| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
7
|
7
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
4
|
4
|
|
82784
|
ASSAY IGA/IGD/IGG/IGM EACH |
3
|
4
|
|
86317
|
IMMUNOASSAY INFECTIOUS AGENT |
3
|
24
|
|
70355
|
PANORAMIC X-RAY OF JAWS |
2
|
2
|
|
70486
|
CT MAXILLOFACIAL W/O DYE |
2
|
2
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
2
|
40
|
|
82787
|
IGG 1 2 3 OR 4 EACH |
2
|
4
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
1
|
1
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
1
|
1
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
3
|
|
D7240
|
|
1
|
1
|
|
J0295
|
AMPICILLIN SULBACTAM 1.5 GM |
1
|
2
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
4
|
|
J2001
|
LIDOCAINE INJECTION |
1
|
10
|
|
J2405
|
ONDANSETRON HCL INJECTION |
1
|
4
|
|
J3010
|
FENTANYL CITRATE INJECTION |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
86038
|
ANTINUCLEAR ANTIBODIES |
1
|
1
|
