| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 80048 |
Basic metabolic panel (calcium, ionized) |
175 |
155 |
$789.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
113 |
100 |
$267.79 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
17 |
14 |
$153.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
29 |
24 |
$84.39 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
116 |
101 |
$60.46 |
| J1644 |
Injection, heparin sodium, per 1000 units |
115 |
99 |
$45.23 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
82 |
71 |
$40.85 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
16 |
13 |
$11.50 |
| 85027 |
|
12 |
12 |
$9.31 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
34 |
29 |
$2.55 |
| C1887 |
Catheter, guiding (may include infusion/perfusion capability) |
13 |
12 |
$2.03 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
80 |
70 |
$0.39 |
| J2704 |
Injection, propofol, 10 mg |
61 |
51 |
$0.00 |