| CPT |
Description |
Number of Claims |
Sum Performed |
|
70030
|
X-RAY EYE FOR FOREIGN BODY |
12
|
12
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
3
|
3
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
3
|
3
|
|
72148
|
MRI LUMBAR SPINE W/O DYE |
2
|
2
|
|
70190
|
X-RAY EXAM OF EYE SOCKETS |
2
|
2
|
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
2
|
2
|
|
70200
|
X-RAY EXAM OF EYE SOCKETS |
1
|
1
|
|
G2025
|
DIS SITE TELE SVCS RHC/FQHC |
1
|
1
|
|
A9585
|
GADOBUTROL INJECTION |
1
|
75
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
82525
|
ASSAY OF COPPER |
1
|
1
|
|
82607
|
VITAMIN B-12 |
1
|
1
|
|
82746
|
ASSAY OF FOLIC ACID SERUM |
1
|
1
|
|
73721
|
MRI JNT OF LWR EXTRE W/O DYE |
1
|
1
|
|
G0467
|
FQHC VISIT, ESTAB PT |
1
|
1
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
1
|
1
|
|
70250
|
X-RAY EXAM OF SKULL |
1
|
1
|
|
G1004
|
CDSM NDSC |
1
|
1
|
|
99309
|
SBSQ NF CARE MODERATE MDM 30 |
1
|
1
|
