| CPT |
Description |
Number of Claims |
Sum Performed |
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
5
|
14
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
5
|
5
|
|
15101
|
SPLT AGRFT T/A/L EA ADDL 100 |
3
|
3
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
3
|
80
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
3
|
3
|
|
J2405
|
ONDANSETRON HCL INJECTION |
3
|
16
|
|
J3010
|
FENTANYL CITRATE INJECTION |
3
|
6
|
|
15100
|
SPLT AGRFT T/A/L 1ST 100SQCM |
2
|
2
|
|
90471
|
IMMUNIZATION ADMIN |
2
|
2
|
|
J0330
|
SUCCINYCHOLINE CHLORIDE INJ |
2
|
10
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
2
|
20
|
|
J1170
|
HYDROMORPHONE INJECTION |
2
|
3
|
|
J2270
|
MORPHINE SULFATE INJECTION |
2
|
3
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
2
|
2
|
|
80053
|
COMPREHEN METABOLIC PANEL |
2
|
2
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
2
|
2
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
2
|
2
|
|
J1650
|
INJ ENOXAPARIN SODIUM |
1
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
1
|
|
93041
|
RHYTHM ECG TRACING |
1
|
1
|
