| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
596 |
507 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
143 |
114 |
$25K |
| J3490 |
Unclassified drugs |
332 |
268 |
$19K |
| Y7506 |
|
139 |
99 |
$18K |
| 80053 |
Comprehensive metabolic panel |
793 |
598 |
$15K |
| X4011 |
State-specific procedure code |
37 |
29 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
145 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
254 |
207 |
$7K |
| 94760 |
|
586 |
455 |
$6K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
20 |
12 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
323 |
227 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
13 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
81 |
78 |
$2K |
| 80305 |
|
29 |
26 |
$599.01 |
| 83605 |
|
39 |
25 |
$220.80 |
| 87420 |
|
18 |
16 |
$131.75 |