| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
24
|
24
|
|
92083
|
EXTENDED VISUAL FIELD XM |
6
|
6
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
6
|
6
|
|
76514
|
ECHO EXAM OF EYE THICKNESS |
5
|
5
|
|
92012
|
INTRM OPH EXAM EST PATIENT |
3
|
3
|
|
92134
|
CPTRZ OPH DX IMG PST SGM RTA |
2
|
2
|
|
92250
|
FUNDUS PHOTOGRAPHY W/I&R |
2
|
2
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
|
|
G0467
|
FQHC VISIT, ESTAB PT |
2
|
2
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
84439
|
ASSAY OF FREE THYROXINE |
1
|
1
|
|
84443
|
ASSAY THYROID STIM HORMONE |
1
|
1
|
|
84481
|
FREE ASSAY (FT-3) |
1
|
1
|
|
85027
|
COMPLETE CBC AUTOMATED |
1
|
1
|
|
85610
|
PROTHROMBIN TIME |
1
|
1
|
|
93005
|
ELECTROCARDIOGRAM TRACING |
1
|
1
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
1
|
1
|
|
69210
|
REMOVE IMPACTED EAR WAX UNI |
1
|
1
|
|
99204
|
OFFICE O/P NEW MOD 45 MIN |
1
|
1
|
|
G0466
|
FQHC VISIT NEW PATIENT |
1
|
1
|
