| CPT |
Description |
Number of Claims |
Sum Performed |
|
95886
|
MUSC TEST DONE W/N TEST COMP |
6
|
10
|
|
95908
|
NRV CNDJ TST 3-4 STUDIES |
5
|
5
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
97110
|
THERAPEUTIC EXERCISES |
5
|
8
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
2
|
|
72220
|
X-RAY EXAM SACRUM TAILBONE |
2
|
2
|
|
72148
|
MRI LUMBAR SPINE W/O DYE |
2
|
2
|
|
A0425
|
GROUND MILEAGE |
1
|
158
|
|
A0427
|
ALS1-EMERGENCY |
1
|
1
|
|
95907
|
NVR CNDJ TST 1-2 STUDIES |
1
|
1
|
|
97162
|
PT EVAL MOD COMPLEX 30 MIN |
1
|
1
|
|
72158
|
MRI LUMBAR SPINE W/O & W/DYE |
1
|
1
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
1
|
1
|
|
A9585
|
GADOBUTROL INJECTION |
1
|
100
|
|
G1004
|
CDSM NDSC |
1
|
1
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
1
|
1
|
|
72100
|
X-RAY EXAM L-S SPINE 2/3 VWS |
1
|
1
|
