| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
66
|
67
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
8
|
8
|
|
97597
|
DBRDMT OPN WND 1ST 20 CM/< |
5
|
5
|
|
97598
|
DBRDMT OPN WND ADDL 20CM/< |
3
|
3
|
|
11045
|
DBRDMT SUBQ TISS EACH ADDL |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
3
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
2
|
2
|
|
J1642
|
INJ HEPARIN SODIUM PER 10 U |
2
|
20
|
|
97605
|
NEG PRS WND THER DME<=50SQCM |
2
|
2
|
|
A6210
|
FOAM DRG >16<=48 SQ IN W/O B |
2
|
2
|
|
J3370
|
VANCOMYCIN HCL INJECTION |
1
|
4
|
|
J7050
|
NORMAL SALINE SOLUTION INFUS |
1
|
2
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
1
|
1
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
1
|
1
|
|
A6010
|
COLLAGEN BASED WOUND FILLER |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
Q5101
|
INJECTION, ZARXIO |
1
|
300
|
|
11043
|
DBRDMT MUSC&/FSCA 1ST 20/< |
1
|
1
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
|
36573
|
INSJ PICC RS&I 5 YR+ |
1
|
1
|
