| CPT |
Description |
Number of Claims |
Sum Performed |
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
8
|
8
|
|
A9577
|
INJ MULTIHANCE |
6
|
76
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
5
|
6
|
|
72158
|
MRI LUMBAR SPINE W/O & W/DYE |
5
|
5
|
|
72157
|
MRI CHEST SPINE W/O & W/DYE |
4
|
4
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
4
|
4
|
|
A9579
|
GAD-BASE MR CONTRAST NOS,1ML |
3
|
54
|
|
G1004
|
CDSM NDSC |
3
|
3
|
|
72156
|
MRI NECK SPINE W/O & W/DYE |
3
|
3
|
|
J2060
|
LORAZEPAM INJECTION |
2
|
2
|
|
85027
|
COMPLETE CBC AUTOMATED |
2
|
2
|
|
80053
|
COMPREHEN METABOLIC PANEL |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
8
|
|
83735
|
ASSAY OF MAGNESIUM |
2
|
2
|
|
70470
|
CT HEAD/BRAIN W/O & W/DYE |
2
|
2
|
|
71260
|
CT THORAX DX C+ |
2
|
2
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
2
|
2
|
|
82565
|
ASSAY OF CREATININE |
2
|
2
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
2
|
195
|
