| Code | Description | Claims | Beneficiaries | Total Paid |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
979 |
587 |
$50K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
345 |
284 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
93 |
$1K |
| 80053 |
Comprehensive metabolic panel |
122 |
119 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
75 |
74 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
126 |
$927.69 |
| 36415 |
Collection of venous blood by venipuncture |
261 |
222 |
$632.74 |
| 71046 |
Radiologic examination, chest; 2 views |
37 |
35 |
$535.78 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
35 |
35 |
$484.84 |