| CPT |
Description |
Number of Claims |
Sum Performed |
|
76816
|
OB US FOLLOW-UP PER FETUS |
12
|
12
|
|
76805
|
OB US >= 14 WKS SNGL FETUS |
4
|
4
|
|
81003
|
URINALYSIS AUTO W/O SCOPE |
4
|
4
|
|
76815
|
OB US LIMITED FETUS(S) |
4
|
4
|
|
76817
|
TRANSVAGINAL US OBSTETRIC |
4
|
4
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
3
|
3
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
G0467
|
FQHC VISIT, ESTAB PT |
3
|
3
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
3
|
3
|
|
86900
|
BLOOD TYPING SEROLOGIC ABO |
3
|
3
|
|
86901
|
BLOOD TYPING SEROLOGIC RH(D) |
3
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
11
|
|
87086
|
URINE CULTURE/COLONY COUNT |
3
|
3
|
|
74181
|
MRI ABDOMEN W/O CONTRAST |
2
|
2
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
2
|
2
|
|
85610
|
PROTHROMBIN TIME |
2
|
2
|
|
85730
|
THROMBOPLASTIN TIME PARTIAL |
2
|
2
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
2
|
2
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
2
|
2
|
|
76827
|
ECHO EXAM OF FETAL HEART |
2
|
2
|
