| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
1,179 |
1,110 |
$68K |
| 0450 |
Emergency room services |
5,978 |
5,420 |
$8K |
| 0510 |
|
175 |
146 |
$122.87 |
| 0760 |
|
381 |
330 |
$34.10 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
645 |
613 |
$24.47 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,898 |
1,750 |
$21.46 |
| 36415 |
Collection of venous blood by venipuncture |
2,175 |
1,928 |
$2.44 |
| 86592 |
|
27 |
26 |
$0.00 |
| 83690 |
|
242 |
222 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,873 |
1,729 |
$0.00 |
| 0250 |
|
2,380 |
2,015 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
29 |
27 |
$0.00 |
| 86780 |
|
46 |
44 |
$0.00 |
| 81001 |
|
537 |
513 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
17 |
15 |
$0.00 |
| 81015 |
|
127 |
121 |
$0.00 |
| 86593 |
|
27 |
26 |
$0.00 |
| 84484 |
|
214 |
204 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
87 |
86 |
$0.00 |
| U0005 |
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, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 |
30 |
30 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$0.00 |
| 85027 |
|
77 |
73 |
$0.00 |
| 0761 |
|
14 |
13 |
$0.00 |
| 74174 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
66 |
66 |
$0.00 |
| 80076 |
|
418 |
387 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
100 |
93 |
$0.00 |
| 81025 |
|
152 |
146 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
38 |
38 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
30 |
26 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 85610 |
|
13 |
12 |
$0.00 |