| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
77 |
66 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
81 |
71 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
96 |
86 |
$6K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
30 |
25 |
$1K |
| J7120 |
Ringers lactate infusion, up to 1000 cc |
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
120 |
104 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
75 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
81 |
69 |
$0.00 |