| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
7
|
7
|
|
92012
|
INTRM OPH EXAM EST PATIENT |
1
|
1
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
1
|
1
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
1
|
1
|
|
92285
|
EXTERNAL OCULAR PHOTOGRAPHY |
1
|
1
|
|
92015
|
DETERMINE REFRACTIVE STATE |
1
|
1
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
67550
|
INSERT EYE SOCKET IMPLANT |
1
|
1
|
|
67875
|
CLOSURE OF EYELID BY SUTURE |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
1
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
1
|
4
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
5
|
|
J1580
|
GARAMYCIN GENTAMICIN INJ |
1
|
1
|
|
J2405
|
ONDANSETRON HCL INJECTION |
1
|
4
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
1
|
25
|
|
J3010
|
FENTANYL CITRATE INJECTION |
1
|
2
|
|
J7120
|
RINGERS LACTATE INFUSION |
1
|
2
|
|
70480
|
CT ORBIT/EAR/FOSSA W/O DYE |
1
|
1
|
