| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
22
|
22
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
3
|
3
|
|
16025
|
DRESS/DEBRID P-THICK BURN M |
3
|
3
|
|
97760
|
ORTHOTIC MGMT&TRAING 1ST ENC |
2
|
3
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
2
|
2
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
2
|
2
|
|
81001
|
URINALYSIS AUTO W/SCOPE |
1
|
1
|
|
82570
|
ASSAY OF URINE CREATININE |
1
|
1
|
|
84156
|
ASSAY OF PROTEIN URINE |
1
|
1
|
|
84439
|
ASSAY OF FREE THYROXINE |
1
|
1
|
|
84443
|
ASSAY THYROID STIM HORMONE |
1
|
1
|
|
84481
|
FREE ASSAY (FT-3) |
1
|
1
|
|
85730
|
THROMBOPLASTIN TIME PARTIAL |
1
|
1
|
|
99211
|
OFF/OP EST MAY X REQ PHY/QHP |
1
|
1
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
1
|
1
|
|
81002
|
URINALYSIS NONAUTO W/O SCOPE |
1
|
1
|
|
82044
|
UR ALBUMIN SEMIQUANTITATIVE |
1
|
1
|
|
99212
|
OFFICE O/P EST SF 10 MIN |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
1
|
|
97166
|
OT EVAL MOD COMPLEX 45 MIN |
1
|
1
|
