| CPT |
Description |
Number of Claims |
Sum Performed |
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
7
|
7
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
3
|
22
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
3
|
4
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
2
|
2
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
3
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
2
|
2
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
2
|
6
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
2
|
2
|
|
J1200
|
DIPHENHYDRAMINE HCL INJECTIO |
1
|
1
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
1
|
1
|
|
90471
|
IMMUNIZATION ADMIN |
1
|
1
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
1
|
1
|
|
16025
|
DRESS/DEBRID P-THICK BURN M |
1
|
1
|
|
70450
|
CT HEAD/BRAIN W/O DYE |
1
|
1
|
|
73562
|
X-RAY EXAM OF KNEE 3 |
1
|
1
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
1
|
1
|
|
A4208
|
3 CC STERILE SYRINGE&NEEDLE |
1
|
1
|
|
A4215
|
STERILE NEEDLE |
1
|
1
|
|
A4244
|
ALCOHOL OR PEROXIDE PER PINT |
1
|
1
|
|
A4930
|
STERILE, GLOVES PER PAIR |
1
|
1
|
