| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
22
|
22
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
4
|
4
|
|
80053
|
COMPREHEN METABOLIC PANEL |
4
|
4
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
4
|
4
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
4
|
4
|
|
85610
|
PROTHROMBIN TIME |
3
|
3
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
3
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
5
|
|
Q4186
|
EPIFIX 1 SQ CM |
3
|
12
|
|
81003
|
URINALYSIS AUTO W/O SCOPE |
2
|
2
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
2
|
2
|
|
74177
|
CT ABD & PELVIS W/CONTRAST |
2
|
2
|
|
87040
|
BLOOD CULTURE FOR BACTERIA |
2
|
2
|
|
83605
|
ASSAY OF LACTIC ACID |
2
|
2
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
2
|
193
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
2
|
2
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
2
|
2
|
|
J0692
|
CEFEPIME HCL FOR INJECTION |
1
|
4
|
|
J3370
|
VANCOMYCIN HCL INJECTION |
1
|
3
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
1
|
1
|
