.93194444444 39840.96527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39841.938888888886 39841.479166666664 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT 39841.94513888889 39841.49236111111 Jan M Other Repair Of Knee No Religious Preference Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT 39841.94513888889 39841.49236111111 Jan M Other Repair Of Knee No Religious Preference Clinic Referral Self SURG 3 UNIT TEAR LAT MENISC KNEE-CURRENT 39841.94513888889 39841.49236111111 Jan M Other Repair Of Knee No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39841.94513888889 39841.75277777778 Jan M Christian Emergency Room Ambulance EMERGENCY URTICARIA NOS 39841.947222222225 39841.81458333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANGEAL 39841.94930555556 39841.79513888889 Jan F Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC 39841.950694444444 39840.23055555556 Jan M Christian Emergency Room Ambulance MED 2T UNIT EXTRINSIC ASTHMA WITH EXAC 39841.950694444444 39840.23055555556 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39841.950694444444 39841.78958333333 Jan F Christian Emergency Room Ambulance EMERGENCY JOINT PAIN-HAND 39841.950694444444 39841.79513888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39841.972916666666 39841.675 Jan F Protestant Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance SURG 4 UNIT BILIARY ATRESIA 39841.97430555556 39832.745833333334 Jan F Hepatic Duct-Gi Anastom Other Religion Emergency Room Ambulance EMERGENCY DISLOCAT ELBOW NOS-CLOSE 39841.97430555556 39841.9125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT 39841.98125 39841.84722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39841.993055555555 39841.90416666667 Jan F Christian Emergency Room Ambulance EMERGENCY CROUP 39842.001388888886 39841.89097222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39842.00763888889 39841.86666666667 Jan M Christian Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH 39842.01388888889 39841.756944444445 Jan M Hindu Emergency Room Ambulance EMERGENCY FEVER NOS 39842.01388888889 39841.876388888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39842.01388888889 39841.90833333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY JUV OSTEOCHONDROSIS LEG 39842.01388888889 39841.910416666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC 39842.01944444444 39841.933333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY LOWER LEG INJURY NOS 39842.02291666667 39841.88263888889 Jan F Christian Emergency Room Ambulance EMERGENCY JOINT PAIN-L/LEG 39842.03055555555 39841.93680555555 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39842.03125 39841.91805555556 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39842.03125 39841.930555555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39842.04513888889 39841.96944444445 Jan M Christian Emergency Room Ambulance EMERGENCY HYPERTENSION NOS 39842.07361111111 39841.89791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPN WOUND TONGUE/MOUTH FLR 39842.080555555556 39841.98611111111 Jan M Lutheran Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39842.08541666667 39842.01666666667 Jan M No Religious Preference Physician Referral Ambulance PICU HYPOXEMIA 39842.08819444444 39841.42013888889 Jan M Venous Cath Nec No Religious Preference Physician Referral Ambulance PICU HYPOXEMIA 39842.08819444444 39841.42013888889 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance EMERGENCY AMPUTATION TOE 39842.11319444444 39841.91527777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CALCULUS OF KIDNEY 39842.14861111111 39842.020833333336 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39842.160416666666 39842.08125 Jan F Bladder Operation Nec Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39842.17222222222 39841.89375 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.21388888889 39842.05694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39842.23541666667 39842.15625 Jan M Christian Emergency Room Ambulance EMERGENCY COUGH 39842.33819444444 39842.268055555556 Jan M Christian Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.34027777778 39842.277083333334 Jan F Christian Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY 39842.34305555555 39838.45416666667 Jan M Sm Bowel Stoma Closure No Religious Preference Clinic Referral Self SURG 4 UNIT ATTEN TO ILEOSTOMY 39842.34305555555 39838.45416666667 Jan M Sm Bowel Stoma Closure No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.34583333333 39842.231944444444 Jan F No Religious Preference Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39842.354166666664 39840.217361111114 Jan M Thorac Contr Phlebog Nec No Religious Preference Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39842.354166666664 39840.217361111114 Jan M Thorac Contr Phlebog Nec No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39842.354166666664 39842.259722222225 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39842.354166666664 39842.259722222225 Jan M Myringotomy W Intubation Roman Catholic Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39842.36111111111 39842.294444444444 Jan F Remov Thor Ther Dev Nec Christian Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39842.36111111111 39842.294444444444 Jan F Remov Thor Ther Dev Nec Christian Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39842.368055555555 39842.29027777778 Jan F Myringotomy W Intubation No Religious Preference Clinic Referral Self SURGERY CENTER CHR NONSUP OM NOS/NEC 39842.368055555555 39842.29027777778 Jan F Myringotomy W Intubation No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39842.38055555556 39842.339583333334 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39842.39861111111 39842.285416666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEMATEMESIS 39842.40555555555 39842.31180555555 Jan F Christian Emergency Room Ambulance SCCA UNIT CALCULUS OF KIDNEY 39842.43125 39837.46527777778 Jan M Baptist Emergency Room Ambulance SCCA UNIT CALCULUS OF KIDNEY 39842.43125 39837.46527777778 Jan M Baptist Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES 39842.4375 39842.2875 Jan F Simp Exc Lymph Struc Nec Christian Clinic Referral Self SURGERY CENTER ENLARGEMENT LYMPH NODES 39842.4375 39842.2875 Jan F Simp Exc Lymph Struc Nec Christian Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED 39842.447916666664 39842.25208333333 Jan M Crown Application No Religious Preference Clinic Referral Self SURGERY CENTER BROKEN TOOTH-COMPLICATED 39842.447916666664 39842.25208333333 Jan M Crown Application No Religious Preference Physician Referral Ambulance MED 2T UNIT ACUTE LYMPHADENITIS 39842.458333333336 39839.48611111111 Jan F Soft Tissue Incision Nec No Religious Preference Physician Referral Ambulance MED 2T UNIT ACUTE LYMPHADENITIS 39842.458333333336 39839.48611111111 Jan F Soft Tissue Incision Nec No Religious Preference Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC 39842.458333333336 39841.28402777778 Jan F Excis Knee Semilun Cartl Christian Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC 39842.458333333336 39841.28402777778 Jan F Excis Knee Semilun Cartl Christian Clinic Referral Self OBSERVATION UNIT DERANGEMENT MENISCUS NEC 39842.458333333336 39841.28402777778 Jan F Excis Knee Semilun Cartl Christian Clinic Referral Self MED 1T UNIT ENCEPHALOCELE 39842.46041666667 39841.41736111111 Jan F Intranas Les Destruction Patient Refused Clinic Referral Self MED 1T UNIT ENCEPHALOCELE 39842.46041666667 39841.41736111111 Jan F Intranas Les Destruction Patient Refused Clinic Referral Self MED 1T UNIT ENCEPHALOCELE 39842.46041666667 39841.41736111111 Jan F Intranas Les Destruction Patient Refused Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA 39842.46388888889 39841.30972222222 Jan M Opn Bil Ind Ing Hern Nec Roman Catholic Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA 39842.46388888889 39841.30972222222 Jan M Opn Bil Ind Ing Hern Nec Roman Catholic Clinic Referral Self SURG 4 UNIT BILAT INGUINAL HERNIA 39842.46388888889 39841.30972222222 Jan M Opn Bil Ind Ing Hern Nec Roman Catholic Physician Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39842.46527777778 39842.260416666664 Jan F Egd With Closed Biopsy Christian Physician Referral Self SURGERY CENTER ABDOMINAL PAIN EPIGASTRIC 39842.46527777778 39842.260416666664 Jan F Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.46875 39842.30416666667 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.46875 39842.30416666667 Jan F Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.48263888889 39842.32777777778 Jan M Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.48263888889 39842.32777777778 Jan M Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.48472222222 39840.50069444445 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.48472222222 39840.50069444445 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39842.48819444444 39841.50208333333 Jan F Cl Reduc Disloc-Hip No Religious Preference Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39842.48819444444 39841.50208333333 Jan F Cl Reduc Disloc-Hip No Religious Preference Clinic Referral Self SURG 3 UNIT CONG HIP DISLOC, UNILAT 39842.48819444444 39841.50208333333 Jan F Cl Reduc Disloc-Hip No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN RLQ 39842.48888888889 39842.38958333333 Jan F Hindu Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39842.49444444444 39842.35625 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.49652777778 39842.32986111111 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.49652777778 39842.32986111111 Jan M Tonsillectomy/Adenoidec No Religious Preference Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39842.51388888889 39842.37777777778 Jan M Anesthetized Eye Exam Roman Catholic Clinic Referral Self SURGERY CENTER ATTN REMOVAL OF SUTURES 39842.51388888889 39842.37777777778 Jan M Anesthetized Eye Exam Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39842.51597222222 39842.46388888889 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT CONVULSIONS NEC 39842.525 39841.41875 Jan F Video/Radio Eeg Monitor Christian Clinic Referral Self MED 1T UNIT CONVULSIONS NEC 39842.525 39841.41875 Jan F Video/Radio Eeg Monitor Christian Emergency Room Ambulance EMERGENCY ABNORMALITY OF GAIT 39842.527083333334 39842.415972222225 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS 39842.53125 39842.271527777775 Jan M Type 2 Tympanoplasty Latter Day Saints Clinic Referral Self SURGERY CENTER CHOLESTEATOMA NOS 39842.53125 39842.271527777775 Jan M Type 2 Tympanoplasty Latter Day Saints Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.532638888886 39840.649305555555 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.532638888886 39840.649305555555 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT LIPOMA NEC 39842.53611111111 39841.38055555556 Jan M Excis Lesion Of Muscle No Religious Preference Clinic Referral Self SURG 3 UNIT LIPOMA NEC 39842.53611111111 39841.38055555556 Jan M Excis Lesion Of Muscle No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS 39842.53888888889 39840.01875 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE URI NOS 39842.53888888889 39840.01875 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39842.541666666664 39842.51111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39842.54652777778 39842.413194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY WHEEZING 39842.55 39842.37430555555 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION 39842.55069444444 39840.450694444444 Jan M Christian Emergency Room Ambulance OBSERVATION UNIT DEHYDRATION 39842.55069444444 39840.450694444444 Jan M Christian Clinic Referral Self REHAB UNIT MICROTIA 39842.552083333336 39840.25833333333 Jan M Excis External Ear Nec No Religious Preference Clinic Referral Self REHAB UNIT MICROTIA 39842.552083333336 39840.25833333333 Jan M Excis External Ear Nec No Religious Preference Clinic Referral Self REHAB UNIT MICROTIA 39842.552083333336 39840.25833333333 Jan M Excis External Ear Nec No Religious Preference Clinic Referral Self MED 2G UNIT ANAL FISTULA 39842.552083333336 39841.52013888889 Jan M Anal Fistulotomy No Religious Preference Clinic Referral Self MED 2G UNIT ANAL FISTULA 39842.552083333336 39841.52013888889 Jan M Anal Fistulotomy No Religious Preference Clinic Referral Self MED 2G UNIT ANAL FISTULA 39842.552083333336 39841.52013888889 Jan M Anal Fistulotomy No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39842.55902777778 