| CPT |
Description |
Number of Claims |
Sum Performed |
|
90471
|
IMMUNIZATION ADMIN |
5
|
5
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
5
|
5
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
5
|
5
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
5
|
5
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
4
|
4
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
3
|
|
90714
|
TD VACC NO PRESV 7 YRS+ IM |
1
|
1
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
1
|
1
|
|
73590
|
X-RAY EXAM OF LOWER LEG |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
1
|
1
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
1
|
2
|
|
73564
|
X-RAY EXAM KNEE 4 OR MORE |
1
|
1
|
|
81025
|
URINE PREGNANCY TEST |
1
|
1
|
|
12001
|
RPR S/N/AX/GEN/TRNK 2.5CM/< |
1
|
1
|
|
73560
|
X-RAY EXAM OF KNEE 1 OR 2 |
1
|
1
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
1
|
3
|
|
J8499
|
ORAL PRESCRIP DRUG NON CHEMO |
1
|
2
|
|
73090
|
X-RAY EXAM OF FOREARM |
1
|
1
|
