| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
10
|
10
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
6
|
6
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
5
|
5
|
|
65855
|
TRABECULOPLASTY LASER SURG |
4
|
4
|
|
92083
|
EXTENDED VISUAL FIELD XM |
3
|
3
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
3
|
3
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
2
|
100
|
|
92012
|
INTRM OPH EXAM EST PATIENT |
2
|
2
|
|
93005
|
ELECTROCARDIOGRAM TRACING |
2
|
2
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
66710
|
CILIARY TRANSSLERAL THERAPY |
1
|
1
|
|
70543
|
MRI ORBT/FAC/NCK W/O &W/DYE |
1
|
1
|
|
70546
|
MR ANGIOGRAPH HEAD W/O&W/DYE |
1
|
1
|
|
A9585
|
GADOBUTROL INJECTION |
1
|
75
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
1
|
1
|
|
92134
|
CPTRZ OPH DX IMG PST SGM RTA |
1
|
1
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
1
|
1
|
|
80048
|
METABOLIC PANEL TOTAL CA |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
66183
|
INSERT ANT DRAINAGE DEVICE |
1
|
1
|
