| Code | Description | Claims | Beneficiaries | Total Paid |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
904 |
824 |
$7K |
| 80053 |
Comprehensive metabolic panel |
835 |
735 |
$2K |
| 83880 |
|
345 |
318 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,148 |
1,012 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
26 |
26 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
179 |
171 |
$1K |
| 84484 |
|
274 |
226 |
$741.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
412 |
399 |
$560.69 |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
114 |
110 |
$168.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
99 |
86 |
$127.88 |
| 85610 |
|
272 |
257 |
$76.66 |
| 83735 |
|
157 |
144 |
$66.53 |
| 82565 |
|
30 |
26 |
$16.55 |
| 36415 |
Collection of venous blood by venipuncture |
1,316 |
1,207 |
$13.42 |
| 85730 |
|
38 |
38 |
$9.85 |
| C1894 |
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser |
26 |
25 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
48 |
39 |
$0.00 |