| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
24
|
24
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
10
|
10
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
3
|
3
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
2
|
2
|
|
97165
|
OT EVAL LOW COMPLEX 30 MIN |
2
|
2
|
|
16025
|
DRESS/DEBRID P-THICK BURN M |
1
|
1
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
1
|
1
|
|
90715
|
TDAP VACCINE 7 YRS/> IM |
1
|
1
|
|
97140
|
MANUAL THERAPY 1/> REGIONS |
1
|
1
|
|
97166
|
OT EVAL MOD COMPLEX 45 MIN |
1
|
1
|
|
A6504
|
CMPRSBURNGARMENT GLOVE-WRIST |
1
|
9
|
|
87070
|
CULTURE OTHR SPECIMN AEROBIC |
1
|
1
|
|
87075
|
CULTR BACTERIA EXCEPT BLOOD |
1
|
1
|
|
87205
|
SMEAR GRAM STAIN |
1
|
1
|
|
99214
|
OFFICE O/P EST MOD 30 MIN |
1
|
1
|
