| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
21390
|
OPN TX ORBIT PERIORBTL IMPLT |
3
|
3
|
|
C1713
|
ANCHOR/SCREW BN/BN,TIS/BN |
3
|
5
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
3
|
12
|
|
J2405
|
ONDANSETRON HCL INJECTION |
3
|
12
|
|
J3010
|
FENTANYL CITRATE INJECTION |
3
|
4
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
2
|
8
|
|
J2250
|
INJ MIDAZOLAM HYDROCHLORIDE |
2
|
3
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
2
|
70
|
|
70480
|
CT ORBIT/EAR/FOSSA W/O DYE |
2
|
2
|
|
70486
|
CT MAXILLOFACIAL W/O DYE |
1
|
1
|
|
J3370
|
VANCOMYCIN HCL INJECTION |
1
|
2
|
|
92014
|
COMPRE OPH EXAM EST PT 1/> |
1
|
1
|
|
92133
|
CPTRZD OPH DX IMG PST SGM ON |
1
|
1
|
|
92202
|
OPSCPY EXTND ON/MAC DRAW |
1
|
1
|
|
J0330
|
SUCCINYCHOLINE CHLORIDE INJ |
1
|
10
|
|
J0360
|
HYDRALAZINE HCL INJECTION |
1
|
2
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
2
|
|
G1004
|
CDSM NDSC |
1
|
1
|
