| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
10
|
12
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
4
|
4
|
|
81001
|
URINALYSIS AUTO W/SCOPE |
4
|
4
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
3
|
3
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
3
|
3
|
|
80307
|
DRUG TEST PRSMV CHEM ANLYZR |
3
|
3
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
3
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
3
|
3
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
2
|
2
|
|
80305
|
DRUG TEST PRSMV DIR OPT OBS |
2
|
2
|
|
81025
|
URINE PREGNANCY TEST |
2
|
2
|
|
80048
|
METABOLIC PANEL TOTAL CA |
2
|
2
|
|
83735
|
ASSAY OF MAGNESIUM |
2
|
2
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
2
|
6
|
|
80053
|
COMPREHEN METABOLIC PANEL |
2
|
2
|
|
87491
|
CHLMYD TRACH DNA AMP PROBE |
1
|
1
|
|
87591
|
N.GONORRHOEAE DNA AMP PROB |
1
|
1
|
|
J0696
|
CEFTRIAXONE SODIUM INJECTION |
1
|
2
|
|
J2001
|
LIDOCAINE INJECTION |
1
|
1
|
