| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
84 |
80 |
$64K |
| 54161 |
|
133 |
113 |
$34K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
13 |
12 |
$1K |
| G0378 |
Hospital observation service, per hour |
279 |
198 |
$993.29 |
| 85610 |
|
565 |
436 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
427 |
336 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
76 |
52 |
$0.00 |
| 86900 |
|
177 |
119 |
$0.00 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
75 |
53 |
$0.00 |
| 76000 |
|
28 |
26 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
412 |
307 |
$0.00 |
| 85027 |
|
2,579 |
1,531 |
$0.00 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
66 |
54 |
$0.00 |
| J2704 |
Injection, propofol, 10 mg |
57 |
53 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
519 |
348 |
$0.00 |
| 86901 |
|
177 |
119 |
$0.00 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
25 |
20 |
$0.00 |
| 85730 |
|
170 |
131 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
568 |
484 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
88 |
77 |
$0.00 |
| 88304 |
|
29 |
27 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
59 |
$0.00 |
| 86850 |
|
161 |
107 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
13 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
75 |
53 |
$0.00 |
| 70320 |
|
12 |
12 |
$0.00 |
| J1170 |
Injection, hydromorphone, up to 4 mg |
16 |
12 |
$0.00 |