| Wellcare North Carolina Medicaid Clinical | Physician Fluoride Varnish Services | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Pulmonary Function Testing | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Reconstructive and Cosmetic Surgery | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Routine Patient Costs Furnished in Connection | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Stereotactic Pallidotomy | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Surgery for Ambiguous Genitalia | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Surgery of the Lingual Frenulum | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Vagus Nerve Stimulation for the Treatment of | 2025-11-01 |
| Wellcare North Carolina Medicaid Clinical | Wireless Capsule Endoscopy | 2025-11-01 |
| Wellcare North Carolina Medicare Clinical | Concert Genetic Testing: Preimplantation Genetic Testing | 2025-11-01 |