| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
9
|
9
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
8
|
13
|
|
99281
|
EMR DPT VST MAYX REQ PHY/QHP |
4
|
4
|
|
71046
|
X-RAY EXAM CHEST 2 VIEWS |
2
|
2
|
|
71100
|
X-RAY EXAM RIBS UNI 2 VIEWS |
2
|
2
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
83605
|
ASSAY OF LACTIC ACID |
1
|
1
|
|
84484
|
ASSAY OF TROPONIN QUANT |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
1
|
1
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
1
|
1
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
1
|
1
|
|
71045
|
X-RAY EXAM CHEST 1 VIEW |
1
|
1
|
|
3074F
|
SYST BP LT 130 MM HG |
1
|
1
|
|
3078F
|
DIAST BP <80 MM HG |
1
|
1
|
|
99215
|
OFFICE O/P EST HI 40 MIN |
1
|
1
|
|
G0467
|
FQHC VISIT, ESTAB PT |
1
|
1
|
