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PROVISION IDS<br />
PREB PREVENTIVE DENTAL INITIAL EXAM<br />
PREC PREVENTIVE DENTAL PERIODIC EXAM<br />
PRED PREVENTIVE DENTAL PROPHYLAXIS<br />
PREE PREVENTIVE DENTAL FLUORIDE<br />
PREF PREVENTIVE DENTAL MISCELLANEOUS<br />
PREG DENTAL SPACE MAINTAINERS<br />
PREH PREVENTIVE DENTAL XRAYS<br />
PREI TEMMPROMANDIBULAR JOINT SERVICES<br />
PREX PROSTHETIC EXCEPTION COVERAGE<br />
PRHI HUMAN HAIR WIG<br />
PRHO HUMAN HAIR WIG<br />
PRIA PRIMARY DENTAL CARE<br />
PRIB ENDONTICS ROOT CANAL<br />
PRIC PERIODONTIC CARE<br />
PRID PERIODONTIC GUM TREATMENT<br />
PRIE PERIODONTAL FULL MOUTH SCALING<br />
PRIF PERIODONTAL QUADRANT SCALING<br />
PRIG PERIODONTAL INITIAL EXAM<br />
PRII PRIMARY DENTAL CARE MISCELLANEOUS<br />
PRIJ DENTAL ORAL SURGERY ROUTINE<br />
PRIK DENTAL ORAL SURGERY COMPLEX<br />
PRIL DENTAL ORAL SURGERY MISCELLANEOUS<br />
PRIM INELIGIBLE DENTAL SERVICES<br />
PRIN RESTORATIVE DENTAL CARE<br />
PRIO DENTAL ANESTHESIA<br />
PRMC 213D - PREMIUMS - COVERED<br />
PRMN 213D - PREMIUMS - NON-COVERED<br />
PRSI SYNTHETIC HAIR WIG<br />
PRSM LENSES WITH PRISMS<br />
PRSO SYNTHETIC HAIR WIG<br />
PRVC PREVENTIVE CARE<br />
PSAI PROSTATE SPECIFIC ANTIGEN TESTS - IP<br />
PSAO PROSTATE SPECIFIC ANTIGEN TESTS - OUTPATIENT<br />
PSCO PROSTATE SPECIFIC ANTIGEN TEST/CONSULTATION<br />
PSI PSYCHOLOGICAL TESTING - IP<br />
PSIS PSYCHOLOGICAL TESTING IP - SECONDARY LEVEL<br />
PSO PSYCHOLOGICAL TESTING - OP<br />
PSOV PROSTATE SPECIFIC ANTIGEN TEST/OFFICE VISIT<br />
PSPX PROSTATE SPECIFIC ANTIGEN/PHYSICAL HISTORY<br />
PSRE PROSTATE SPECIFIC ANTIGEN/RELATED<br />
PSYA PSYCHIATRIC ADMISSION IP SPECIAL APPROVAL<br />
PSYB PSYCHIATRIC SERVICES OP - SPECIAL APPROVAL<br />
PSYI PSYCHIATRIC ADMISSION - IP<br />
PSYJ PSYCH ADMISSION - IP SECONDARY LEVEL<br />
PSYO PSYCHIATRIC SERVICES - OP<br />
PSYP PSYCHIATRIC SERVICES OP SECONDARY LEVEL<br />
PTAT PHYSICAL THERAPY/ALLERGY TREATMENT<br />
PTCO PHYSICAL THERAPY/CONSULTATION OP<br />
PTDO PHYSICAL THERAPY/DRUGS - OP<br />
PTEC 213D - PROCEDURES/TREATMENTS/EQUIP/PSYCH/PREV - COVERED<br />
PTEN 213D - PROCEDURES/TREATMENTS/EQUIP/PSYCH/PREV - NON-COVERED<br />
PTI PATHOLOGY - IP<br />
Updated: 9/21/2012
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