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Suprv interfac trnsport addl
Cplx chrnc care 1st 60 min
Ped crit care age 2-5 init
Ped crit care age 2-5 subsq
Init day hosp neonate care
Sbsq ic vlbw inf<1,500 gm
Sbsq ic lbw inf 1,500-2,500
Sbsq ic inf pbw 2,501-5,000
Assmt & care pln pt cog imp
Care mgmt svc bhvl hlth cond