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1 - EYE EXAMINATIONS, TREATMENT, OR SURGERY, such as -
| eye examinations | eye treatments | surgery | 
2 - PURCHASE OF EYE GLASSES OR CONTACT LENSES, such as -
| contact lenses | insurance | ||
| eye glasses | kits and equipment | ||
| fittings | warranty expenses | 
3 - DENTAL CARE, such as -
| bridges | examinations | root canals | |||
| caps or crowns | fillings | X-rays | |||
| cleanings | orthodontic work | dentures | |||
| any other dental services | 
4 - HOSPITAL ROOM, such as -
| meals | room | 
5 - HOSPITAL SERVICES, including all services provided and billed by the hospital, such as —
| anesthetics | injections | operating room | |||
| blood transfusions | intensive care unit | oxygen | |||
| drugs and medicine | laboratory tests | recovery room | |||
| examinations | nursing services | therapy | |||
| treatment rooms | X-rays | any other services | 
6 - ALL SERVICES BY MEDICAL PROFESSIONALS OTHER THAN PHYSICIANS, such as -
| acupuncturist | midwife | podiatrist | |||
| chiropractor | naturopath | psychologist | |||
| homeopath | nurse practitioners | substance abuse professionals | |||
| marriage counselor | physical therapist | 
7 - ALL SERVICES PROVIDED AND BILLED BY PHYSICIANS, such as -
| dermatologist | pediatrician | general practitioner | |||
| psychiatrist | gynecologist | surgeon plastic surgeon | |||
| internist | urologist | osteopath | |||
| any other type of physicians | 
8 - LAB TESTS OR X-RAYS
| blood tests | X-rays | other type of lab tests | 
Do not include services received in a hospital as an inpatient or services for eye and dental care
9 - CARE IN CONVALESCENT OR NURSING HOME, such as -
| nursing home | substance abuse centers | 
Include all services provided and billed by a convalescent or nursing home.
10 - OTHER MEDICAL CARE, such as -
| ambulance services | outpatient hospital care | blood donation | |||
| rescue services | emergency room services | 
If medical care is given in outpatient department or emergency room, include -
| allergy shots | cancer treatment | injections | |||
| baby shots | cardiogram | physicians check up | |||
| blood pressure check | cardiology test | skin treatment | |||
| broken/sprained bones | hearing test | 
11 - PURCHASE OF HEARING AIDS
12 - PRESCRIBED MEDICINES OR PRESCRIBED DRUGS
13 - RENTAL OF SUPPORTIVE OR CONVALESCENT MEDICAL EQUIPMENT, such as -
| Ace bandages | crutches | walkers | |||
| braces | slings | wheelchairs | |||
| canes | splints | whirlpools | |||
| cervical collars | 
14 - PURCHASE OF SUPPORTIVE OR CONVALESCENT MEDICAL EQUIPMENT, such as -
| Ace bandages | crutches | walkers | |||
| braces | slings | wheelchairs | |||
| canes | splints | whirlpools | |||
| cervical collars | 
15 - RENTAL OF MEDICAL OR SURGICAL EQUIPMENT FOR GENERAL USE, such as -
| blood pressure kits | ice bags | therapeutic heat lamps | |||
| heating pads | sinus masks | vaporizers | |||
| hot water bottles | sun lamps | 
16 - PURCHASE OF MEDICAL OR SURGICAL EQUIPMENT FOR GENERAL USE, such as -
| blood pressure kits | ice bags | therapeutic heat lamps | |||
| heating pads | sinus masks | vaporizers | |||
| hot water bottles | sun lamps | ||||
| pollen masks | thermometers | insulin needles | |||
| syringes | oxygen | ostomy supplies | |||
| orthopedic appliances (supports) | 
Do not include purchases of items such as Band-Aid bandages, gauze, cotton roll, and cotton balls.
Go back to Section 15, Part A »
Go back to Section 15, Part B »
Last Modified Date: January 5, 2005