| Code | Description | Claims | Beneficiaries | Total Paid |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
142 |
127 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
287 |
278 |
$0.00 |
| 0250 |
|
74 |
68 |
$0.00 |
| 0270 |
|
176 |
155 |
$0.00 |
| 0710 |
|
124 |
120 |
$0.00 |
| 85730 |
|
139 |
136 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
102 |
90 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
120 |
118 |
$0.00 |
| J3490 |
Unclassified drugs |
74 |
71 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
116 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$0.00 |
| 99000 |
|
20 |
19 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
184 |
178 |
$0.00 |
| 85610 |
|
126 |
123 |
$0.00 |
| A7002 |
Tubing, used with suction pump, each |
77 |
73 |
$0.00 |
| 0760 |
|
248 |
217 |
$0.00 |
| 0360 |
|
146 |
90 |
$0.00 |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
37 |
37 |
$0.00 |
| 0456 |
|
91 |
80 |
$0.00 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
14 |
14 |
$0.00 |
| 0750 |
|
15 |
15 |
$0.00 |