39840.902083333334 Jan M Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39842.55902777778 39840.902083333334 Jan M Christian Emergency Room Ambulance EMERGENCY FX 1ST METACARP BASE-CLOSE 39842.56180555555 39842.370833333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39842.566666666666 39842.40138888889 Jan M Christian Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC 39842.569444444445 39841.35138888889 Jan M Knee Synovectomy Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC 39842.569444444445 39841.35138888889 Jan M Knee Synovectomy Clinic Referral Self OBSERVATION UNIT SYNOV/TEND/BURSA DIS NEC 39842.569444444445 39841.35138888889 Jan M Knee Synovectomy Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39842.569444444445 39842.39375 Jan M Islam Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.572916666664 39842.399305555555 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY TONS AND ADEN 39842.572916666664 39842.399305555555 Jan M Tonsillectomy/Adenoidec Roman Catholic Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE 39842.575 39839.53055555555 Jan F Excis Spinal Cord Lesion Baptist Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE 39842.575 39839.53055555555 Jan F Excis Spinal Cord Lesion Baptist Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE 39842.575 39839.53055555555 Jan F Excis Spinal Cord Lesion Baptist Clinic Referral Self SURG 3 UNIT BENIGN NEO VERTEBRAE 39842.575 39839.53055555555 Jan F Excis Spinal Cord Lesion Baptist Outside Hospital Ambulance MED 1T UNIT DIS AMINO-ACID METAB NEC 39842.583333333336 39840.03333333333 Jan M Roman Catholic Outside Hospital Ambulance MED 1T UNIT DIS AMINO-ACID METAB NEC 39842.583333333336 39840.03333333333 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39842.59027777778 39841.08194444444 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT PNEUMONIA, ORGANISM NOS 39842.59027777778 39841.08194444444 Jan M Roman Catholic Clinic Referral Ambulance MED 1T UNIT ANOREXIA 39842.61041666667 39841.819444444445 Jan F Roman Catholic Clinic Referral Ambulance MED 1T UNIT ANOREXIA 39842.61041666667 39841.819444444445 Jan F Roman Catholic Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39842.61388888889 39833.45416666667 Jan F No Religious Preference Clinic Referral Ambulance MED 1T UNIT CYSTIC FIBROSIS W PULM MANIFEST 39842.61388888889 39833.45416666667 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE TRACHEITIS NO OBSTRUC 39842.61666666667 39820.80069444444 Jan M Cont Inv Mec Ven 96+ Hrs Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39842.618055555555 39840.020833333336 Jan F Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE PANCREATITIS 39842.618055555555 39840.020833333336 Jan F Insert Gastric Tube Nec No Religious Preference Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM 39842.61944444444 39841.461805555555 Jan F Loc Exc Bone Les Humerus Christian Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM 39842.61944444444 39841.461805555555 Jan F Loc Exc Bone Les Humerus Christian Clinic Referral Self OBSERVATION UNIT BENIGN NEO LONG BONES ARM 39842.61944444444 39841.461805555555 Jan F Loc Exc Bone Les Humerus Christian Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST 39842.623611111114 39841.40555555555 Jan M Humerus Biopsy No Religious Preference Clinic Referral Self SURG 3 UNIT SOLITARY BONE CYST 39842.623611111114 39841.40555555555 Jan M Humerus Biopsy No Religious Preference Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS 39842.625 39831.618055555555 Jan F Liver Transplant Nec Christian Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS 39842.625 39831.618055555555 Jan F Liver Transplant Nec Christian Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS 39842.625 39831.618055555555 Jan F Liver Transplant Nec Christian Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS 39842.625 39831.618055555555 Jan F Liver Transplant Nec Christian Clinic Referral Ambulance SURG 4 UNIT OTHER SEQUELA, CHR LIV DIS 39842.625 39831.618055555555 Jan F Liver Transplant Nec Christian Clinic Referral Self SURGERY CENTER PHARYNGEAL ANOMALY NEC 39842.625 39842.43402777778 Jan F Plastic Op On Pharynx No Religious Preference Clinic Referral Self SURGERY CENTER PHARYNGEAL ANOMALY NEC 39842.625 39842.43402777778 Jan F Plastic Op On Pharynx No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.625 39842.478472222225 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.625 39842.478472222225 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY BURN NOS HEAD-UNSPEC 39842.62708333333 39842.57708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.63263888889 39842.53194444445 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Clinic Referral Self SURG 4 UNIT END STAGE RENAL DISEASE 39842.635416666664 39833.552083333336 Jan M Kidney Transplant Nec Islam Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.638194444444 39842.55069444444 Jan M Episcopal Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS 39842.643055555556 39841.680555555555 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT IRON DEFIC ANEMIA NOS 39842.643055555556 39841.680555555555 Jan F Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39842.64444444444 39840.347916666666 Jan M Inject Ca Chemother Nec Protestant Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39842.64444444444 39840.347916666666 Jan M Inject Ca Chemother Nec Protestant Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39842.665972222225 39842.50069444445 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY 39842.67013888889 39842.50208333333 Jan M Limb Shorten-Tib/Fibula Christian Clinic Referral Self SURGERY CENTER OTHER ACQ LIMB DEFORMITY 39842.67013888889 39842.50208333333 Jan M Limb Shorten-Tib/Fibula Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.67152777778 39839.60555555556 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.67152777778 39839.60555555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39842.67152777778 39842.59861111111 Jan M No Religious Preference Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION 39842.677777777775 39841.53680555556 Jan F Endosc Destruc Esoph Les Protestant Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION 39842.677777777775 39841.53680555556 Jan F Endosc Destruc Esoph Les Protestant Clinic Referral Self MED 2G UNIT PORTAL HYPERTENSION 39842.677777777775 39841.53680555556 Jan F Endosc Destruc Esoph Les Protestant Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39842.677777777775 39841.646527777775 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39842.677777777775 39841.646527777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX UPPER ULNA NEC/NOS-CLOSE 39842.67986111111 39842.541666666664 Jan F No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.68402777778 39842.51458333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGEAL REFLUX 39842.68402777778 39842.51458333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN 39842.68472222222 39834.67986111111 Jan F Bone Marrow Biopsy Roman Catholic Clinic Referral Self SCCA UNIT AC LYM LEUK WO ACHV RMSN 39842.68472222222 39834.67986111111 Jan F Bone Marrow Biopsy Roman Catholic Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS 39842.6875 39842.478472222225 Jan F Remov Intralum Esoph Fb No Religious Preference Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS 39842.6875 39842.478472222225 Jan F Remov Intralum Esoph Fb No Religious Preference Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39842.6875 39842.56805555556 Jan F Christian Emergency Room Ambulance MED 2G UNIT BEHCET'S SYNDROME 39842.70138888889 39840.37777777778 Jan M Skin And Subq Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT BEHCET'S SYNDROME 39842.70138888889 39840.37777777778 Jan M Skin And Subq Biopsy No Religious Preference Emergency Room Ambulance INPATIENT PSYCH INFECTIOUS MONONUCLEOSIS 39842.708333333336 39841.808333333334 Jan M No Religious Preference Emergency Room Ambulance INPATIENT PSYCH INFECTIOUS MONONUCLEOSIS 39842.708333333336 39841.808333333334 Jan M No Religious Preference Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS 39842.71875 39837.90069444444 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS 39842.71875 39837.90069444444 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT GRAND MAL STATUS 39842.71875 39837.90069444444 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS 39842.71944444445 39842.57986111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39842.72361111111 39842.657638888886 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39842.729166666664 39842.63263888889 Jan F Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39842.729166666664 39842.63263888889 Jan F Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY FOREIGN BODY IN EAR 39842.73472222222 39842.65138888889 Jan M Latter Day Saints Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39842.73611111111 39842.53888888889 Jan M Egd With Closed Biopsy Episcopal Clinic Referral Self SURGERY CENTER NONINFEC GASTROENTERIT NEC 39842.73611111111 39842.53888888889 Jan M Egd With Closed Biopsy Episcopal Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39842.73611111111 39842.563888888886 Jan F Remov Ureteral Drain Christian Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39842.73611111111 39842.563888888886 Jan F Remov Ureteral Drain Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS 39842.739583333336 39838.50486111111 Jan M Dx Ultrasound-Heart Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS 39842.739583333336 39838.50486111111 Jan M Dx Ultrasound-Heart Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS 39842.739583333336 39838.50486111111 Jan M Dx Ultrasound-Heart Christian Emergency Room Ambulance MED 2G UNIT BACTEREMIA NOS 39842.739583333336 39838.50486111111 Jan M Dx Ultrasound-Heart Christian Clinic Referral Ambulance REHAB UNIT MALFUN NEURO DEVICE/GRAF 39842.74097222222 39841.79513888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39842.748611111114 39842.674305555556 Jan M No Religious Preference Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY 39842.75 39823.03680555556 Jan M Nephroureterectomy Christian Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY 39842.75 39823.03680555556 Jan M Nephroureterectomy Christian Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY 39842.75 39823.03680555556 Jan M Nephroureterectomy Christian Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY 39842.75 39823.03680555556 Jan M Nephroureterectomy Christian Emergency Room Ambulance SCCA UNIT MALIG NEOPL KIDNEY 39842.75 39823.03680555556 Jan M Nephroureterectomy Christian Emergency Room Ambulance EMERGENCY CELLULITIS OF BUTTOCK 39842.75208333333 39842.59444444445 Jan M No Religious Preference Clinic Referral Self REHAB UNIT MICROTIA 39842.759722222225 39840.47986111111 Jan M Plastic Rep Ext Ear Nec Roman Catholic Clinic Referral Self REHAB UNIT MICROTIA 39842.759722222225 39840.47986111111 Jan M Plastic Rep Ext Ear Nec Roman Catholic Clinic Referral Self REHAB UNIT MICROTIA 39842.759722222225 39840.47986111111 Jan M Plastic Rep Ext Ear Nec Roman Catholic Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39842.760416666664 39840.59930555556 Jan M Christian Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39842.760416666664 39840.59930555556 Jan M Christian Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC 39842.76111111111 39841.55902777778 Jan M Parent Infus Nutrit Sub No Religious Preference Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC 39842.76111111111 39841.55902777778 Jan M Parent Infus Nutrit Sub No Religious Preference Physician Referral Self SURG 4 UNIT LIVER DISORDERS NEC 39842.76111111111 39841.55902777778 Jan M Parent Infus Nutrit Sub No Religious Preference Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS 39842.76388888889 39842.56180555555 Jan F Loc Exc Bone Lesion Nec Christian Clinic Referral Self SURGERY CENTER EXOSTOSIS, SITE NOS 39842.76388888889 39842.56180555555 Jan F Loc Exc Bone Lesion Nec Christian Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.76597222222 39841.68472222222 Jan M Christian Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.76597222222 39841.68472222222 Jan M Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39842.768055555556 39842.677777777775 Jan M Protestant Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39842.76944444444 39842.67847222222 Jan M Protestant Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS 