| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,147 |
2,009 |
$352K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
495 |
449 |
$116K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
406 |
393 |
$40K |
| 80053 |
Comprehensive metabolic panel |
709 |
689 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
39 |
38 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
728 |
706 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
263 |
258 |
$4K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
53 |
52 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
116 |
115 |
$806.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
22 |
$323.40 |
| 81001 |
|
68 |
68 |
$177.66 |
| 81025 |
|
26 |
26 |
$176.18 |
| 80305 |
|
12 |
12 |
$134.52 |
| 87081 |
|
20 |
20 |
$110.00 |
| 85610 |
|
12 |
12 |
$45.84 |
| J7030 |
Infusion, normal saline solution , 1000 cc |
42 |
42 |
$7.35 |