| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,443 |
1,305 |
$374K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
864 |
828 |
$143K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
540 |
498 |
$92K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
27 |
26 |
$3K |
| C9803 |
Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
24 |
24 |
$3K |