| Code | Description | Claims | Beneficiaries | Total Paid |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
1,023 |
935 |
$224K |
| 80053 |
Comprehensive metabolic panel |
350 |
321 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
229 |
220 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
374 |
344 |
$9K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
124 |
118 |
$9K |
| A4649 |
Surgical supply; miscellaneous |
730 |
407 |
$5K |
| 81001 |
|
207 |
194 |
$4K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
46 |
40 |
$2K |
| 85610 |
|
81 |
80 |
$2K |
| 84484 |
|
46 |
42 |
$2K |
| 84703 |
|
94 |
87 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
392 |
353 |
$1K |
| 86710 |
|
46 |
45 |
$778.55 |
| 0450 |
Emergency room services |
13 |
12 |
$345.70 |
| 83690 |
|
30 |
29 |
$221.95 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
15 |
12 |
$68.60 |