| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
6
|
6
|
|
99213
|
OFFICE O/P EST LOW 20 MIN |
3
|
3
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
2
|
2
|
|
99211
|
OFF/OP EST MAY X REQ PHY/QHP |
2
|
2
|
|
G0467
|
FQHC VISIT, ESTAB PT |
2
|
2
|
|
G0383
|
LEV 4 HOSP TYPE B ED VISIT |
1
|
1
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
80053
|
COMPREHEN METABOLIC PANEL |
1
|
1
|
|
85025
|
COMPLETE CBC W/AUTO DIFF WBC |
1
|
1
|
|
97165
|
OT EVAL LOW COMPLEX 30 MIN |
1
|
1
|
|
97760
|
ORTHOTIC MGMT&TRAING 1ST ENC |
1
|
1
|
|
A6512
|
COMPRES BURN GARMENT, NOC |
1
|
3
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
1
|
1
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
1
|
2
|
