| Code | Description | Claims | Beneficiaries | Total Paid |
| 99236 |
Prolong inpt eval add15 m |
106 |
68 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
199 |
93 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
314 |
139 |
$16K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
126 |
77 |
$2K |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
82 |
50 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57 |
20 |
$391.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
40 |
28 |
$120.45 |