39842.77222222222 39842.32708333333 Jan F Closed Liver Biopsy No Religious Preference Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS 39842.77222222222 39842.32708333333 Jan F Closed Liver Biopsy No Religious Preference Clinic Referral Self OBSERVATION UNIT CHR PERSISTENT HEPATITIS 39842.77222222222 39842.32708333333 Jan F Closed Liver Biopsy No Religious Preference Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W INTR EPIL 39842.77777777778 39841.68680555555 Jan F Christian Emergency Room Ambulance MED 2G UNIT PSYMOTR EPIL W INTR EPIL 39842.77777777778 39841.68680555555 Jan F Christian Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS 39842.77916666667 39840.80763888889 Jan M Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance MED 1T UNIT CONSTIPATION NOS 39842.77916666667 39840.80763888889 Jan M Insert Gastric Tube Nec No Religious Preference Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39842.78125 39839.06875 Jan F No Religious Preference Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39842.78125 39839.06875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39842.79513888889 39842.717361111114 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39842.80069444444 39842.58611111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.802083333336 39842.65416666667 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.8125 39838.90277777778 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39842.8125 39838.90277777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39842.822916666664 39842.34722222222 Jan M Remov Ureteral Drain Christian Clinic Referral Self SURGERY CENTER AFCARE FOL SURG OF GENITOUR SYST, NEC 39842.822916666664 39842.34722222222 Jan M Remov Ureteral Drain Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39842.82638888889 39842.714583333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39842.839583333334 39842.74722222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39842.84652777778 39842.77638888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ORTHOPEDIC AFTERCARE NEC 39842.85486111111 39842.80486111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC 39842.86111111111 39842.674305555556 Jan F Other Local Destruc Skin Christian Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN FACE NEC 39842.86111111111 39842.674305555556 Jan F Other Local Destruc Skin Christian Emergency Room Ambulance OBSERVATION UNIT NWBRN FEEDING PROBLEMS 39842.87013888889 39842.209027777775 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT NWBRN FEEDING PROBLEMS 39842.87013888889 39842.209027777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION PERIOCULAR 39842.875 39842.79583333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EPISTAXIS 39842.876388888886 39842.686111111114 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NAUSEA ALONE 39842.87986111111 39842.62986111111 Jan F Protestant Emergency Room Ambulance EMERGENCY FOREIGN BODY IN STOMACH 39842.8875 39842.785416666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX RADIUS W ULNA NOS-CLOSE 39842.893055555556 39842.78055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39842.90138888889 39842.80347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING OF LIMB 39842.90902777778 39842.68194444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SEBACEOUS CYST 39842.9125 39842.760416666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39842.913194444445 39842.80625 Jan F Hindu Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39842.91458333333 39842.87152777778 Jan F Other Religion Emergency Room Ambulance EMERGENCY URTICARIA NOS 39842.91527777778 39842.83611111111 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY HB-SS DISEASE WITH CRISIS 39842.92222222222 39842.683333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NJURIES TO SCALP NEC 39842.92986111111 39842.788194444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PSYCHOPHYSIC VISUAL DIST 39842.938888888886 39842.76736111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39842.94097222222 39842.87986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39842.94097222222 39842.87986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39842.94097222222 39842.87986111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS, TOE NOS 39842.96111111111 39842.84166666667 Jan M Protestant Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39842.96388888889 39842.91180555556 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39842.96666666667 39842.87708333333 Jan M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39842.97777777778 39842.884722222225 Jan M Islam Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39842.99444444444 39842.94236111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39842.99444444444 39842.944444444445 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VOMITING ALONE 39842.99513888889 39842.89722222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.0125 39842.933333333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39843.03888888889 39843.00347222222 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF HAND 39843.04236111111 39842.97152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SUPP OTITIS MEDIA NOS 39843.04652777778 39842.98125 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY BEHAVIORAL PROBLEMS NEC 39843.06180555555 39842.81527777778 Jan F Latter Day Saints Emergency Room Ambulance EMERGENCY HERPETIC GINGIVOSTOMAT 39843.07638888889 39842.95138888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF LEG 39843.089583333334 39842.96944444445 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39843.18680555555 39843.05763888889 Jan M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.22708333333 39842.98402777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39843.28680555556 39843.19027777778 Jan F Greek Orthodox Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39843.30347222222 39843.22708333333 Jan M Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39843.347916666666 39843.27361111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39843.35138888889 39843.28958333333 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39843.37013888889 39843.313888888886 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER INGROWING NAIL 39843.395833333336 39843.24722222222 Jan M Nail Removal No Religious Preference Clinic Referral Self SURGERY CENTER INGROWING NAIL 39843.395833333336 39843.24722222222 Jan M Nail Removal No Religious Preference Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA 39843.40625 39842.48611111111 Jan F Bronchial Fistula Clos No Religious Preference Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA 39843.40625 39842.48611111111 Jan F Bronchial Fistula Clos No Religious Preference Clinic Referral Self MED 1T UNIT PERSIST POSTOP FISTULA 39843.40625 39842.48611111111 Jan F Bronchial Fistula Clos No Religious Preference Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS 39843.41458333333 39842.25277777778 Jan M Ankle Structure Division No Religious Preference Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS 39843.41458333333 39842.25277777778 Jan M Ankle Structure Division No Religious Preference Clinic Referral Self SURG 3 UNIT TALIPES EQUINOVARUS 39843.41458333333 39842.25277777778 Jan M Ankle Structure Division No Religious Preference Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS 39843.416666666664 39842.7625 Jan F Remov Intralum Esoph Fb Christian Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS 39843.416666666664 39842.7625 Jan F Remov Intralum Esoph Fb Christian Emergency Room Ambulance SURGERY CENTER FOREIGN BODY ESOPHAGUS 39843.416666666664 39842.7625 Jan F Remov Intralum Esoph Fb Christian Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39843.416666666664 39843.291666666664 Jan M Removal Fb/Dev From Skin No Religious Preference Clinic Referral Self SURGERY CENTER FIT/ADJUST VASC CATHETER AFTERCARE 39843.416666666664 39843.291666666664 Jan M Removal Fb/Dev From Skin No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39843.42013888889 39843.350694444445 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN LEG 39843.42361111111 39843.285416666666 Jan F Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39843.430555555555 39843.27013888889 Jan M Remove Int Fix Face Bone No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39843.430555555555 39843.27013888889 Jan M Remove Int Fix Face Bone No Religious Preference Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39843.444444444445 39843.28194444445 Jan M Myringotomy W Intubation Islam Clinic Referral Self SURGERY CENTER OTITIS MEDIA NOS 39843.444444444445 39843.28194444445 Jan M Myringotomy W Intubation Islam Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK 39843.444444444445 39843.34166666667 Jan M Other Local Destruc Skin No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SCALP/SKIN NECK 39843.444444444445 39843.34166666667 Jan M Other Local Destruc Skin No Religious Preference Outside Health Care Facility Self SURG 4 UNIT INFECT D/T CENT VEN CATH 39843.45694444444 39829.629166666666 Jan M Pacemaker Rate Check Roman Catholic Outside Health Care Facility Self SURG 4 UNIT INFECT D/T CENT VEN CATH 39843.45694444444 39829.629166666666 Jan M Pacemaker Rate Check Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39843.46319444444 39843.36736111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY IDIOPATHIC URTICARIA 39843.46527777778 39843.415972222225 Jan F Islam Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER 39843.46805555555 39842.38125 Jan M Occlude Abd Artery Nec No Religious Preference Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER 39843.46805555555 39842.38125 Jan M Occlude Abd Artery Nec No Religious Preference Physician Referral Self SURG 4 UNIT RENAL VASCULAR DISORDER 39843.46805555555 39842.38125 Jan M Occlude Abd Artery Nec No Religious Preference Outside Hospital Ambulance MED 2G UNIT CONSTIPATION NOS 39843.46875 39836.48055555556 Jan M Closed Rectal Biopsy No Religious Preference Outside Hospital Ambulance MED 2G UNIT CONSTIPATION NOS 39843.46875 39836.48055555556 Jan M Closed Rectal Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC 39843.46875 39843.316666666666 Jan M Other Local Destruc Skin Christian Clinic Referral Self SURGERY CENTER GASTROSTOMY COMPLICATION NEC 39843.46875 39843.316666666666 Jan M Other Local Destruc Skin Christian Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC 39843.486805555556 39839.30138888889 Jan F Excis Spinal Cord Lesion No Religious Preference Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC 39843.486805555556 39839.30138888889 Jan F Excis Spinal Cord Lesion No Religious Preference Clinic Referral Self SURG 3 UNIT SPINAL CORD ANOMALY NEC 39843.486805555556 39839.30138888889 Jan F Excis Spinal Cord Lesion No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39843.493055555555 39841.34375 Jan F Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39843.493055555555 39841.34375 Jan F Inject Ca Chemother Nec No Religious Preference Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39843.49652777778 39843.26875 Jan F Injection Into Joint Christian Clinic Referral Self SURGERY CENTER JUV RHEUM ARTHRITIS NOS 39843.49652777778 39843.26875 Jan F Injection Into Joint Christian Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39843.5 39843.31597222222 Jan M Unilat Ing Hern Rep Nos Roman Catholic Clinic Referral Self SURGERY CENTER UNILAT INGUINAL HERNIA 39843.5 39843.31597222222 Jan M Unilat Ing Hern Rep Nos Roman Catholic Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ 39843.50208333333 39842.24722222222 Jan M Correct Ureteropelv Junc Christian Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ 39843.50208333333 39842.24722222222 Jan M Correct Ureteropelv Junc Christian Clinic Referral Self SURG 3 UNIT CONGENITAL OBSTRUC RENAL UPJ 39843.50208333333 39842.24722222222 Jan M Correct Ureteropelv Junc Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED 39843.50208333333 39843.37777777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER BENIGN NEO SKIN ARM 39843.506944444445 39843.40694444445 Jan F Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39843.50763888889 39843.46388888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS 39843.510416666664 39843.32638888889 Jan F Egd With Closed Biopsy Other Religion Clinic Referral Self SURGERY CENTER STOMACH ULCER NOS 39843.510416666664 39843.32638888889 Jan F Egd