| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0467
|
FQHC VISIT, ESTAB PT |
4
|
4
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
4
|
4
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
2
|
2
|
|
70491
|
CT SOFT TISSUE NECK W/DYE |
1
|
1
|
|
71260
|
CT THORAX DX C+ |
1
|
1
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
1
|
100
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
|
71046
|
X-RAY EXAM CHEST 2 VIEWS |
1
|
1
|
|
87625
|
HPV TYPES 16 & 18 ONLY |
1
|
1
|
|
78803
|
RP LOCLZJ TUM SPECT 1 AREA |
1
|
1
|
|
A9538
|
TC99M PYROPHOSPHATE |
1
|
1
|
|
90670
|
PCV13 VACCINE IM |
1
|
1
|
|
90694
|
VACC AIIV4 NO PRSRV 0.5ML IM |
1
|
1
|
|
G0008
|
ADMIN INFLUENZA VIRUS VAC |
1
|
1
|
|
G0009
|
ADMIN PNEUMOCOCCAL VACCINE |
1
|
1
|
|
1160F
|
RVW MEDS BY RX/DR IN RCRD |
1
|
1
|
|
G2025
|
DIS SITE TELE SVCS RHC/FQHC |
1
|
1
|
