| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
33
|
57
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
9
|
9
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
8
|
8
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
6
|
6
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
4
|
4
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
4
|
4
|
|
90471
|
IMMUNIZATION ADMIN |
4
|
4
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
4
|
4
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
4
|
4
|
|
82375
|
ASSAY CARBOXYHB QUANT |
4
|
4
|
|
83605
|
ASSAY OF LACTIC ACID |
3
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
3
|
3
|
|
85610
|
PROTHROMBIN TIME |
3
|
3
|
|
85027
|
COMPLETE CBC AUTOMATED |
3
|
3
|
|
71045
|
X-RAY EXAM CHEST 1 VIEW |
3
|
3
|
|
80047
|
METABOLIC PANEL IONIZED CA |
3
|
3
|
|
85730
|
THROMBOPLASTIN TIME PARTIAL |
3
|
3
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
3
|
3
|
|
96361
|
HYDRATE IV INFUSION ADD-ON |
2
|
4
|
|
84100
|
ASSAY OF PHOSPHORUS |
2
|
2
|
