| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,848 |
2,592 |
$390K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
105 |
88 |
$19K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
113 |
104 |
$9K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
30 |
28 |
$4K |
| 87400 |
|
126 |
122 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
14 |
14 |
$787.11 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
94 |
90 |
$656.81 |
| 80053 |
Comprehensive metabolic panel |
66 |
65 |
$583.45 |
| 87430 |
|
24 |
24 |
$343.85 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
62 |
26 |
$232.24 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$229.35 |
| 87070 |
|
13 |
13 |
$107.38 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
17 |
$40.05 |
| 81001 |
|
12 |
12 |
$33.84 |