| CPT |
Description |
Number of Claims |
Sum Performed |
|
71250
|
CT THORAX DX C- |
4
|
4
|
|
76641
|
ULTRASOUND BREAST COMPLETE |
2
|
2
|
|
A9575
|
INJ GADOTERATE MEGLUMI 0.1ML |
2
|
34
|
|
77334
|
RADIATION TREATMENT AID(S) |
2
|
7
|
|
J2795
|
ROPIVACAINE HCL INJECTION |
2
|
300
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
1
|
1
|
|
73223
|
MRI JOINT UPR EXTR W/O&W/DYE |
1
|
1
|
|
77290
|
THER RAD SIMULAJ FIELD CPLX |
1
|
1
|
|
73220
|
MRI UPPR EXTREMITY W/O&W/DYE |
1
|
1
|
|
77295
|
3-D RADIOTHERAPY PLAN |
1
|
1
|
|
77300
|
RADIATION THERAPY DOSE PLAN |
1
|
6
|
|
77387
|
GUIDANCE FOR RADJ TX DLVR |
1
|
1
|
|
77412
|
RADIATION TX DELIVERY COMPLX |
1
|
1
|
|
78815
|
PET IMAGE W/CT SKULL-THIGH |
1
|
1
|
|
82947
|
ASSAY GLUCOSE BLOOD QUANT |
1
|
1
|
|
A9552
|
F18 FDG |
1
|
1
|
|
G1004
|
CDSM NDSC |
1
|
1
|
|
25900
|
AMPUTATION OF FOREARM |
1
|
1
|
|
64415
|
NJX AA&/STRD BRCH PLXS IMG |
1
|
1
|
|
64417
|
NJX AA&/STRD AX NERVE IMG |
1
|
1
|
