| CPT |
Description |
Number of Claims |
Sum Performed |
|
G1004
|
CDSM NDSC |
4
|
4
|
|
82565
|
ASSAY OF CREATININE |
4
|
4
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
4
|
325
|
|
70482
|
CT ORBIT/EAR/FOSSA W/O&W/DYE |
3
|
3
|
|
A9575
|
INJ GADOTERATE MEGLUMI 0.1ML |
3
|
300
|
|
70480
|
CT ORBIT/EAR/FOSSA W/O DYE |
2
|
2
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
2
|
2
|
|
70543
|
MRI ORBT/FAC/NCK W/O &W/DYE |
2
|
2
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
1
|
1
|
|
84439
|
ASSAY OF FREE THYROXINE |
1
|
1
|
|
84443
|
ASSAY THYROID STIM HORMONE |
1
|
1
|
|
84480
|
ASSAY TRIIODOTHYRONINE (T3) |
1
|
1
|
|
21282
|
LATERAL CANTHOPEXY |
1
|
1
|
|
67414
|
EXPLR/DECOMPRESS EYE SOCKET |
1
|
1
|
|
80048
|
METABOLIC PANEL TOTAL CA |
1
|
1
|
|
85027
|
COMPLETE CBC AUTOMATED |
1
|
1
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
8
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
1
|
1
|