With Closed Biopsy Other Religion Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL MENINGITIS 39843.513194444444 39839.92152777778 Jan M Mri Of Brain And Brainstem Roman Catholic Emergency Room Ambulance MED 2G UNIT STREPTOCOCCAL MENINGITIS 39843.513194444444 39839.92152777778 Jan M Mri Of Brain And Brainstem Roman Catholic Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39843.51736111111 39843.32083333333 Jan M Adenoidectomy Methodist Clinic Referral Self SURGERY CENTER HYPERTROPHY ADENOIDS 39843.51736111111 39843.32083333333 Jan M Adenoidectomy Methodist Emergency Room Ambulance EMERGENCY BRAN-CHAIN AMIN-ACID DIS 39843.518055555556 39843.35763888889 Jan M Christian Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT 39843.524305555555 39843.33819444444 Jan M Audit And Vestib Test Nec No Religious Preference Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS,BILAT 39843.524305555555 39843.33819444444 Jan M Audit And Vestib Test Nec No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.52569444444 39843.47361111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.52638888889 39843.47361111111 Jan M Roman Catholic Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR 39843.53888888889 39833.17569444444 Jan M Spine Meningocele Repair Christian Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR 39843.53888888889 39833.17569444444 Jan M Spine Meningocele Repair Christian Outside Hospital Ambulance SURG 3 UNIT SPINA BIFIDA-LUMBAR 39843.53888888889 39833.17569444444 Jan M Spine Meningocele Repair Christian Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39843.541666666664 39843.34097222222 Jan F Excision Of Lip Les Nec Jehovah's Witness Clinic Referral Self SURGERY CENTER HEMANGIOMA SKIN 39843.541666666664 39843.34097222222 Jan F Excision Of Lip Les Nec Jehovah's Witness Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS 39843.55 39842.37986111111 Jan F Tonsillectomy No Religious Preference Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS 39843.55 39842.37986111111 Jan F Tonsillectomy No Religious Preference Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS 39843.55 39842.37986111111 Jan F Tonsillectomy No Religious Preference Clinic Referral Self REHAB UNIT HYPERTROPHY TONSILS 39843.55 39842.37986111111 Jan F Tonsillectomy No Religious Preference Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH 39843.552083333336 39842.40972222222 Jan F Egd With Closed Biopsy Christian Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH 39843.552083333336 39842.40972222222 Jan F Egd With Closed Biopsy Christian Clinic Referral Self MED 2T UNIT ATROPHIC GASTRITIS W/O HEMORRH 39843.552083333336 39842.40972222222 Jan F Egd With Closed Biopsy Christian Physician Referral Self SURGERY CENTER DISORDERS OF METAB NEC 39843.55902777778 39843.313888888886 Jan M Bone Biopsy Nec No Religious Preference Physician Referral Self SURGERY CENTER DISORDERS OF METAB NEC 39843.55902777778 39843.313888888886 Jan M Bone Biopsy Nec No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.55972222222 39843.475 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN GENERALIZED 39843.55972222222 39843.48125 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.56527777778 39843.47708333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.566666666666 39843.51875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39843.57361111111 39843.504166666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39843.57847222222 39843.510416666664 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.58472222222 39840.81736111111 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.58472222222 39840.81736111111 Jan M No Religious Preference Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC 39843.58888888889 39840.2625 Jan F Spinal Struct Repair Nec Latter Day Saints Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC 39843.58888888889 39840.2625 Jan F Spinal Struct Repair Nec Latter Day Saints Clinic Referral Self SURG 3 UNIT DISORDER OF MENINGES NEC 39843.58888888889 39840.2625 Jan F Spinal Struct Repair Nec Latter Day Saints Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39843.589583333334 39843.54652777778 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER HEMANGIOMA NOS 39843.59027777778 39843.44583333333 Jan F Other Local Destruc Skin Protestant Clinic Referral Self SURGERY CENTER HEMANGIOMA NOS 39843.59027777778 39843.44583333333 Jan F Other Local Destruc Skin Protestant Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED 39843.59652777778 39843.504166666666 Jan M No Religious Preference Clinic Referral Self MED 2G UNIT FEEDING PROBLEM 39843.59722222222 39841.43472222222 Jan M Percu Endosc Gastrostomy Christian Clinic Referral Self MED 2G UNIT FEEDING PROBLEM 39843.59722222222 39841.43472222222 Jan M Percu Endosc Gastrostomy Christian Clinic Referral Self MED 2G UNIT FEEDING PROBLEM 39843.59722222222 39841.43472222222 Jan M Percu Endosc Gastrostomy Christian Clinic Referral Self MED 2G UNIT FEEDING PROBLEM 39843.59722222222 39841.43472222222 Jan M Percu Endosc Gastrostomy Christian Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39843.59722222222 39843.42083333333 Jan M Egd With Closed Biopsy Christian Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39843.59722222222 39843.42083333333 Jan M Egd With Closed Biopsy Christian Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS 39843.597916666666 39841.8 Jan F Spinal Tap Christian Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS 39843.597916666666 39841.8 Jan F Spinal Tap Christian Emergency Room Ambulance MED 1T UNIT CONGENITAL HYDROCEPHALUS 39843.597916666666 39841.8 Jan F Spinal Tap Christian Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39843.60138888889 39833.666666666664 Jan M Cont Inv Mec Ven <96 Hrs Christian Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39843.60138888889 39833.666666666664 Jan M Cont Inv Mec Ven <96 Hrs Christian Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39843.60138888889 39833.666666666664 Jan M Cont Inv Mec Ven <96 Hrs Christian Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39843.60138888889 39833.666666666664 Jan M Cont Inv Mec Ven <96 Hrs Christian Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39843.60208333333 39839.54722222222 Jan F Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39843.60208333333 39839.54722222222 Jan F Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39843.60208333333 39839.54722222222 Jan F Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT ABSCESS OF APPENDIX 39843.60208333333 39839.54722222222 Jan F Drain Appendiceal Absc No Religious Preference Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS 39843.60208333333 39841.8875 Jan F Roman Catholic Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS 39843.60208333333 39841.8875 Jan F Roman Catholic Emergency Room Ambulance REHAB UNIT PYELONEPHRITIS NOS 39843.60208333333 39841.8875 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC 39843.604166666664 39843.29722222222 Jan F Cardiac Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC 39843.604166666664 39843.29722222222 Jan F Cardiac Biopsy No Religious Preference Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE 39843.604166666664 39843.43125 Jan M Bone Biopsy Nec No Religious Preference Physician Referral Self SURGERY CENTER SECONDARY MALIG NEO BONE 39843.604166666664 39843.43125 Jan M Bone Biopsy Nec No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39843.60486111111 39838.597916666666 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39843.60486111111 39838.597916666666 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.61666666667 39843.549305555556 Jan M No Religious Preference Clinic Referral Self REHAB UNIT TALIPES VALGUS 39843.62430555555 39842.330555555556 Jan M Metatar/Tar Division Nec Christian Clinic Referral Self REHAB UNIT TALIPES VALGUS 39843.62430555555 39842.330555555556 Jan M Metatar/Tar Division Nec Christian Clinic Referral Self REHAB UNIT TALIPES VALGUS 39843.62430555555 39842.330555555556 Jan M Metatar/Tar Division Nec Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39843.63055555556 39841.60138888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39843.63055555556 39841.60138888889 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER GENU VARUM 39843.631944444445 39843.430555555555 Jan M Limb Short Proc-Femur Christian Clinic Referral Self SURGERY CENTER GENU VARUM 39843.631944444445 39843.430555555555 Jan M Limb Short Proc-Femur Christian Emergency Room Ambulance EMERGENCY COUGH 39843.63402777778 39843.495833333334 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39843.64375 39843.186111111114 Jan M Methodist Emergency Room Ambulance EMERGENCY MIGRNE UNSP WO NTRC MGRN 39843.64375 39843.186111111114 Jan M Methodist Emergency Room Ambulance EMERGENCY OBSERVATN SUSPECT CONDN NEC 39843.65555555555 39843.60625 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER CLEFT LIP NOS 39843.65625 39843.49166666667 Jan M Excision Of Lip Les Nec Protestant Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT 39843.666666666664 39839.282638888886 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT 39843.666666666664 39839.282638888886 Jan F Rt/Left Heart Card Cath Christian Clinic Referral Self SURG 4 UNIT CORON ATHEROSCL ART TRANSPL HRT 39843.666666666664 39839.282638888886 Jan F Rt/Left Heart Card Cath Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39843.666666666664 39842.57361111111 Jan M Christian Emergency Room Ambulance MED 1T UNIT DEHYDRATION 39843.666666666664 39842.57361111111 Jan M Christian Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39843.666666666664 39843.48333333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ESOPHAGITIS, UNSPECIFIED 39843.666666666664 39843.48333333333 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS NOS 39843.67013888889 39843.43680555555 Jan M Audit And Vestib Test Nec No Religious Preference Clinic Referral Self SURGERY CENTER MIXED HEARING LOSS NOS 39843.67013888889 39843.43680555555 Jan M Audit And Vestib Test Nec No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39843.67361111111 39842.279861111114 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT EXT ASTHMA W STATUS ASTH 39843.67361111111 39842.279861111114 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39843.68125 39843.43819444445 Jan M Christian Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39843.683333333334 39843.597916666666 Jan F Christian Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS 39843.68402777778 39843.49444444444 Jan F Tibia And Fibula Biopsy Latter Day Saints Physician Referral Self SURGERY CENTER BONE AND CARTILAGE DIS NOS 39843.68402777778 39843.49444444444 Jan F Tibia And Fibula Biopsy Latter Day Saints Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39843.6875 39841.48819444444 Jan F 7th Day Adventist Emergency Room Ambulance MED 2G UNIT EXT ASTHMA W STATUS ASTH 39843.6875 39841.48819444444 Jan F 7th Day Adventist Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS 39843.69027777778 39842.961805555555 Jan M Christian Emergency Room Ambulance MED 2G UNIT JAUNDICE NOS 39843.69027777778 39842.961805555555 Jan M Christian Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC 39843.69097222222 39843.35277777778 Jan M Cardiac Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER SURGERY FOLLOWUP NEC 39843.69097222222 39843.35277777778 Jan M Cardiac Biopsy No Religious Preference Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39843.69097222222 39843.55138888889 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE 39843.69305555556 39842.53333333333 Jan M Open Reduct Face Fx Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE 39843.69305555556 39842.53333333333 Jan M Open Reduct Face Fx Nec No Religious Preference Clinic Referral Self SURG 3 UNIT FX FACIAL BONE NEC-CLOSE 39843.69305555556 39842.53333333333 Jan M Open Reduct Face Fx Nec No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.69583333333 39843.44236111111 Jan M No Religious Preference Emergency Room Ambulance MED 2T UNIT PYOGEN ARTHRITIS-L/LEG 39843.697916666664 39839.78194444445 Jan M Arthrocentesis Christian Emergency Room Ambulance MED 2T UNIT PYOGEN ARTHRITIS-L/LEG 39843.697916666664 39839.78194444445 Jan M Arthrocentesis Christian Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39843.697916666664 39841.799305555556 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39843.697916666664 39841.799305555556 