| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
793 |
737 |
$276K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
292 |
282 |
$104K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
255 |
211 |
$83K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
218 |
193 |
$76K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
168 |
164 |
$58K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
69 |
66 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
161 |
143 |
$14K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
14 |
13 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
462 |
368 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
81 |
80 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
675 |
544 |
$1K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
129 |
115 |
$924.57 |
| 86850 |
|
13 |
12 |
$618.46 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
13 |
$430.56 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$430.56 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$113.76 |
| 86901 |
|
13 |
12 |
$33.02 |
| 86900 |
|
13 |
12 |
$33.02 |