| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
16
|
16
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
5
|
5
|
|
73630
|
X-RAY EXAM OF FOOT |
5
|
5
|
|
73660
|
X-RAY EXAM OF TOE(S) |
5
|
6
|
|
G0467
|
FQHC VISIT, ESTAB PT |
3
|
3
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
2
|
2
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
2
|
2
|
|
G0008
|
ADMIN INFLUENZA VIRUS VAC |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
82607
|
VITAMIN B-12 |
1
|
1
|
|
82728
|
ASSAY OF FERRITIN |
1
|
1
|
|
82746
|
ASSAY OF FOLIC ACID SERUM |
1
|
1
|
|
83520
|
IMMUNOASSAY QUANT NOS NONAB |
1
|
2
|
|
84165
|
PROTEIN E-PHORESIS SERUM |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
G2025
|
DIS SITE TELE SVCS RHC/FQHC |
1
|
1
|
|
90686
|
IIV4 VACC NO PRSV 0.5 ML IM |
1
|
1
|
|
90662
|
IIV NO PRSV INCREASED AG IM |
1
|
1
|
|
73720
|
MRI LWR EXTREMITY W/O&W/DYE |
1
|
1
|
