Table 1.
01 | Inpatient Hospital | 02 | Mental Hospital Services for the Aged |
04 | Inpatient Psychiatric for 21 & Under | 50 | ICF Services for the MR |
07 | NFS-All Other | 08 | Physicians |
09 | Dental | 10 | Other Practitioners |
11 | Outpatient Hospital | 12 | Clinic |
13 | Home Health | 15 | Lab and X-Ray |
16 | Prescribed Drugs | 19 | Other Services |
20 | Capitated Payments to HMO, HIO or Pace | 21 | Capitated Payments to PHPs |
22 | Capitated Payments for PCCM | 24 | Sterilizations |
25 | Abortions | 26 | Transportation Services |
30 | Personal Care Services | 31 | Targeted Case Management |
33 | Rehabilitation Services | 34 | PT, OT, Speech, Hearing |
35 | Hospice Benefits | 36 | Nurse Midwife Services |
37 | Nurse Practitioner Services | 38 | Private Duty Nursing |
39 | Religious Non-Medical Health Care Institution |