| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Robotic Surgery (CC.PP.050) | 2024-03-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Ultrasound in Pregnancy | 2024-03-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Urodynamic Testing | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Drugs of Abuse: Definitive Testing | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Gastrointestinal Pathogen Nucleic Acid Detection Panel | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Hyperhidrosis Treatments | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Polymerase Chain Reaction Respiratory Viral Panel Testing | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Urodynamic Testing | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Bronchial Thermoplasty | 2024-03-01 |
| Meridian Illinois Medicaid Clinical | Laser Therapy for Skin Conditions | 2024-03-01 |