| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
11
|
11
|
|
92083
|
EXTENDED VISUAL FIELD XM |
5
|
5
|
|
70543
|
MRI ORBT/FAC/NCK W/O &W/DYE |
5
|
5
|
|
86255
|
FLUORESCENT ANTIBODY SCREEN |
5
|
5
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
4
|
4
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
4
|
4
|
|
83516
|
IMMUNOASSAY NONANTIBODY |
4
|
4
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
3
|
3
|
|
96413
|
CHEMO IV INFUSION 1 HR |
3
|
3
|
|
96415
|
CHEMO IV INFUSION ADDL HR |
3
|
3
|
|
J2920
|
METHYLPREDNISOLONE INJECTION |
3
|
3
|
|
Q5103
|
INJECTION, INFLECTRA |
3
|
90
|
|
A9585
|
GADOBUTROL INJECTION |
3
|
200
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
2
|
2
|
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
2
|
2
|
|
85652
|
RBC SED RATE AUTOMATED |
2
|
2
|
|
86140
|
C-REACTIVE PROTEIN |
2
|
2
|
|
80076
|
HEPATIC FUNCTION PANEL |
1
|
1
|
