| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
183 |
116 |
$11K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
17 |
14 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
41 |
$262.80 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
22 |
22 |
$0.00 |
| 99051 |
|
35 |
35 |
$0.00 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
14 |
14 |
$0.00 |