| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
6
|
6
|
|
G1010
|
CDSM STANSON |
3
|
3
|
|
68200
|
TREAT EYELID BY INJECTION |
2
|
2
|
|
J9190
|
FLUOROURACIL INJECTION |
2
|
2
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
|
|
88304
|
TISSUE EXAM BY PATHOLOGIST |
2
|
2
|
|
99072
|
ADDL SUPL MATRL&STAF TM PHE |
1
|
1
|
|
92014
|
COMPRE OPH EXAM EST PT 1/> |
1
|
1
|
|
G0467
|
FQHC VISIT, ESTAB PT |
1
|
1
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
1
|
1
|
|
70543
|
MRI ORBT/FAC/NCK W/O &W/DYE |
1
|
1
|
|
70544
|
MR ANGIOGRAPHY HEAD W/O DYE |
1
|
1
|
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
1
|
1
|
|
A9575
|
INJ GADOTERATE MEGLUMI 0.1ML |
1
|
150
|
|
88312
|
SPECIAL STAINS GROUP 1 |
1
|
1
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
1
|
1
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
|
66999
|
UNLISTED PX ANT SEGMENT EYE |
1
|
1
|
|
68110
|
EXC LES CONJUNCTIVA <1 CM |
1
|
1
|
|
88342
|
IMHCHEM/IMCYTCHM 1ST ANTB |
1
|
1
|