| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58212-2 | Alternate state Medicaid billing - RUG group:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 58213-0 | Alternate state Medicaid billing - RUG version code:Type:RptPeriod:^Patient:Nom:CMS Assessment | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |
| 55081-4 | Product version code:ID:Pt:Software:Nom: | |