| CPT |
Description |
Number of Claims |
Sum Performed |
|
97535
|
SELF CARE MNGMENT TRAINING |
27
|
110
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
97167
|
OT EVAL HIGH COMPLEX 60 MIN |
2
|
2
|
|
65105
|
REMOVE EYE/ATTACH IMPLANT |
1
|
1
|
|
67875
|
CLOSURE OF EYELID BY SUTURE |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
1
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
10
|
|
J2250
|
INJ MIDAZOLAM HYDROCHLORIDE |
1
|
2
|
|
J2405
|
ONDANSETRON HCL INJECTION |
1
|
4
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
1
|
20
|
|
J3010
|
FENTANYL CITRATE INJECTION |
1
|
1
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
1
|
1
|
|
G0511
|
CCM/BHI BY RHC/FQHC 20MIN MO |
1
|
1
|
