| CPT |
Description |
Number of Claims |
Sum Performed |
|
G0463
|
HOSPITAL OUTPT CLINIC VISIT |
10
|
10
|
|
72100
|
X-RAY EXAM L-S SPINE 2/3 VWS |
2
|
2
|
|
72131
|
CT LUMBAR SPINE W/O DYE |
2
|
2
|
|
J1644
|
INJ HEPARIN SODIUM PER 1000U |
2
|
15
|
|
J2250
|
INJ MIDAZOLAM HYDROCHLORIDE |
2
|
2
|
|
J7999
|
COMPOUNDED DRUG, NOC |
2
|
2
|
|
Q3014
|
TELEHEALTH FACILITY FEE |
2
|
2
|
|
85610
|
PROTHROMBIN TIME |
1
|
1
|
|
85652
|
RBC SED RATE AUTOMATED |
1
|
1
|
|
85730
|
THROMBOPLASTIN TIME PARTIAL |
1
|
1
|
|
86140
|
C-REACTIVE PROTEIN |
1
|
1
|
|
99285
|
EMERGENCY DEPT VISIT HI MDM |
1
|
1
|
|
62362
|
IMPLANT SPINE INFUSION PUMP |
1
|
1
|
|
97161
|
PT EVAL LOW COMPLEX 20 MIN |
1
|
1
|
|
C1772
|
INFUSION PUMP, PROGRAMMABLE |
1
|
1
|
|
C1889
|
IMPLANT/INSERT DEVICE, NOC |
1
|
1
|
|
J0690
|
CEFAZOLIN SODIUM INJECTION |
1
|
4
|
|
J1100
|
DEXAMETHASONE SODIUM PHOS |
1
|
4
|
|
J1170
|
HYDROMORPHONE INJECTION |
1
|
1
|
|
74018
|
RADEX ABDOMEN 1 VIEW |
1
|
1
|
