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PROVISION IDS<br />
THSG TEXAS HMO ONLY-NO COPAY APPLIED FOR OP SURGERY WITH BIT 143 ON<br />
TINT LENSES WITH ROSE TINT<br />
TRAN ATCP ORGAN RECIPIENT TRANSPORTATION<br />
UCEA URGENT CARE OP EMERGENCY ACCIDENT<br />
UCEM URGENT CARE OP EMERGENCY MEDICAL<br />
UCOP URGENT CARE OP<br />
VASI Visual Acuity Inpatient<br />
VASO Visual Acuity Outpatient<br />
VCPI VISION CARE PROGRAM - IP<br />
VCPO VISION CARE PROGRAM - OP<br />
VHDC 213D - VISION/HEARING/DENTAL - COVERED<br />
VHDN 213D - VISION/HEARING/DENTAL - NON-COVERED<br />
VMIS VISION MISCELLANEOUS SERVICES<br />
VOCI VOCATIONAL COUNSELING - IP<br />
VOCO VOCATIONAL COUNSELING - OP<br />
VTAO VISION TESTING/ALLERGY TREATMENT<br />
VTAT VISION TESTING/ ALLERGY TEST<br />
VTCG EYE EXAMINATION FOR CONTACTS / GLASSES<br />
VTCO VISION TESTING/CONSULTATION OP<br />
VTDO VISION TESTING/DRUGS - OP<br />
VTI VISION TEST - IP<br />
VTID VISION TEST DIAGNOSTIC - IP<br />
VTIJ VISION TESTING/INJECTIONS<br />
VTLO VISION TESTING/LAB OP<br />
VTO ROUTINE VISION EXAM - OP<br />
VTOD VISION TEST DIAGNOSTIC - OP<br />
VTOR VISION TEST ROUTINE<br />
VTOV VISION TESTING/OFFICE VISIT<br />
VTPA VISION TESTING/PATHOLOGY OP<br />
VTPO VISION TESTING/PHYSICAL HISTORY OP<br />
VTRE VISION TESTING/VISION TEST OP<br />
VTRL VISION TESTING/ROUTINE LABORATORY TEST<br />
VTRP VISION TESTING/ROUTINE DIAG.MEDICAL PROCEDURE<br />
VTRX VISION TESTING/ROUTINE XRAY TEST<br />
VTSO VISION TESTING/MEDICAL VISION TESTING/SURGICAL SUPPLIES OP<br />
VTXO VISION TESTING/XRAY - OP<br />
VVIS VISION SERVICES WITH OFFICE VISIT<br />
WBAG Well Baby Care/Allergy Testing<br />
WBAT WELL BABY/ALLERGY TREATMENT<br />
WBCO WELL CHILD CARE - OP NEWBORN THRU AGE 11<br />
WBCS WELL BABY/CONSULTATION OP<br />
WBDM Well Baby Care/Durable Medical Equipment Purchase - OP<br />
WBDO WELL BABY/DRUGS - OP<br />
WBDR Well Baby Care/Durable Medical Equipment Rental- OP<br />
WBGD WELL BABY EXAM / GARDISIL IMMUNIZATION<br />
WBHT WELL BABY/HEARING THERAPY<br />
WBIA WELL BABY / IMMUNIZATION ADMINISTRATION FEE<br />
WBIH Well Baby Care/Inhalation Therapy - OP<br />
WBIJ WELL BABY/INJECTIONS<br />
WBIM WELL BABY/IMMUNIZATION OP<br />
WBLO WELL BABY/LAB OP<br />
WBMC WELL BABY/MALIGNANT CHEMO<br />
Updated: 9/21/2012
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