| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
13
|
24
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
7
|
7
|
|
G1004
|
CDSM NDSC |
5
|
7
|
|
72080
|
X-RAY EXAM THORACOLMB 2/> VW |
4
|
4
|
|
72148
|
MRI LUMBAR SPINE W/O DYE |
3
|
3
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
3
|
3
|
|
J1170
|
HYDROMORPHONE INJECTION |
3
|
4
|
|
97112
|
NEUROMUSCULAR REEDUCATION |
2
|
2
|
|
97140
|
MANUAL THERAPY 1/> REGIONS |
2
|
2
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
2
|
18
|
|
97530
|
THERAPEUTIC ACTIVITIES |
2
|
3
|
|
G0283
|
ELEC STIM OTHER THAN WOUND |
2
|
2
|
|
72100
|
X-RAY EXAM L-S SPINE 2/3 VWS |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
2
|
2
|
|
80053
|
COMPREHEN METABOLIC PANEL |
2
|
2
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
2
|
2
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
J2405
|
ONDANSETRON HCL INJECTION |
2
|
8
|
|
J2370
|
PHENYLEPHRINE HCL INJECTION |
2
|
7
|