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39843.697916666664 39841.799305555556 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39843.697916666664 39841.799305555556 Jan M Angio Oth Non-Coronary No Religious Preference Clinic Referral Self SURG 4 UNIT COMPLIC OTHR CARDIAC DEVICE 39843.697916666664 39841.799305555556 Jan M Angio Oth Non-Coronary No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39843.70416666667 39843.663194444445 Jan M Christian Emergency Room Ambulance EMERGENCY CROUP 39843.70625 39843.65 Jan F Christian Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39843.708333333336 39843.55069444444 Jan M Remov Imp Dev-Tib/Fibula No Religious Preference Clinic Referral Self SURGERY CENTER REMOVAL INT FIXATION DEVICE 39843.708333333336 39843.55069444444 Jan M Remov Imp Dev-Tib/Fibula No Religious Preference Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS 39843.71041666667 39839.45486111111 Jan F Mri Pelvis,Prostate,Blad No Religious Preference Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS 39843.71041666667 39839.45486111111 Jan F Mri Pelvis,Prostate,Blad No Religious Preference Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS 39843.71041666667 39839.45486111111 Jan F Mri Pelvis,Prostate,Blad No Religious Preference Emergency Room Ambulance MED 2T UNIT URIN TRACT INFECTION NOS 39843.71041666667 39839.45486111111 Jan F Mri Pelvis,Prostate,Blad No Religious Preference Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS 39843.71111111111 39841.46597222222 Jan M Ventricl Shunt-Abdomen Islam Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS 39843.71111111111 39841.46597222222 Jan M Ventricl Shunt-Abdomen Islam Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS 39843.71111111111 39841.46597222222 Jan M Ventricl Shunt-Abdomen Islam Emergency Room Ambulance SURG 3 UNIT COMMUNICAT HYDROCEPHALUS 39843.71111111111 39841.46597222222 Jan M Ventricl Shunt-Abdomen Islam Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT 39843.720138888886 39837.85277777778 Jan M Venous Cath Nec Christian Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT 39843.720138888886 39837.85277777778 Jan M Venous Cath Nec Christian Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT 39843.720138888886 39837.85277777778 Jan M Venous Cath Nec Christian Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT 39843.720138888886 39837.85277777778 Jan M Venous Cath Nec Christian Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF FOOT 39843.720138888886 39837.85277777778 Jan M Venous Cath Nec Christian Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH 39843.72083333333 39843.66736111111 Jan M Protestant Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39843.731944444444 39841.51527777778 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39843.731944444444 39841.51527777778 Jan F No Religious Preference Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39843.74791666667 39836.51597222222 Jan M Islam Emergency Room Ambulance SCCA UNIT HB-SS DISEASE WITH CRISIS 39843.74791666667 39836.51597222222 Jan M Islam Emergency Room Ambulance EMERGENCY FX PHALANX, HAND NOS-CLOSE 39843.760416666664 39843.69236111111 Jan F No Religious Preference Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC 39843.76388888889 39830.66388888889 Jan M Rt/Left Heart Card Cath Roman Catholic Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC 39843.76388888889 39830.66388888889 Jan M Rt/Left Heart Card Cath Roman Catholic Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC 39843.76388888889 39830.66388888889 Jan M Rt/Left Heart Card Cath Roman Catholic Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC 39843.76388888889 39830.66388888889 Jan M Rt/Left Heart Card Cath Roman Catholic Outside Hospital Ambulance SURG 4 UNIT ENDOCARDIAL CUSHION DEF NEC 39843.76388888889 39830.66388888889 Jan M Rt/Left Heart Card Cath Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39843.76527777778 39843.638194444444 Jan F Christian Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39843.770833333336 39842.94861111111 Jan M Other Appendectomy Pentecostal Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39843.770833333336 39842.94861111111 Jan M Other Appendectomy Pentecostal Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39843.770833333336 39842.94861111111 Jan M Other Appendectomy Pentecostal Emergency Room Ambulance SURG 4 UNIT ACUTE APPENDICITIS NOS 39843.770833333336 39842.94861111111 Jan M Other Appendectomy Pentecostal Emergency Room Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM 39843.771527777775 39841.748611111114 Jan F Christian Emergency Room Ambulance MED 2G UNIT INTESTINAL FIXATION ANOM 39843.771527777775 39841.748611111114 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39843.77222222222 39843.67986111111 Jan M Islam Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.77361111111 39842.42083333333 Jan F No Religious Preference Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.77361111111 39842.42083333333 Jan F No Religious Preference Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.77361111111 39842.42083333333 Jan F No Religious Preference Physician Referral Ambulance MED 1T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39843.77361111111 39842.42083333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING IN HEAD AND NECK 39843.79652777778 39843.646527777775 Jan M Thorac Contr Phlebog Nec Roman Catholic Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39843.80416666667 39842.634722222225 Jan F Roman Catholic Emergency Room Ambulance MED 2G UNIT EXTRINSIC ASTHMA WITH EXAC 39843.80416666667 39842.634722222225 Jan F Roman Catholic Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39843.80902777778 39843.538194444445 Jan F Tooth Extraction Nec No Religious Preference Clinic Referral Self SURGERY CENTER MALOCCLUSION NOS 39843.80902777778 39843.538194444445 Jan F Tooth Extraction Nec No Religious Preference Emergency Room Ambulance EMERGENCY FX METATARSAL-CLOSED 39843.81458333333 39843.72430555556 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39843.82013888889 39843.720138888886 Jan F Baptist Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39843.82013888889 39843.725 Jan M Christian Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN 39843.822916666664 39833.93402777778 Jan F Spinal Tap Christian Outside Hospital Ambulance SCCA UNIT AC LYM LEUK WO ACHV RMSN 39843.822916666664 39833.93402777778 Jan F Spinal Tap Christian Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE 39843.82638888889 39842.589583333334 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE 39843.82638888889 39842.589583333334 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT EPILEPSY NOS INTRACTABLE 39843.82638888889 39842.589583333334 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FOREIGN BODY FOOT AND TOE 39843.83888888889 39843.686111111114 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND FACE NOS-COMPL 39843.84305555555 39843.71319444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY UNSPECIFIED VIRAL INFECTION 39843.84444444445 39843.75347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39843.84722222222 39843.697222222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39843.84722222222 39843.74236111111 Jan M No Religious Preference Clinic Referral Self SURGERY CENTER LYMPHANGIOMA, ANY SITE 39843.85833333333 39843.558333333334 Jan F Simp Exc Lymph Struc Nec Christian Emergency Room Ambulance EMERGENCY DEHYDRATION 39843.86041666667 39843.55416666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.86388888889 39843.75902777778 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39843.86597222222 39843.634722222225 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39843.86875 39843.76527777778 Jan M Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39843.88333333333 39843.80069444444 Jan F Islam Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS 39843.88680555556 39843.75486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN SHOULDER/ARM NOS 39843.88680555556 39843.75486111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF ANKLE NOS 39843.8875 39843.785416666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIAPER OR NAPKIN RASH 39843.8875 39843.788194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ANAL AND RECTAL ABSCESS 39843.88958333333 39843.729166666664 Jan F No Religious Preference Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS 39843.89375 39842.822222222225 Jan M Christian Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS 39843.89375 39842.822222222225 Jan M Christian Physician Referral Ambulance MED 2G UNIT ACUTE TONSILLITIS 39843.89375 39842.822222222225 Jan M Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39843.89791666667 39843.78125 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39843.89791666667 39843.78125 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.9125 39843.711805555555 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39843.91875 39843.82361111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39843.927083333336 39843.80416666667 Jan F Islam Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS 39843.927777777775 39843.34861111111 Jan F Egd With Closed Biopsy Islam Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS 39843.927777777775 39843.34861111111 Jan F Egd With Closed Biopsy Islam Clinic Referral Self REHAB UNIT REGIONAL ENTERITIS NOS 39843.927777777775 39843.34861111111 Jan F Egd With Closed Biopsy Islam Emergency Room Ambulance EMERGENCY CONCUSSION W COMA NOS 39843.94097222222 39843.82708333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY PILONIDAL CYST W ABSCESS 39843.941666666666 39843.67291666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39843.941666666666 39843.77847222222 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39843.94583333333 39843.76111111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39843.972916666666 39843.85486111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW 39843.98333333333 39843.90347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FEEDING PROBLEM 39843.98472222222 39843.794444444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND 39843.990277777775 39843.90902777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF ANKLE 39843.99722222222 39843.84097222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39844.00833333333 39843.89722222222 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39844.01736111111 39843.82152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIABETES MELLITUS TYPE I-UNCOMPL 39844.01875 39843.89097222222 Jan F Episcopal Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39844.029861111114 39843.82986111111 Jan F Christian Emergency Room Ambulance EMERGENCY URIN TRACT INFECTION NOS 39844.038194444445 39843.93819444445 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39844.04236111111 39843.88055555556 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.06180555555 39843.981944444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39844.06527777778 39843.927083333336 Jan F Presbyterian Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39844.09166666667 39843.884722222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.09166666667 39843.979166666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.09166666667 39843.979166666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VARICELLA CONTACT/ EXPOSURE 39844.11875 39844.025 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39844.12430555555 39844.001388888886 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EPISTAXIS 39844.12777777778 39843.967361111114 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39844.129166666666 39843.82916666667 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY CROUP 39844.129166666666 39843.99444444444 Jan M Christian Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE 39844.166666666664 39843.896527777775 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39844.169444444444 39843.913194444445 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CHEST PAIN NOS 39844.169444444444 39844.041666666664 Jan F Christian Emergency Room Ambulance EMERGENCY COUGH 39844.21805555555 39844.044444444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39844.22777777778 39844.084027777775 Jan F Hindu Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.2375 39844.04861111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39844.254166666666 39844.17152777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY