| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
32
|
32
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
27
|
27
|
|
66821
|
AFTER CATARACT LASER SURGERY |
10
|
10
|
|
92014
|
COMPRE OPH EXAM EST PT 1/> |
4
|
4
|
|
92134
|
CPTRZ OPH DX IMG PST SGM RTA |
2
|
2
|
|
92012
|
INTRM OPH EXAM EST PATIENT |
2
|
2
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
2
|
8
|
|
76513
|
OPH US DX ANT SGM US UNI/BI |
2
|
2
|
|
G2025
|
DIS SITE TELE SVCS RHC/FQHC |
1
|
1
|
|
92004
|
COMPRE OPH EXAM NEW PT 1/> |
1
|
1
|
|
76512
|
OPH US DX B-SCAN |
1
|
1
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
1
|
1
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
80048
|
METABOLIC PANEL TOTAL CA |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
85610
|
PROTHROMBIN TIME |
1
|
1
|
|
85730
|
THROMBOPLASTIN TIME PARTIAL |
1
|
1
|
|
92083
|
EXTENDED VISUAL FIELD XM |
1
|
1
|
|
81025
|
URINE PREGNANCY TEST |
1
|
1
|
|
J0330
|
SUCCINYCHOLINE CHLORIDE INJ |
1
|
3
|
