| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
7
|
7
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
4
|
4
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
2
|
2
|
|
87186
|
MICROBE SUSCEPTIBLE MIC |
2
|
2
|
|
87070
|
CULTURE OTHR SPECIMN AEROBIC |
2
|
2
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
2
|
2
|
|
81001
|
URINALYSIS AUTO W/SCOPE |
2
|
2
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
2
|
2
|
|
87077
|
CULTURE AEROBIC IDENTIFY |
2
|
2
|
|
87086
|
URINE CULTURE/COLONY COUNT |
2
|
2
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
2
|
2
|
|
J0131
|
INJ, ACETAMINOPHEN (NOS) |
2
|
200
|
|
J1170
|
HYDROMORPHONE INJECTION |
2
|
8
|
|
J2405
|
ONDANSETRON HCL INJECTION |
2
|
8
|
|
J3010
|
FENTANYL CITRATE INJECTION |
2
|
3
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
1
|
100
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
1
|
