| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
9
|
9
|
|
G1004
|
CDSM NDSC |
4
|
9
|
|
72128
|
CT CHEST SPINE W/O DYE |
3
|
3
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
3
|
3
|
|
72072
|
X-RAY EXAM THORAC SPINE 3VWS |
3
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
4
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
71045
|
X-RAY EXAM CHEST 1 VIEW |
2
|
2
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
72131
|
CT LUMBAR SPINE W/O DYE |
2
|
2
|
|
71250
|
CT THORAX DX C- |
2
|
2
|
|
72146
|
MRI CHEST SPINE W/O DYE |
2
|
2
|
|
J1170
|
HYDROMORPHONE INJECTION |
1
|
1
|
|
J2405
|
ONDANSETRON HCL INJECTION |
1
|
4
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
J0897
|
DENOSUMAB INJECTION |
1
|
120
|
|
72157
|
MRI CHEST SPINE W/O & W/DYE |
1
|
1
|
