| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
172 |
155 |
$109K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
373 |
303 |
$0.00 |
| 85027 |
|
637 |
399 |
$0.00 |
| J3490 |
Unclassified drugs |
426 |
374 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
33 |
29 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
52 |
40 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
12 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
46 |
34 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
269 |
208 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
26 |
$0.00 |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
26 |
25 |
$0.00 |
| 85610 |
|
33 |
25 |
$0.00 |
| 81025 |
|
15 |
13 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
12 |
12 |
$0.00 |