1        Medical Care
2        Surgical
3        Consultation
4        Diagnostic X-Ray
5        Diagnostic Lab
6        Radiation Therapy
7        Anesthesia
8        Surgical Assistance
9        Other Medical
10       Blood Charges
11       Used Durable Medical Equipment
12       Durable Medical Equipment Purchase
13       Ambulatory Service Center Facility
14       Renal Supplies in the Home
15       Alternate Method Dialysis
16       Chronic Renal Disease (CRD) Equipment
17       Pre-Admission Testing
18       Durable Medical Equipment Rental
19       Pneumonia Vaccine
20       Second Surgical Opinion
21       Third Surgical Opinion
22       Social Work
23       Diagnostic Dental
24       Periodontics
25       Restorative
26       Endodontics
27       Maxillofacial Prosthetics
28       Adjunctive Dental Services
30       Health Benefit Plan Coverage
31       Benefit Disclaimer
32       Plan Waiting Period
33       Chiropractic
34       Chiropractic Office Visits
35       Dental Care
36       Dental Crowns
37       Dental Accident
38       Orthodontics
39       Prosthodontics
40       Oral Surgery
41       Routine (Preventive) Dental
42       Home Health Care
43       Home Health Prescriptions
44       Home Health Visits
45       Hospice
46       Respite Care
47       Hospital
48       Hospital - Inpatient
49       Hospital - Room and Board
50       Hospital - Outpatient
51       Hospital - Emergency Accident
52       Hospital - Emergency Medical
53       Hospital - Ambulatory Surgical
54       Long Term Care
55       Major Medical
56       Medically Related Transportation
57       Air Transportation
58       Cabulance
59       Licensed Ambulance
60       General Benefits
61       In-vitro Fertilization
62       MRI/CAT Scan
63       Donor Procedures
64       Acupuncture
65       Newborn Care
66       Pathology
67       Smoking Cessation
68       Well Baby Care
69       Maternity
70       Transplants
71       Audiology Exam
72       Inhalation Therapy
73       Diagnostic Medical
74       Private Duty Nursing
75       Prosthetic Device
76       Dialysis
77       Otological Exam
78       Chemotherapy
79       Allergy Testing
80       Immunizations
81       Routine Physical
82       Family Planning
83       Infertility
84       Abortion
85       AIDS
86       Emergency Services
87       Cancer
88       Pharmacy
89       Free Standing Prescription Drug
90       Mail Order Prescription Drug
91       Brand Name Prescription Drug
92       Generic Prescription Drug
93       Podiatry
94       Podiatry - Office Visits
95       Podiatry - Nursing Home Visits
96       Professional (Physician)
97       Anesthesiologist
98       Professional (Physician) Visit - Office
99       Professional (Physician) Visit - Inpatient
A0       Professional (Physician) Visit - Outpatient
A1       Professional (Physician) Visit - Nursing Home
A2       Professional (Physician) Visit - Skilled Nursing Facility
A3       Professional (Physician) Visit - Home
A4       Psychiatric
A5       Psychiatric - Room and Board
A6       Psychotherapy
A7       Psychiatric - Inpatient
A8       Psychiatric - Outpatient
A9       Rehabilitation
AA       Rehabilitation - Room and Board
AB       Rehabilitation - Inpatient
AC       Rehabilitation - Outpatient
AD       Occupational Therapy
AE       Physical Medicine
AF       Speech Therapy
AG       Skilled Nursing Care
AH       Skilled Nursing Care - Room and Board
AI       Substance Abuse
AJ       Alcoholism
AK       Drug Addiction
AL       Vision (Optometry)
AM       Frames
AN       Routine Exam
AO       Lenses
AQ       Nonmedically Necessary Physical
AR       Experimental Drug Therapy
BA       Independent Medical Evaluation
BB       Partial Hospitalization (Psychiatric)
BC       Day Care (Psychiatric)
BD       Cognitive Therapy
BE       Massage Therapy
BF       Pulmonary Rehabilitation
BG       Cardiac Rehabilitation
BH       Pediatric
BI       Nursery
BJ       Skin
BK       Orthopedic
BL       Cardiac
BM       Lymphatic
BN       Gastrointestinal
BP       Endocrine
BQ       Neurology
BR       Eye
BS       Invasive Procedures