| CPT |
Description |
Number of Claims |
Sum Performed |
|
16020
|
DRESS/DEBRID P-THICK BURN S |
57
|
57
|
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
43
|
43
|
|
J8499
|
ORAL PRESCRIP DRUG NON CHEMO |
33
|
63
|
|
A9270
|
NON-COVERED ITEM OR SERVICE |
20
|
28
|
|
G0277
|
HBOT, FULL BODY CHAMBER, 30M |
20
|
80
|
|
J3490
|
DRUGS UNCLASSIFIED INJECTION |
14
|
37
|
|
J1650
|
INJ ENOXAPARIN SODIUM |
14
|
66
|
|
11042
|
DBRDMT SUBQ TIS 1ST 20SQCM/< |
12
|
12
|
|
J3010
|
FENTANYL CITRATE INJECTION |
10
|
21
|
|
J0171
|
ADRENALIN EPINEPHRINE INJECT |
7
|
774
|
|
J0692
|
CEFEPIME HCL FOR INJECTION |
7
|
44
|
|
J2405
|
ONDANSETRON HCL INJECTION |
6
|
24
|
|
Q4133
|
GRAFIX STRAVIX PRIME PL SQCM |
6
|
6
|
|
J3370
|
VANCOMYCIN HCL INJECTION |
6
|
14
|
|
87070
|
CULTURE OTHR SPECIMN AEROBIC |
5
|
5
|
|
G0378
|
HOSPITAL OBSERVATION PER HR |
5
|
103
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
5
|
28
|
|
J2704
|
INJ, PROPOFOL, 10 MG |
5
|
97
|
|
15002
|
WOUND PREP TRK/ARM/LEG |
5
|
5
|
|
15100
|
SPLT AGRFT T/A/L 1ST 100SQCM |
5
|
5
|
