| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
8
|
8
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
6
|
6
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
3
|
3
|
|
16020
|
DRESS/DEBRID P-THICK BURN S |
2
|
2
|
|
36415
|
COLL VENOUS BLD VENIPUNCTURE |
1
|
1
|
|
83036
|
HEMOGLOBIN GLYCOSYLATED A1C |
1
|
1
|
|
11044
|
DBRDMT BONE 1ST 20 SQ CM/< |
1
|
1
|
|
15275
|
SKIN SUB GRAFT FACE/NK/HF/G |
1
|
1
|
|
Q4186
|
EPIFIX 1 SQ CM |
1
|
2
|
|
17250
|
CHEM CAUT OF GRANLTJ TISSUE |
1
|
1
|
|
A6214
|
FOAM DRG > 48 SQ IN W/BORDER |
1
|
1
|
|
97162
|
PT EVAL MOD COMPLEX 30 MIN |
1
|
1
|
|
97597
|
DBRDMT OPN WND 1ST 20 CM/< |
1
|
1
|
|
99308
|
SBSQ NF CARE LOW MDM 20 |
1
|
1
|
|
G0467
|
FQHC VISIT, ESTAB PT |
1
|
1
|
|
96372
|
THER/PROPH/DIAG INJ SC/IM |
1
|
1
|
|
99284
|
EMERGENCY DEPT VISIT MOD MDM |
1
|
1
|
|
J1885
|
KETOROLAC TROMETHAMINE INJ |
1
|
4
|
|
99283
|
EMERGENCY DEPT VISIT LOW MDM |
1
|
1
|
