| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
32
|
33
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
7
|
7
|
|
G0467
|
FQHC VISIT, ESTAB PT |
5
|
5
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
4
|
4
|
|
74177
|
CT ABD & PELVIS W/CONTRAST |
3
|
3
|
|
80053
|
COMPREHEN METABOLIC PANEL |
3
|
3
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
3
|
3
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
3
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
Q9967
|
LOCM 300-399MG/ML IODINE,1ML |
3
|
320
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
2
|
|
74270
|
X-RAY XM COLON 1CNTRST STD |
2
|
2
|
|
87205
|
SMEAR GRAM STAIN |
2
|
2
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
2
|
2
|
|
87070
|
CULTURE OTHR SPECIMN AEROBIC |
2
|
2
|
|
87077
|
CULTURE AEROBIC IDENTIFY |
2
|
4
|
|
87186
|
MICROBE SUSCEPTIBLE MIC |
2
|
4
|
|
12001
|
RPR S/N/AX/GEN/TRNK 2.5CM/< |
1
|
1
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
1
|
1
|
|
96360
|
HYDRATION IV INFUSION INIT |
1
|
1
|