INFEC OTITIS EXTERNA NOS 39844.2625 39844.209027777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.27916666667 39844.12152777778 Jan F Bladder Operation Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39844.288194444445 39844.04513888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39844.290972222225 39844.22083333333 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39844.32430555556 39844.118055555555 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39844.33611111111 39844.23402777778 Jan F Islam Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.34583333333 39844.18541666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF TRUNK NEC 39844.3875 39844.22777777778 Jan F Christian Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS 39844.41180555556 39843.32708333333 Jan M Cleft Palate Correction Other Religion Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS 39844.41180555556 39843.32708333333 Jan M Cleft Palate Correction Other Religion Clinic Referral Self SURG 3 UNIT CLEFT PALATE NOS 39844.41180555556 39843.32708333333 Jan M Cleft Palate Correction Other Religion Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39844.41875 39844.345138888886 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39844.424305555556 39844.30138888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY VIRAL EXANTHEMATA NOS 39844.42916666667 39844.40555555555 Jan M Baptist Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39844.43541666667 39844.41388888889 Jan F No Religious Preference Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE 39844.44375 39843.57152777778 Jan M Revis/Reinsert Ocul Imp No Religious Preference Clinic Referral Self SURG 3 UNIT COMPLIC OTHR INTERN PROSTHE 39844.44375 39843.57152777778 Jan M Revis/Reinsert Ocul Imp No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Emergency Room Ambulance SURG 4 UNIT AUTOIMMUNE HEMOLYTIC ANEMIA 39844.45486111111 39835.74166666667 Jan F Egd With Closed Biopsy No Religious Preference Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39844.46875 39843.623611111114 Jan M Christian Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39844.46875 39843.623611111114 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39844.47083333333 39844.40972222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF SCALP 39844.472916666666 39844.42013888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39844.478472222225 39844.42847222222 Jan F No Religious Preference Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39844.479166666664 39843.63958333333 Jan M No Religious Preference Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39844.479166666664 39843.63958333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39844.47986111111 39844.4375 Jan M Christian Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA 39844.48611111111 39843.285416666666 Jan F Nasal Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA 39844.48611111111 39843.285416666666 Jan F Nasal Repair Nec No Religious Preference Clinic Referral Self SURG 3 UNIT CHOANAL ATRESIA 39844.48611111111 39843.285416666666 Jan F Nasal Repair Nec No Religious Preference Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39844.498611111114 39844.44930555556 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC 39844.506944444445 39839.427083333336 Jan M Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC 39844.506944444445 39839.427083333336 Jan M Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC 39844.506944444445 39839.427083333336 Jan M Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC 39844.506944444445 39839.427083333336 Jan M Parent Infus Nutrit Sub No Religious Preference Emergency Room Ambulance SURG 3 UNIT NONINFEC GASTROENTERIT NEC 39844.506944444445 39839.427083333336 Jan M Parent Infus Nutrit Sub No Religious Preference Clinic Referral Self MED 1T UNIT SYSTEMIC LUPUS ERYTHEMATOSUS 39844.506944444445 39843.68680555555 Jan F Roman Catholic Clinic Referral Self REHAB UNIT KELOID SCAR 39844.510416666664 39843.44513888889 Jan M Tympanoplasty Revision No Religious Preference Clinic Referral Self REHAB UNIT KELOID SCAR 39844.510416666664 39843.44513888889 Jan M Tympanoplasty Revision No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39844.51111111111 39844.42291666667 Jan M Christian Emergency Room Ambulance EMERGENCY SPRAIN INTERPHALANG TOE 39844.51180555556 39844.472916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39844.518055555556 39844.43472222222 Jan F Christian Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39844.518055555556 39844.45208333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39844.520833333336 39844.447222222225 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39844.52222222222 39844.34861111111 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF TRUNK 39844.53402777778 39844.46666666667 Jan M No Religious Preference Clinic Referral Ambulance MED 2G UNIT WHEEZING 39844.53472222222 39840.77222222222 Jan F No Religious Preference Clinic Referral Ambulance MED 2G UNIT WHEEZING 39844.53472222222 39840.77222222222 Jan F No Religious Preference Clinic Referral Ambulance MED 2G UNIT WHEEZING 39844.53472222222 39840.77222222222 Jan F No Religious Preference Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS 39844.54305555556 39843.675 Jan F No Religious Preference Clinic Referral Self MED 2G UNIT DERMATOMYOSITIS 39844.54305555556 39843.675 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT SPRAIN OF NECK 39844.55138888889 39843.79027777778 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT SPRAIN OF NECK 39844.55138888889 39843.79027777778 Jan M No Religious Preference Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39844.572916666664 39825.67361111111 Jan F Tracheoscopy Thru Stoma Roman Catholic Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39844.572916666664 39825.67361111111 Jan F Tracheoscopy Thru Stoma Roman Catholic Outside Hospital Ambulance MED 1T UNIT LYMPHANGIOMA, ANY SITE 39844.572916666664 39825.67361111111 Jan F Tracheoscopy Thru Stoma Roman Catholic Emergency Room Ambulance MED 2G UNIT DACRYOADENITIS NOS 39844.572916666664 39842.43541666667 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT DACRYOADENITIS NOS 39844.572916666664 39842.43541666667 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39844.58263888889 39844.52916666667 Jan M Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.583333333336 39841.96944444445 Jan F Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.583333333336 39841.96944444445 Jan F Christian Clinic Referral Self SCCA UNIT MENINGITIS NOS 39844.583333333336 39842.75486111111 Jan M Spinal Tap Christian Clinic Referral Self SCCA UNIT MENINGITIS NOS 39844.583333333336 39842.75486111111 Jan M Spinal Tap Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39844.583333333336 39844.5375 Jan M Roman Catholic Clinic Referral Ambulance SCCA UNIT CHEST PAIN NOS 39844.592361111114 39841.722916666666 Jan F No Religious Preference Clinic Referral Ambulance SCCA UNIT CHEST PAIN NOS 39844.592361111114 39841.722916666666 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY PNEUMONIA, ORGANISM NOS 39844.59583333333 39844.527083333334 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS 39844.59722222222 39842.691666666666 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT FETAL/NEONATAL JAUND NOS 39844.59722222222 39842.691666666666 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.59930555556 39844.44513888889 Jan M No Religious Preference Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS 39844.6 39843.59027777778 Jan F Lap Appendectomy No Religious Preference Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS 39844.6 39843.59027777778 Jan F Lap Appendectomy No Religious Preference Clinic Referral Self SURG 4 UNIT ACUTE APPENDICITIS NOS 39844.6 39843.59027777778 Jan F Lap Appendectomy No Religious Preference Emergency Room Ambulance EMERGENCY JOINT PAIN-PELVIS 39844.60138888889 39844.43194444444 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH 39844.604166666664 39838.58194444444 Jan M Entral Infus Nutrit Sub Roman Catholic Emergency Room Ambulance MED 1T UNIT GASTRITIS/DUODEN NOS W HEMORRH 39844.604166666664 39838.58194444444 Jan M Entral Infus Nutrit Sub Roman Catholic Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG 39844.604166666664 39843.57708333333 Jan F Femoral Biopsy Roman Catholic Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG 39844.604166666664 39843.57708333333 Jan F Femoral Biopsy Roman Catholic Clinic Referral Self SURG 3 UNIT MALIG NEOPLASM LONG BONES LEG 39844.604166666664 39843.57708333333 Jan F Femoral Biopsy Roman Catholic Emergency Room Ambulance MED 2T UNIT PANCREAS ANOMALIES 39844.60763888889 39840.79236111111 Jan F Christian Emergency Room Ambulance MED 2T UNIT PANCREAS ANOMALIES 39844.60763888889 39840.79236111111 Jan F Christian Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39844.60763888889 39841.478472222225 Jan F Christian Emergency Room Ambulance MED 2T UNIT DIABETES MELLITUS TYPE I-UNCOMPL 39844.60763888889 39841.478472222225 Jan F Christian Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39844.60972222222 39844.54652777778 Jan F No Religious Preference Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK 39844.62430555555 39840.88263888889 Jan M Other Skin And Subq I And D Christian Emergency Room Ambulance SURG 3 UNIT CELLULITIS OF TRUNK 39844.62430555555 39840.88263888889 Jan M Other Skin And Subq I And D Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39844.62430555555 39844.53194444445 Jan M Presbyterian Emergency Room Ambulance EMERGENCY DISLOCAT PATELLA-CLOSED 39844.626388888886 39844.47777777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.62777777778 39844.558333333334 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY SPRAIN OF KNEE AND LEG NOS 39844.62986111111 39844.48055555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39844.62986111111 39844.49375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA 39844.64097222222 39844.57847222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39844.643055555556 39844.55347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HYPERTROPHY OF BREAST 39844.64722222222 39844.575 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39844.65069444444 39844.56875 Jan M Islam Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE 39844.65277777778 39841.57708333333 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT CELLULITIS OF FACE 39844.65277777778 39841.57708333333 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39844.677777777775 39844.60555555556 Jan M Jewish Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39844.68125 39844.59652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY HEADACHE 39844.683333333334 39844.51736111111 Jan M Christian Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA 39844.6875 39844.0375 Jan M Christian Emergency Room Ambulance MED 2G UNIT IMMUNE THROMBOCYTOPENIC PURPURA 39844.6875 39844.0375 Jan M Christian Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39844.69305555556 39821.38888888889 Jan F Other Craniotomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39844.69305555556 39821.38888888889 Jan F Other Craniotomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39844.69305555556 39821.38888888889 Jan F Other Craniotomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39844.69305555556 39821.38888888889 Jan F Other Craniotomy No Religious Preference Clinic Referral Self SURG 3 UNIT ANOMAL SKULL/FACE BONES 39844.69305555556 39821.38888888889 Jan F Other Craniotomy No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39844.70347222222 39844.60902777778 Jan M Islam Emergency Room Ambulance EMERGENCY JOINT PAIN-SHLDER 39844.70763888889 39844.55972222222 Jan F Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39844.70763888889 39844.58263888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.71875 39844.51597222222 Jan F Bladder Operation Nec No Religious Preference Clinic Referral Ambulance OBSERVATION UNIT CONSTIPATION NOS 39844.72361111111 39843.736805555556 Jan M Insert Gastric Tube Nec Roman Catholic Clinic Referral Ambulance OBSERVATION UNIT CONSTIPATION NOS 39844.72361111111 39843.736805555556 Jan M Insert Gastric Tube Nec Roman Catholic Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC 39844.739583333336 39839.44583333333 Jan M Hepatic Duct-Gi Anastom No Religious Preference Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC 