| CPT |
Description |
Number of Claims |
Sum Performed |
|
80053
|
COMPREHEN METABOLIC PANEL |
22
|
22
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
22
|
22
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
16
|
16
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
12
|
12
|
|
J9070
|
CYCLOPHOSPHAMIDE 100 MG INJ |
10
|
75
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
10
|
360
|
|
J9042
|
BRENTUXIMAB VEDOTIN INJ |
9
|
606
|
|
83615
|
LACTATE (LD) (LDH) ENZYME |
8
|
8
|
|
J1644
|
INJ HEPARIN SODIUM PER 1000U |
6
|
60
|
|
J7050
|
NORMAL SALINE SOLUTION INFUS |
6
|
28
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
6
|
12
|
|
36522
|
PHOTOPHERESIS |
6
|
6
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
6
|
6
|
|
A9552
|
F18 FDG |
6
|
6
|
|
G1004
|
CDSM NDSC |
6
|
7
|
|
96417
|
CHEMO IV INFUS EACH ADDL SEQ |
5
|
6
|
|
96367
|
TX/PROPH/DG ADDL SEQ IV INF |
5
|
13
|
|
85610
|
PROTHROMBIN TIME |
5
|
6
|
|
J1453
|
FOSAPREPITANT INJECTION |
5
|
750
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
5
|
6
|
