| 1E 7 |
| 1E-1, Hysterectomy |
| 1E-2, Therapeutic and Non-therapeutic Abortions |
| 1E-3, Sterilization Procedures |
| 1E-4, Fetal Surveillance |
| 1E-5, Obstetrics |
| 1E-6, Pregnancy Management Program |
| 1E-7, Family Planning Services |
| 1F, Chiropractic Services |
| 1G-1, Burn Treatment |
| 1G-2, Skin Substitutes |
| 1H, Telehealth, Virtual Communications and Remote Patient Monitoring |
| 1K 1 |
| 1K 2 |
| 1K 6 |
| 1K 7 |
| 1K-1, Breast Imaging Procedures |
| 1K-2, Bone Mass Measurement |
| 1K-6, Radiation Oncology |
| 1K-7, Prior Approval for Imaging Services |
