| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
579 |
526 |
$67K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
894 |
709 |
$10K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
40 |
$3K |
| 80053 |
Comprehensive metabolic panel |
545 |
485 |
$3K |
| 85027 |
|
712 |
625 |
$2K |
| 62370 |
|
95 |
85 |
$2K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
40 |
38 |
$2K |
| 62323 |
|
15 |
12 |
$1K |
| J3490 |
Unclassified drugs |
609 |
316 |
$790.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
17 |
13 |
$80.72 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
15 |
13 |
$26.95 |
| 81001 |
|
17 |
15 |
$22.44 |
| J2405 |
Injection, ondansetron hydrochloride, per 1 mg |
14 |
13 |
$7.87 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
63 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
154 |
116 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
38 |
$0.00 |