| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
11
|
20
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
10
|
10
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
9
|
9
|
|
80053
|
COMPREHEN METABOLIC PANEL |
8
|
8
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
6
|
6
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
6
|
10
|
|
69220
|
CLEAN OUT MASTOID CAVITY |
5
|
5
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
5
|
50
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
5
|
5
|
|
J2405
|
ONDANSETRON HCL INJECTION |
5
|
20
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
5
|
5
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
4
|
4
|
|
J3360
|
DIAZEPAM INJECTION |
4
|
4
|
|
96376
|
TX/PRO/DX INJ SAME DRUG ADON |
4
|
6
|
|
83735
|
ASSAY OF MAGNESIUM |
4
|
4
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
4
|
4
|
|
96361
|
HYDRATE IV INFUSION ADD-ON |
4
|
16
|
|
99281
|
EMR DPT VST MAYX REQ PHY/QHP |
3
|
3
|
|
96365
|
THER/PROPH/DIAG IV INF INIT |
3
|
3
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
3
|
3
|
