| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
249 |
201 |
$18K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
415 |
300 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
104 |
70 |
$10K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
52 |
48 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
75 |
65 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
52 |
$472.13 |