| Wellcare Hawai'i Medicaid Clinical | Endometrial Ablation | 2022-09-01 |
| BCBS Massachusetts | Breast Duct Endoscopy | 2022-09-01 |
| BCBS Massachusetts | Diagnosis and Management of Idiopathic Environmental Intolerance or Clinical Ecology | 2022-09-01 |
| BCBS Massachusetts | Epithelial Cell Cytology in Breast Cancer Risk Assessment and High-Risk Patient Management - Ductal Lavage and Suction Collection Systems | 2022-09-01 |
| BCBS Massachusetts | In Vivo Analysis of Colorectal Polyps | 2022-09-01 |
| BCBS Massachusetts | Threshold Electrical Stimulation as a Treatment of Motor Disorders | 2022-09-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Wheelchair and Accessories (CC.PP.502) | 2022-09-01 |
| Ambetter Health Texas Superior Marketplace Clinical | Wheelchair and Accessories (CC.PP.502) | 2022-09-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Wheelchair and Accessories (CC.PP.502) | 2022-09-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | H Pylori Testing (CP.MP.153) - RETIRED (Medicare February 15, 2024) | 2022-09-01 |