SAMARITAN MEDICAL SERVICES INC.

Home Infusion

Code: 251F00000X

Hospice Care, Community Based

Code: 251G00000X

Nursing Care

Code: 251J00000X

Community/Behavioral Health

Code: 251S00000X

In Home Supportive Care

Code: 253Z00000X

Clinic/Center — End-Stage Renal Disease (ESRD) Treatment

Code: 261QE0700X

Ambulance

Code: 341600000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Home Health

Code: 251E00000X