| S5000 | Prescription drug, generic |
| S5001 | Prescription drug,brand name |
| S5010 | 5% dextrose and 0.45% saline |
| S5011 | 5% dextrose in lactated ring |
| S5012 | 5% dextrose with potassium |
| S5013 | 5%dextrose/0.45%saline1000ml |
| S5014 | D5w/0.45ns w kcl and mgs04 |
| S5035 | Hit routine device maint |
| S5036 | Hit device repair |
| S5100 | Adult daycare services 15min |
| S5101 | Adult day care per half day |
| S5102 | Adult day care per diem |
| S5105 | Centerbased day care perdiem |
| S5108 | Homecare train pt 15 min |
| S5109 | Homecare train pt session |
| S5110 | Family homecare training 15m |
| S5111 | Family homecare train/sessio |
| S5115 | Nonfamily homecare train/15m |
| S5116 | Nonfamily hc train/session |
| S5120 | Chore services per 15 min |
| S5121 | Chore services per diem |
| S5125 | Attendant care service /15m |
| S5126 | Attendant care service /diem |
| S5130 | Homaker service nos per 15m |
| S5131 | Homemaker service nos /diem |
| S5135 | Adult companioncare per 15m |
| S5136 | Adult companioncare per diem |
| S5140 | Adult foster care per diem |
| S5141 | Adult foster care per month |
| S5145 | Child fostercare th per diem |
| S5146 | Ther fostercare child /month |
| S5150 | Unskilled respite care /15m |
| S5151 | Unskilled respitecare /diem |
| S5160 | Emer response sys instal&tst |
| S5161 | Emer rspns sys serv permonth |
| S5162 | Emer rspns system purchase |
| S5165 | Home modifications per serv |
| S5170 | Homedelivered prepared meal |
| S5175 | Laundry serv,ext,prof,/order |
| S5180 | Hh respiratory thrpy in eval |
| S5181 | Hh respiratory thrpy nos/day |
| S5185 | Med reminder serv per month |
| S5190 | Wellness assessment by nonph |
| S5199 | Personal care item nos each |
| S5497 | Hit cath care noc |
| S5498 | Hit simple cath care |
| S5501 | Hit complex cath care |
| S5502 | Hit interim cath care |
| S5517 | Hit declotting kit |
| S5518 | Hit cath repair kit |
| S5520 | Hit picc insert kit |
| S5521 | Hit midline cath insert kit |
| S5522 | Hit picc insert no supp |
| S5523 | Hip midline cath insert kit |
| S5550 | Insulin rapid 5 u |
| S5551 | Insulin most rapid 5 u |
| S5552 | Insulin intermed 5 u |
| S5553 | Insulin long acting 5 u |
| S5560 | Insulin reuse pen 1.5 ml |
| S5561 | Insulin reuse pen 3 ml |
| S5565 | Insulin cartridge 150 u |
| S5566 | Insulin cartridge 300 u |
| S5570 | Insulin dispos pen 1.5 ml |
| S5571 | Insulin dispos pen 3 ml |
