ONSITE CLINCAL CARE

Clinic/Center — Infusion Therapy

Code: 261QI0500X

Clinical Medical Laboratory

Code: 291U00000X

Non-emergency Medical Transport (VAN)

Code: 343900000X

Taxi

Code: 344600000X

Private Vehicle

Code: 347C00000X

Transportation Broker

Code: 347E00000X

Clinic/Center — Health Service

Code: 261QH0100X