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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