| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85027 |
|
669 |
476 |
$4.42 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
55 |
49 |
$0.00 |
| 85730 |
|
146 |
110 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
34 |
24 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
44 |
40 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
53 |
44 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
48 |
46 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
17 |
14 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
129 |
100 |
$0.00 |
| 85610 |
|
178 |
134 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
35 |
28 |
$0.00 |