| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0450 |
Emergency room services |
1,268 |
1,129 |
$24K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
152 |
145 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
871 |
693 |
$3K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
127 |
118 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
166 |
154 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
338 |
289 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
48 |
24 |
$1K |
| 81003 |
|
354 |
321 |
$703.41 |
| 80053 |
Comprehensive metabolic panel |
51 |
39 |
$668.02 |
| 99000 |
|
312 |
274 |
$570.45 |
| 0270 |
|
229 |
152 |
$320.32 |
| 36415 |
Collection of venous blood by venipuncture |
397 |
304 |
$212.96 |
| 84484 |
|
20 |
12 |
$114.34 |
| 0761 |
|
24 |
12 |
$95.08 |
| 80076 |
|
15 |
14 |
$68.38 |
| J3490 |
Unclassified drugs |
471 |
257 |
$63.45 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
13 |
$0.00 |
| 0272 |
|
26 |
14 |
$0.00 |
| 99001 |
|
153 |
145 |
$0.00 |