| CPT |
Description |
Number of Claims |
Sum Performed |
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
10
|
10
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
8
|
8
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
G1004
|
CDSM NDSC |
2
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
2
|
2
|
|
70355
|
PANORAMIC X-RAY OF JAWS |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
6
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
99281
|
EMR DPT VST MAYX REQ PHY/QHP |
2
|
2
|
|
D2150
|
|
2
|
2
|
|
70486
|
CT MAXILLOFACIAL W/O DYE |
1
|
1
|
|
71045
|
X-RAY EXAM CHEST 1 VIEW |
1
|
1
|
|
72125
|
CT NECK SPINE W/O DYE |
1
|
1
|
|
72170
|
X-RAY EXAM OF PELVIS |
1
|
1
|
|
76604
|
US EXAM CHEST |
1
|
1
|
|
82962
|
GLUCOSE BLOOD TEST |
1
|
1
|
|
86850
|
RBC ANTIBODY SCREEN |
1
|
1
|
|
86900
|
BLOOD TYPING SEROLOGIC ABO |
1
|
1
|
|
86901
|
BLOOD TYPING SEROLOGIC RH(D) |
1
|
1
|
