| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Bilateral Procedures (CC.PP.037) | 2023-02-01 |
| Ambetter Health Texas Superior Marketplace Clinical | New Patient (CC.PP.036) | 2023-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | New Patient (CC.PP.036) | 2023-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Ferric Gluconate | 2023-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Iron Sucrose | 2023-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Tixagevimab and Cilgavimab | 2023-02-01 |
| Meridian Illinois Medicaid Clinical | Glaucoma Agents | 2023-02-01 |
| Meridian Michigan Medicaid Clinical | Lung Transplantation | 2023-02-01 |
| Medicare NCD | NCD 160.22 - Ambulatory EEG Monitoring - RETIRED | 2023-02-01 |
| BCBS Kansas | Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | 2023-01-24 |