| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
135 |
111 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
12 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
293 |
242 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
402 |
309 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
23 |
14 |
$579.94 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
17 |
14 |
$539.22 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$3.62 |