| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 64483 |
|
139 |
131 |
$44K |
| 62323 |
|
123 |
117 |
$38K |
| 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 |
166 |
158 |
$12K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
50 |
25 |
$12K |
| 62321 |
|
28 |
28 |
$10K |
| 87641 |
|
52 |
49 |
$2K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
120 |
114 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
31 |
26 |
$1K |
| 87640 |
|
26 |
25 |
$628.08 |
| 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 |
70 |
65 |
$611.26 |
| 99336 |
|
12 |
12 |
$353.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
17 |
$109.20 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
30 |
$12.06 |
| J2704 |
Injection, propofol, 10 mg |
207 |
189 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
52 |
52 |
$0.00 |
| Q0162 |
Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen |
364 |
343 |
$0.00 |
| J0690 |
Injection, cefazolin sodium, 500 mg |
65 |
55 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
174 |
130 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
272 |
227 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
30 |
27 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
73 |
$0.00 |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
446 |
236 |
$0.00 |