| CPT |
Description |
Number of Claims |
Sum Performed |
|
84484
|
ASSAY OF TROPONIN QUANT |
3
|
3
|
|
70553
|
MRI BRAIN STEM W/O & W/DYE |
3
|
3
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
3
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
2
|
2
|
|
80053
|
COMPREHEN METABOLIC PANEL |
2
|
2
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
2
|
2
|
|
93005
|
ELECTROCARDIOGRAM TRACING |
2
|
2
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
A9585
|
GADOBUTROL INJECTION |
2
|
75
|
|
70551
|
MRI BRAIN STEM W/O DYE |
2
|
2
|
|
A9576
|
INJ PROHANCE MULTIPACK |
2
|
40
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
2
|
2
|
|
70498
|
CT ANGIOGRAPHY NECK |
1
|
1
|
|
85610
|
PROTHROMBIN TIME |
1
|
1
|
|
96361
|
HYDRATE IV INFUSION ADD-ON |
1
|
1
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
1
|
1
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
3
|
|
J3360
|
DIAZEPAM INJECTION |
1
|
2
|
