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Text File  |  1994-01-24  |  3KB  |  80 lines

  1. 78   13                                 
  2. S-----------DOCTOR'S SERVICES-----------
  3. C99201                                  
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  8. C99211                                  
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  11. C99214                                  
  12. C99215                                  
  13. S-----------LAB X-RAYS, TESTS-----------
  14. C36215                                  
  15. C70250                                  
  16. C70373                                  
  17. C71020                                  
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  19. C72052                                  
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  26. C86585                                  
  27. C87072                                  
  28. C93000                                  
  29. C93015                                  
  30. C95041                                  
  31. S--------IMMUNIZATIONS/TREATMENTS-------
  32. C90707                                  
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  34. C95115                                  
  35. C97010                                  
  36. C97086                                  
  37. C97128                                  
  38. C97260                                  
  39. CJ0490                                  
  40. CJ2510                                  
  41. S---------------DIAGNOSES---------------
  42. C783.0                                  
  43. C110.4                                  
  44. C786.09                                 
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  47. C052.9                                  
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  55. C574.2                                  
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  59. C455.6                                  
  60. C708.9                                  
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  67. C787.0                                  
  68. C785.1                                  
  69. C372.03                                 
  70. C486                                    
  71. C692.6                                  
  72. CV221                                   
  73. C782.1                                  
  74. C461.8                                  
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  77. C836.1                                  
  78. C463.0                                  
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  80.