| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
22
|
22
|
|
92134
|
CPTRZ OPH DX IMG PST SGM RTA |
20
|
20
|
|
92014
|
COMPRE OPH EXAM EST PT 1/> |
12
|
12
|
|
92250
|
FUNDUS PHOTOGRAPHY W/I&R |
3
|
3
|
|
92012
|
INTRM OPH EXAM EST PATIENT |
3
|
3
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
2
|
2
|
|
70543
|
MRI ORBT/FAC/NCK W/O &W/DYE |
2
|
2
|
|
A9585
|
GADOBUTROL INJECTION |
2
|
155
|
|
92015
|
DETERMINE REFRACTIVE STATE |
2
|
2
|
|
G0467
|
FQHC VISIT, ESTAB PT |
2
|
2
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
2
|
2
|
|
96523
|
IRRIG DRUG DELIVERY DEVICE |
2
|
2
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
2
|
100
|
|
76514
|
ECHO EXAM OF EYE THICKNESS |
1
|
1
|
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
1
|
1
|
|
70481
|
CT ORBIT/EAR/FOSSA W/DYE |
1
|
1
|
|
82565
|
ASSAY OF CREATININE |
1
|
1
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
1
|
80
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
|
92083
|
EXTENDED VISUAL FIELD XM |
1
|
1
|
