A major tray service benefit may be claimed for the following procedures only when they are performed in a location other than a nursing home, general or auxiliary hospital, AACC, UCC or a facility which has a contract with a regional health authority to provide any of these insured services.
| 01.03 | 01.04A | 01.05A | 01.24A | 01.24B | 01.24BA |
| 01.24BB | 01.34 | 02.84A | 02.84B | 03.22B | 03.25 |
| 07.53B | 07.53D | 07.53E | 07.57A |
| 12.31 | 13.59C | 17.08A | 17.81A | 18.29F | 18.29FA |
| 21.42 | 21.69A | 22.13A | 22.13B | 22.13C | 22.5 A |
| 22.51A | 22.62A | 22.71 | 22.81 | 25.1 A | 25.29A |
| 25.39D |
| 32.01A | 32.81 | 33.02A | 33.22B | 34.0 A | 34.1 A |
| 34.89A | 37.82A | 38.89A | 39.21A | 39.62A | 39.83A |
| 39.83A |
| 50.4 A | 50.97A | 52.1 A | 52.11A | 52.13 | 56.93B |
| 60.24C | 61.01B | 61.03 | 61.29B | 61.37A | 61.39B |
| 66.91A |
| 70.1 | 70.5 A | 72.91 | 75.64 | 79.23A | 79.29E |
| 82.81A | 82.91A | 83.7 A | 87.3 | 87.55A | 89.37A |
| 89.37B | 89.41A | 89.41B | 89.42A |
| 93.39B | 93.39C | 95.02A | 95.09A | 95.81A | 97.11B |
| 97.83A | 97.89B | 98.04A | 98.6 A | 98.6 B | 98.12A |
| 98.12B | 98.12C | 98.12H | 98.12J | 98.12M | 98.12N |
| 98.12Q | 98.12R | 98.12T | 98.14A | 98.22A | 98.22B |
| 98.71D | 98.81A | 98.96A | 98.96B | 98.96C | 98.96D |
