| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74450 |
|
14 |
12 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
13 |
12 |
$214.42 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
13 |
12 |
$176.28 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
129 |
89 |
$4.39 |
| J2704 |
Injection, propofol, 10 mg |
14 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
13 |
$0.00 |
| C1758 |
Catheter, ureteral |
14 |
12 |
$0.00 |