| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
371 |
300 |
$39K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
159 |
131 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
81 |
67 |
$8K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
14 |
12 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
77 |
61 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
508 |
380 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
62 |
52 |
$943.68 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
48 |
38 |
$854.71 |
| 81001 |
|
135 |
113 |
$713.40 |
| 80053 |
Comprehensive metabolic panel |
83 |
65 |
$593.78 |