39844.739583333336 39839.44583333333 Jan M Hepatic Duct-Gi Anastom No Religious Preference Clinic Referral Self SURG 3 UNIT BILIARY AND LIVER ANOM NEC 39844.739583333336 39839.44583333333 Jan M Hepatic Duct-Gi Anastom No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39844.74930555555 39844.68680555555 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39844.75763888889 39844.677083333336 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF LIP 39844.76527777778 39844.666666666664 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF JAW 39844.76527777778 39844.708333333336 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39844.77638888889 39844.729166666664 Jan F Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39844.77777777778 39844.486805555556 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.78055555555 39844.69513888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39844.782638888886 39844.63888888889 Jan M Buddhist Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39844.788194444445 39843.73819444444 Jan F Pyloromyotomy Christian Emergency Room Ambulance SURG 4 UNIT CONG PYLORIC STENOSIS 39844.788194444445 39843.73819444444 Jan F Pyloromyotomy Christian Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER 39844.78958333333 39844.71041666667 Jan F No Religious Preference Physician Referral Ambulance MED 2G UNIT PULMONARY TB NOS-UNSPEC 39844.791666666664 39841.62777777778 Jan F Closed Bronchial Biopsy Christian Physician Referral Ambulance MED 2G UNIT PULMONARY TB NOS-UNSPEC 39844.791666666664 39841.62777777778 Jan F Closed Bronchial Biopsy Christian Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.791666666664 39841.81736111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.791666666664 39841.81736111111 Jan M Roman Catholic Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39844.791666666664 39841.81736111111 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FIT ORTHOPEDIC DEVICES 39844.81736111111 39844.78055555555 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY FEVER NOS 39844.82847222222 39844.78888888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY FX LOW RADIUS W ULNA-CLOSE 39844.834027777775 39844.64027777778 Jan F Other Religion Emergency Room Ambulance EMERGENCY PAIN IN LIMB 39844.836805555555 39844.74791666667 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT INFECT/PARASITE DIS NOS 39844.8375 39841.91388888889 Jan F Christian Emergency Room Ambulance MED 2G UNIT INFECT/PARASITE DIS NOS 39844.8375 39841.91388888889 Jan F Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT 39844.86041666667 39844.72638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT 39844.86041666667 39844.72638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT 39844.86041666667 39844.72638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOOT 39844.86041666667 39844.72638888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39844.86041666667 39844.82777777778 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39844.861805555556 39844.8 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39844.88680555556 39844.774305555555 Jan M Baptist Emergency Room Ambulance EMERGENCY CRUSHING INJURY FINGER 39844.910416666666 39844.86041666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EPISTAXIS 39844.92638888889 39844.87777777778 Jan M No Religious Preference Outside Hospital Ambulance PICU SEPTICEMIA NOS 39844.927083333336 39844.413194444445 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Outside Hospital Ambulance PICU SEPTICEMIA NOS 39844.927083333336 39844.413194444445 Jan F Cont Inv Mec Ven <96 Hrs No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39844.94652777778 39840.3625 Jan F Inject Ca Chemother Nec Islam Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39844.94652777778 39840.3625 Jan F Inject Ca Chemother Nec Islam Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39844.950694444444 39844.86666666667 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39844.99444444444 39844.91875 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39845.00208333333 39844.885416666664 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39845.006944444445 39844.927777777775 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY HEAD AND NECK SYMPTOMS NEC 39845.00902777778 39844.89236111111 Jan M Presbyterian Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.009722222225 39844.89236111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39845.01597222222 39844.850694444445 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SINUSITIS NOS 39845.018055555556 39844.94652777778 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS 39845.038194444445 39844.813888888886 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ANAPHYLAC SHOCK TREE NUTS SEEDS 39845.038194444445 39844.82847222222 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.04513888889 39844.95347222222 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.05138888889 39844.97708333333 Jan M Other Religion Emergency Room Ambulance EMERGENCY VOMITING ALONE 39845.06041666667 39844.88125 Jan F Hindu Emergency Room Ambulance EMERGENCY COUGH VARIANT ASTHMA 39845.066666666666 39844.91180555556 Jan M Latter Day Saints Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39845.07013888889 39844.950694444444 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.07847222222 39844.97986111111 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY CONSTIPATION NOS 39845.08125 39844.98263888889 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39845.089583333334 39845.00208333333 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.089583333334 39845.032638888886 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY URTICARIA NOS 39845.104166666664 39844.96319444444 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39845.1125 39844.705555555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39845.1125 39844.705555555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY NONSPECIF SKIN ERUPT NEC 39845.1125 39844.705555555556 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.115277777775 39845.01736111111 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY OBSERV NEWBN UNSPEC SUSP CONDN 39845.11875 39845.03611111111 Feb M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS 39845.125 39844.899305555555 Jan F Sm Bowel Endoscopy Nec Christian Emergency Room Ambulance OBSERVATION UNIT FOREIGN BODY ESOPHAGUS 39845.125 39844.899305555555 Jan F Sm Bowel Endoscopy Nec Christian Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39845.13055555556 39845.035416666666 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39845.14097222222 39845.00763888889 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY URINARY FREQUENCY 39845.14166666667 39845.00625 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39845.16805555556 39844.98402777778 Jan M Protestant Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.177083333336 39841.33888888889 Jan F Inject Ca Chemother Nec Roman Catholic Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.177083333336 39841.33888888889 Jan F Inject Ca Chemother Nec Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.177083333336 39845.14444444444 Feb F Christian Emergency Room Ambulance EMERGENCY FEVER NOS 39845.177777777775 39844.99166666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.188888888886 39845.15277777778 Feb M Islam Emergency Room Ambulance EMERGENCY COUGH 39845.23888888889 39845.22222222222 Feb M No Religious Preference Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.291666666664 39841.32986111111 Jan F Inject Ca Chemother Nec Lutheran Clinic Referral Self SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.291666666664 39841.32986111111 Jan F Inject Ca Chemother Nec Lutheran Emergency Room Ambulance EMERGENCY FEVER NOS 39845.32777777778 39845.26111111111 Feb M Christian Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39845.37569444445 39845.245833333334 Feb M 7th Day Adventist Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39845.37569444445 39845.245833333334 Feb M 7th Day Adventist Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC 39845.40069444444 39843.06805555556 Jan F Spinal Tap Roman Catholic Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC 39845.40069444444 39843.06805555556 Jan F Spinal Tap Roman Catholic Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC 39845.40069444444 39843.06805555556 Jan F Spinal Tap Roman Catholic Emergency Room Ambulance MED 1T UNIT NWBRN HYPOTHERMIA NEC 39845.40069444444 39843.06805555556 Jan F Spinal Tap Roman Catholic Emergency Room Ambulance EMERGENCY ATTN REMOVAL OF SUTURES 39845.40833333333 39845.39722222222 Feb M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39845.424305555556 39843.79791666667 Jan M No Religious Preference Emergency Room Ambulance OBSERVATION UNIT ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39845.424305555556 39843.79791666667 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.425 39845.353472222225 Feb M Christian Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance SURG 3 UNIT SUPRCONDYL FX HUMERUS-CLOSE 39845.45694444444 39844.07777777778 Jan F Open Red-Int Fix Humerus Roman Catholic Emergency Room Ambulance OBSERVATION UNIT HERPETIC GINGIVOSTOMAT 39845.47777777778 39844.81875 Jan F No Religious Preference Emergency Room Ambulance OBSERVATION UNIT HERPETIC GINGIVOSTOMAT 39845.47777777778 39844.81875 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA WITH EXAC 39845.47986111111 39845.42361111111 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY ESOPHAGEAL REFLUX 39845.48125 39845.290972222225 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY CELLULITIS OF FACE 39845.481944444444 39845.44027777778 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE LYMPHADENITIS 39845.48472222222 39845.43541666667 Feb F No Religious Preference Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.48611111111 39841.270833333336 Jan M Inject Ca Chemother Nec Greek Orthodox Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.48611111111 39841.270833333336 Jan M Inject Ca Chemother Nec Greek Orthodox Clinic Referral Ambulance SCCA UNIT ENC FOR ANTINEOPLASTIC CHEMO 39845.48611111111 39841.270833333336 Jan M Inject Ca Chemother Nec Greek Orthodox Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.49375 39845.42569444444 Feb M Christian Emergency Room Ambulance EMERGENCY BELL'S PALSY 39845.49444444444 39845.39444444444 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.5 39845.41111111111 Feb F Christian Emergency Room Ambulance EMERGENCY MALAISE AND FATIGUE NEC 39845.50486111111 39845.15625 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY HEAD INJURY UNSPECIFIED 39845.5125 39845.47638888889 Feb F No Religious Preference Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG'S DISEASE 39845.51388888889 39839.60625 Jan M Lap Pull-Thru Res Rectum Christian Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG'S DISEASE 39845.51388888889 39839.60625 Jan M Lap Pull-Thru Res Rectum Christian Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG'S DISEASE 39845.51388888889 39839.60625 Jan M Lap Pull-Thru Res Rectum Christian Clinic Referral Self SURG 3 UNIT HIRSCHSPRUNG'S DISEASE 39845.51388888889 39839.60625 Jan M Lap Pull-Thru Res Rectum Christian Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39845.51736111111 39845.470138888886 Feb M Roman Catholic Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39845.520833333336 39843.66111111111 Jan M Islam Emergency Room Ambulance SURG 4 UNIT DEHYDRATION 39845.520833333336 39843.66111111111 Jan M Islam Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.53611111111 39845.48402777778 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.54305555556 39845.48055555556 Feb F No Religious Preference Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39845.54513888889 39830.61111111111 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39845.54513888889 39830.61111111111 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Outside Hospital Ambulance MED 2G UNIT ACUTE RESPIRATORY FAILURE 39845.54513888889 39830.61111111111 Jan M Cont Inv Mec Ven 96+ Hrs No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.54861111111 39840.760416666664 Jan M Lutheran Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.54861111111 39840.760416666664 Jan M Lutheran Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.54861111111 39840.760416666664 