| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
17
|
17
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
4
|
4
|
|
15275
|
SKIN SUB GRAFT FACE/NK/HF/G |
4
|
4
|
|
Q4110
|
PRIMATRIX |
4
|
4
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
3
|
|
97535
|
SELF CARE MNGMENT TRAINING |
2
|
3
|
|
15271
|
SKIN SUB GRAFT TRNK/ARM/LEG |
2
|
2
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
2
|
9
|
|
16025
|
DRESS/DEBRID P-THICK BURN M |
2
|
2
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
76770
|
US EXAM ABDO BACK WALL COMP |
1
|
1
|
|
80048
|
METABOLIC PANEL TOTAL CA |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
85610
|
PROTHROMBIN TIME |
1
|
1
|
|
J0131
|
INJ, ACETAMINOPHEN (NOS) |
1
|
100
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
1
|
2
|
|
J2250
|
INJ MIDAZOLAM HYDROCHLORIDE |
1
|
2
|
|
J2300
|
INJ NALBUPHINE HYDROCHLORIDE |
1
|
1
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
1
|
20
|
