| CPT |
Description |
Number of Claims |
Sum Performed |
|
A9270
|
NON-COVERED ITEM OR SERVICE |
17
|
28
|
|
C5274
|
LOW COST SKIN SUBSTITUTE APP |
16
|
16
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
15
|
15
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
13
|
13
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
13
|
13
|
|
90471
|
IMMUNIZATION ADMIN |
13
|
13
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
10
|
10
|
|
99282
|
EMERGENCY DEPT VISIT SF MDM |
9
|
9
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
8
|
8
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
8
|
8
|
|
96374
|
THER/PROPH/DIAG INJ IV PUSH |
7
|
7
|
|
80053
|
COMPREHEN METABOLIC PANEL |
6
|
6
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
5
|
5
|
|
93005
|
ELECTROCARDIOGRAM TRACING |
5
|
5
|
|
J3010
|
FENTANYL CITRATE INJECTION |
4
|
8
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
4
|
4
|
|
J1170
|
HYDROMORPHONE INJECTION |
4
|
6
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
4
|
4
|
|
96375
|
TX/PRO/DX INJ NEW DRUG ADDON |
3
|
4
|
|
16025
|
DRESS/DEBRID P-THICK BURN M |
3
|
3
|