Jan M Lutheran Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC 39845.5625 39844.6625 Jan M Christian Emergency Room Ambulance MED 2G UNIT CONVULSIONS NEC 39845.5625 39844.6625 Jan M Christian Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39845.566666666666 39842.90902777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39845.566666666666 39842.90902777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance SCCA UNIT DRUG INDUCED NEUTROPENIA 39845.566666666666 39842.90902777778 Jan M Venous Cath Nec No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39845.566666666666 39845.493055555555 Feb M Roman Catholic Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS 39845.572916666664 39844.353472222225 Jan F No Religious Preference Emergency Room Ambulance MED 2G UNIT VIRAL ENTERITIS NOS 39845.572916666664 39844.353472222225 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE SEROUS OTITIS MEDIA 39845.57638888889 39845.51597222222 Feb M Christian Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE 39845.57847222222 39842.91736111111 Jan M Christian Emergency Room Ambulance MED 1T UNIT FAILURE TO THRIVE 39845.57847222222 39842.91736111111 Jan M Christian Emergency Room Ambulance EMERGENCY OPEN WOUND OF CHEEK 39845.58472222222 39845.490277777775 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.58819444444 39845.552777777775 Feb F No Religious Preference Emergency Room Ambulance SURG 3 UNIT APNEA 39845.59166666667 39844.51944444444 Jan M No Religious Preference Emergency Room Ambulance SURG 3 UNIT APNEA 39845.59166666667 39844.51944444444 Jan M No Religious Preference Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.600694444445 39840.10763888889 Jan M Roman Catholic Emergency Room Ambulance MED 1T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.600694444445 39840.10763888889 Jan M Roman Catholic Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39845.60277777778 39845.45972222222 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.60902777778 39845.55972222222 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.60972222222 39845.56180555555 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY CROUP 39845.60972222222 39845.57916666667 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39845.61319444444 39845.50208333333 Feb M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.62569444445 39844.63263888889 Jan M No Religious Preference Emergency Room Ambulance MED 2G UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.62569444445 39844.63263888889 Jan M No Religious Preference Emergency Room Ambulance EMERGENCY DEHYDRATION 39845.646527777775 39845.46597222222 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.649305555555 39845.61041666667 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY HERPES ZOSTER NOS 39845.652083333334 39845.566666666666 Feb M Christian Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39845.65277777778 39844.010416666664 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39845.65277777778 39844.010416666664 Jan F No Religious Preference Emergency Room Ambulance MED 1T UNIT EXTRINSIC ASTHMA WITH EXAC 39845.65277777778 39844.010416666664 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY DIARRHEA NOS 39845.66111111111 39845.592361111114 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39845.67152777778 39845.580555555556 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY EXCESSIVE CRYING OF INFANT (BABY) 39845.67847222222 39845.597916666666 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY FX PHALANX, FOOT-CLOSED 39845.67916666667 39845.49722222222 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS 39845.68819444445 39845.46597222222 Feb M Christian Clinic Referral Self SCCA UNIT NEUTROPENIA NOS 39845.697222222225 39843.84375 Jan F No Religious Preference Clinic Referral Self SCCA UNIT NEUTROPENIA NOS 39845.697222222225 39843.84375 Jan F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39845.69861111111 39845.61388888889 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY DEHYDRATION 39845.700694444444 39845.5 Feb F Christian Emergency Room Ambulance EMERGENCY FX METACARPAL NOS-CLOSED 39845.70625 39845.62430555555 Feb M Protestant Emergency Room Ambulance EMERGENCY CELLULITIS OF FOOT 39845.71666666667 39845.600694444445 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39845.72708333333 39845.57152777778 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE CONJUNCTIVITIS NOS 39845.73402777778 39845.62847222222 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY FX RADIUS HEAD-CLOSED 39845.73888888889 39845.65277777778 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39845.74791666667 39845.67222222222 Feb F No Religious Preference Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.75 39844.45625 Jan M Christian Emergency Room Ambulance MED 2T UNIT ACUTE BRONCHIOLITIS/RESP SYNC VIRUS 39845.75 39844.45625 Jan M Christian Emergency Room Ambulance EMERGENCY CELLULITIS, FINGER NOS 39845.75486111111 39845.69375 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.76180555556 39845.700694444444 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY EXTRINSIC ASTHMA UNSPECIFIED 39845.76527777778 39845.70347222222 Feb M Jewish Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.76597222222 39845.70625 Feb M Jewish Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39845.77013888889 39843.73611111111 Jan F Christian Emergency Room Ambulance MED 2G UNIT PNEUMONIA, ORGANISM NOS 39845.77013888889 39843.73611111111 Jan F Christian Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39845.77569444444 39845.67013888889 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY DIFFICULTY IN WALKING 39845.78055555555 39845.71666666667 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY NEONATAL DEHYDRATION 39845.78472222222 39845.61875 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY MELENA, BLOOD IN STOOL 39845.79375 39845.751388888886 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA 39845.80347222222 39845.72986111111 Feb F Islam Emergency Room Ambulance EMERGENCY COUGH 39845.80763888889 39845.72222222222 Feb F Latter Day Saints Emergency Room Ambulance EMERGENCY DEHYDRATION 39845.808333333334 39845.67847222222 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY SWELLING OR MASS OF EYE 39845.825694444444 39845.771527777775 Feb F Roman Catholic Transfer from Critical Access Hospital Ambulance PICU RESPIRATORY FAILURE OF NEWBORN 39845.82777777778 39842.46875 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Transfer from Critical Access Hospital Ambulance PICU RESPIRATORY FAILURE OF NEWBORN 39845.82777777778 39842.46875 Jan M Cont Inv Mec Ven <96 Hrs No Religious Preference Emergency Room Ambulance EMERGENCY CONTUSION OF FOOT 39845.82986111111 39845.782638888886 Feb F Christian Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.8375 39845.80625 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.85555555556 39845.76736111111 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY SUPERFICIAL INJURY CORNEA 39845.856944444444 39845.77361111111 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY NAUSEA WITH VOMITING 39845.8625 39845.76180555556 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.86666666667 39845.83194444444 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY FX DISTAL RADIUS NEC-CLOSE 39845.87291666667 39845.77013888889 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY OPEN WOUND OF FOREHEAD 39845.88125 39845.77638888889 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.88263888889 39845.82013888889 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY NONINFEC GASTROENTERIT NEC 39845.88333333333 39845.81875 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY OPEN WOUND OF FINGER 39845.888194444444 39845.73333333333 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY EXT ASTHMA W STATUS ASTH 39845.88958333333 39845.76597222222 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.896527777775 39845.825 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39845.899305555555 39845.868055555555 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39845.92083333333 39845.81527777778 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY UNSPEC DENTAL CARIES 39845.92986111111 39845.82361111111 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39845.93402777778 39845.85763888889 Feb F Jewish Emergency Room Ambulance EMERGENCY FX UPPER END FIBULA-CLOSE 39845.93541666667 39845.83611111111 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY STOMATITIS/MUCOSITIS NOS 39845.955555555556 39845.87152777778 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY COUGH 39845.96527777778 39845.834027777775 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY COUGH 39845.970138888886 39845.853472222225 Feb F Sikh Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39845.979166666664 39845.81805555556 Feb M Christian Emergency Room Ambulance EMERGENCY STREP SORE THROAT 39845.98472222222 39845.88680555556 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39845.990277777775 39845.763194444444 Feb F Episcopal Emergency Room Ambulance EMERGENCY ACUTE PHARYNGITIS 39846.00069444445 39845.92013888889 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY FX LOWER FOREARM NOS-CLOSE 39846.01736111111 39845.879166666666 Feb M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39846.021527777775 39845.925 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY CRANIAL NERVE DIS NOS 39846.025 39845.9375 Feb F Jehovah's Witness Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39846.027083333334 39845.9625 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY FEVER NOS 39846.04722222222 39845.981944444444 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY VOMITING ALONE 39846.05694444444 39845.94027777778 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39846.072222222225 39845.98472222222 Feb F Other Religion Emergency Room Ambulance EMERGENCY RESPIRATORY ABNORM NEC 39846.09166666667 39845.90694444445 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE BRONCHIOLITIS/OTHR INFECT ORG 39846.092361111114 39845.98611111111 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39846.1 39845.99930555555 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY ANAPHYLACTIC SHOCK FROM PEANUTS 39846.106944444444 39845.910416666666 Feb F Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39846.106944444444 39846.00833333333 Feb M Episcopal Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39846.11388888889 39846.02013888889 Feb M No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39846.146527777775 39846.066666666666 Feb M Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39846.17013888889 39846.09027777778 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY CONVULSIONS NEC 39846.174305555556 39845.99513888889 Feb F No Religious Preference Emergency Room Ambulance EMERGENCY ACUTE URI NOS 39846.22777777778 39846.0375 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY COUGH 39846.2375 39846.18680555555 Feb F Roman Catholic Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM 39846.277083333334 39846.17291666667 Feb M Christian Emergency Room Ambulance EMERGENCY ABDOMINAL PAIN UNSPEC SITE 39846.35 39846.07083333333 Feb F Other Religion Emergency Room Ambulance EMERGENCY ACUTE BRONCHOSPASM 39846.35 39846.18958333333 Feb F No Religious Preference Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39846.364583333336 39846.27916666667 Feb F Myringotomy W Intubation Christian Clinic Referral Self SURGERY CENTER CHR MUCOID OM SIMP/NOS 39846.364583333336 39846.27916666667 Feb F Myringotomy W Intubation Christian Emergency Room Ambulance EMERGENCY OTITIS MEDIA NOS 39846.37152777778 39846.30902777778 Feb M Roman Catholic Emergency Room Ambulance EMERGENCY 39846.38680555556 39846.092361111114 Feb F No Religious Preference Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39846.40972222222 39846.28055555555 Feb F Egd With Closed Biopsy No Religious Preference Clinic Referral Self SURGERY CENTER ABDOMINAL PAIN UNSPEC SITE 39846.40972222222 39846.28055555555 Feb F Egd With Closed Biopsy No Religious Preference Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN 39846.413194444445 39846.28611111111 Feb M Other Local Destruc Skin No Religious Preference Physician Referral Self SURGERY CENTER HEMANGIOMA SKIN 39846.413194444445 39846.28611111111 Feb M Other Local Destruc Skin No Religious Preference Emergency Room Ambulance EMERGENCY VOMITI