| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
27 |
27 |
$0.00 |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
30 |
26 |
$0.00 |
| 81001 |
|
30 |
30 |
$0.00 |
| 0270 |
|
25 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
67 |
62 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
100 |
88 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
13 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
16 |
$0.00 |
| 0250 |
|
29 |
26 |
$0.00 |
| 96361 |
Intravenous infusion, hydration; each additional hour |
15 |
13 |
$0.00 |
| 81025 |
|
43 |
42 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
32 |
32 |
$0.00 |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
297 |
215 |
$0.00 |