| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
480 |
174 |
$459K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
774 |
727 |
$166K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,373 |
1,292 |
$130K |
| 80053 |
Comprehensive metabolic panel |
1,608 |
1,468 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,545 |
1,385 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
158 |
148 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
57 |
$810.91 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
58 |
53 |
$362.68 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
42 |
38 |
$190.20 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
12 |
$165.46 |
| 81001 |
|
128 |
126 |
$154.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
52 |
52 |
$141.10 |
| 87430 |
|
15 |
15 |
$110.38 |
| 80061 |
Lipid panel |
190 |
187 |
$75.06 |
| 83690 |
|
13 |
12 |
$63.44 |
| 71045 |
Radiologic examination, chest; single view |
16 |
15 |
$41.42 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
27 |
24 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
16 |
$0.00 |