| CPT |
Description |
Number of Claims |
Sum Performed |
|
73590
|
X-RAY EXAM OF LOWER LEG |
10
|
10
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
8
|
20
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
73610
|
X-RAY EXAM OF ANKLE |
4
|
4
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
3
|
18
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
29505
|
APPLICATION LONG LEG SPLINT |
1
|
1
|
|
73630
|
X-RAY EXAM OF FOOT |
1
|
1
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
1
|
1
|
|
L4386
|
NON-PNEUM WALK BOOT PRE CST |
1
|
1
|
|
U0003
|
COV-19 AMP PRB HGH THRUPUT |
1
|
1
|
|
U0005
|
INFEC AGEN DETEC AMPLI PROBE |
1
|
1
|
|
27709
|
OSTEOTOMY TIBIA & FIBULA |
1
|
1
|
|
27720
|
REPAIR OF TIBIA |
1
|
1
|
|
76000
|
FLUOROSCOPY <1 HR PHYS/QHP |
1
|
1
|
|
86850
|
RBC ANTIBODY SCREEN |
1
|
1
|
|
86900
|
BLOOD TYPING SEROLOGIC ABO |
1
|
1
|
|
86901
|
BLOOD TYPING SEROLOGIC RH(D) |
1
|
1
|
|
90686
|
IIV4 VACC NO PRSV 0.5 ML IM |
1
|
1
|
