| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
14
|
14
|
|
97535
|
SELF CARE MNGMENT TRAINING |
5
|
8
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
3
|
|
17250
|
CHEM CAUT OF GRANLTJ TISSUE |
2
|
2
|
|
97139
|
UNLISTED THERAPEUTIC PX |
1
|
1
|
|
A6512
|
COMPRES BURN GARMENT, NOC |
1
|
1
|
|
97110
|
THERAPEUTIC EXERCISES |
1
|
2
|
|
97161
|
PT EVAL LOW COMPLEX 20 MIN |
1
|
1
|
|
A6209
|
FOAM DRSG <=16 SQ IN W/O BDR |
1
|
1
|
|
A6214
|
FOAM DRG > 48 SQ IN W/BORDER |
1
|
1
|
|
A6266
|
IMPREG GAUZE NO H20/SAL/YARD |
1
|
1
|
|
A6457
|
TUBULAR DRESSING |
1
|
5
|
|
97763
|
ORTHC/PROSTC MGMT SBSQ ENC |
1
|
1
|
|
97164
|
PT RE-EVAL EST PLAN CARE |
1
|
1
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
1
|
1
|
|
97760
|
ORTHOTIC MGMT&TRAING 1ST ENC |
1
|
2
|
