| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
330 |
290 |
$38K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
155 |
129 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
167 |
113 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
19 |
14 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
326 |
244 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
111 |
81 |
$1K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
15 |
12 |
$416.78 |
| 80053 |
Comprehensive metabolic panel |
35 |
25 |
$197.02 |
| 84484 |
|
30 |
13 |
$50.17 |
| 85610 |
|
17 |
12 |
$12.33 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
23 |
14 |
$7.58 |