Oxygen and equipment (until $2,000 paid for selected services)
Service Benefit Category Id
10076
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Oxygen and equipment (after $2,000 paid per calendar year)
Service Benefit Category Id
10077
(until $2,000 paid for selected services)
Service Benefit Category Id
10078
(after $2,000 paid per calendar year)
Service Benefit Category Id
10079
(until $2,000 paid for selected services)
Service Benefit Category Id
10080
(after $2,000 paid per calendar year)
Service Benefit Category Id
10081
Speech therapy (until $2,000 paid for selected services)
Service Benefit Category Id
10082
Speech therapy (after $2,000 paid per calendar year)
Service Benefit Category Id
10083
Other covered services
Service Benefit Category Id
10084
Physical therapy (until $2,000 paid for selected services)
Service Benefit Category Id
10085