| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
84 |
79 |
$47K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
24 |
24 |
$15K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
24 |
23 |
$13K |
| 81025 |
|
30 |
29 |
$0.00 |
| 80305 |
|
14 |
14 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
15 |
$0.00 |
| 81001 |
|
48 |
47 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
15 |
$0.00 |
| 87088 |
|
30 |
30 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
22 |
21 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
13 |
12 |
$0.00 |
| 85027 |
|
36 |
34 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
34 |
32 |
$0.00 |