| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
57
|
289
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
50
|
50
|
|
97597
|
DBRDMT OPN WND 1ST 20 CM/< |
32
|
32
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
28
|
28
|
|
17250
|
CHEM CAUT OF GRANLTJ TISSUE |
28
|
51
|
|
97110
|
THERAPEUTIC EXERCISES |
21
|
38
|
|
A6212
|
FOAM DRG <=16 SQ IN W/BORDER |
20
|
35
|
|
97530
|
THERAPEUTIC ACTIVITIES |
19
|
44
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
11
|
97
|
|
87070
|
CULTURE OTHR SPECIMN AEROBIC |
9
|
9
|
|
11045
|
DBRDMT SUBQ TISS EACH ADDL |
8
|
55
|
|
A6021
|
COLLAGEN DRESSING <=16 SQ IN |
8
|
8
|
|
A6196
|
ALGINATE DRESSING <=16 SQ IN |
8
|
10
|
|
A6441
|
PAD BAND W>=3" <5"/YD |
7
|
7
|
|
97598
|
DBRDMT OPN WND ADDL 20CM/< |
7
|
69
|
|
A6222
|
GAUZE <=16 IN NO W/SAL W/O B |
7
|
14
|
|
87186
|
MICROBE SUSCEPTIBLE MIC |
7
|
9
|
|
A6219
|
GAUZE <= 16 SQ IN W/BORDER |
7
|
14
|
|
87077
|
CULTURE AEROBIC IDENTIFY |
6
|
6
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
6
|
6
|
