| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
22
|
22
|
|
97535
|
SELF CARE MNGMENT TRAINING |
16
|
48
|
|
97166
|
OT EVAL MOD COMPLEX 45 MIN |
5
|
5
|
|
97165
|
OT EVAL LOW COMPLEX 30 MIN |
3
|
3
|
|
92082
|
INTERMEDIATE VISUAL FIELD XM |
3
|
3
|
|
92015
|
DETERMINE REFRACTIVE STATE |
3
|
3
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
2
|
2
|
|
65093
|
REVISE EYE WITH IMPLANT |
1
|
1
|
|
67875
|
CLOSURE OF EYELID BY SUTURE |
1
|
1
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
1
|
4
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
10
|
|
J1170
|
HYDROMORPHONE INJECTION |
1
|
1
|
|
J2250
|
INJ MIDAZOLAM HYDROCHLORIDE |
1
|
2
|
|
J2405
|
ONDANSETRON HCL INJECTION |
1
|
4
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
1
|
24
|
|
J3010
|
FENTANYL CITRATE INJECTION |
1
|
1
|
|
92083
|
EXTENDED VISUAL FIELD XM |
1
|
1
|
|
92250
|
FUNDUS PHOTOGRAPHY W/I&R |
1
|
1
|
|
67028
|
INJECTION EYE DRUG |
1
|
1
|
|
92134
|
CPTRZ OPH DX IMG PST SGM RTA |
1
|
1
|
