| 1A 7 |
| 1A 8 |
| 1A 9 |
| 1A-11, Extracorporeal Shock Wave Lithotripsy |
| 1A-12, Breast Surgeries |
| 1A-13, Ocular Photodynamic Therapy |
| 1A-14, Surgery for Ambiguous Genitalia |
| 1A-15, Surgery for Clinically Severe or Morbid Obesity |
| 1A-16, Surgery of the Lingual Frenulum |
| 1A-17, Stereotactic Pallidotomy |
| 1A-19, Transcranial Doppler Studies |
| 1A-2, Preventive Medicine Annual Health Assessment |
| 1A-20, Sleep Studies and Polysomnography Services |
| 1A-21, Endovascular Repair of Aortic Aneurysm |
| 1A-22, Medically Necessary Circumcision |
| 1A-23, Physician Fluoride Varnish Services |
| 1A-24, Diabetes Outpatient Self-Management Education |
| 1A-25, Spinal Cord Stimulation |
| 1A-26, Deep Brain Stimulation |
| 1A-27, Electrodiagnostic Studies |
