| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
565 |
515 |
$138K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
130 |
55 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
73 |
63 |
$19K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
196 |
84 |
$13K |
| 80053 |
Comprehensive metabolic panel |
200 |
188 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
209 |
196 |
$8K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
24 |
$5K |
| 81003 |
|
52 |
52 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
17 |
$542.46 |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
143 |
60 |
$295.99 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
65 |
$212.63 |