| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0378 |
Hospital observation service, per hour |
198 |
107 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
243 |
189 |
$7K |
| G0379 |
Direct admission of patient for hospital observation care |
129 |
107 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
42 |
33 |
$2K |
| 80053 |
Comprehensive metabolic panel |
108 |
90 |
$682.90 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
91 |
$569.09 |
| 81001 |
|
31 |
29 |
$485.13 |
| 84443 |
Thyroid stimulating hormone (TSH) |
29 |
25 |
$427.56 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$80.64 |