| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
G0467
|
FQHC VISIT, ESTAB PT |
3
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
2
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
2
|
2
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
2
|
2
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
1
|
1
|
|
81003
|
URINALYSIS AUTO W/O SCOPE |
1
|
1
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
1
|
1
|
|
99310
|
SBSQ NF CARE HIGH MDM 45 |
1
|
1
|
|
51798
|
US URINE CAPACITY MEASURE |
1
|
1
|
|
99308
|
SBSQ NF CARE LOW MDM 20 |
1
|
1
|
|
99406
|
BEHAV CHNG SMOKING 3-10 MIN |
1
|
1
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
|
99307
|
SBSQ NF CARE SF MDM 10 |
1
|
1
|
|
99281
|
EMR DPT VST MAYX REQ PHY/QHP |
1
|
1
|
|
73630
|
X-RAY EXAM OF FOOT |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
1
|
2
|
