| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
724 |
684 |
$84K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
178 |
149 |
$28K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
75 |
73 |
$18K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
204 |
199 |
$16K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
71 |
54 |
$5K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
44 |
40 |
$3K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
39 |
37 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
69 |
67 |
$823.49 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
14 |
$642.04 |
| 80053 |
Comprehensive metabolic panel |
43 |
40 |
$432.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
41 |
$327.38 |
| 36415 |
Collection of venous blood by venipuncture |
55 |
51 |
$108.97 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
13 |
$53.15 |
| 81001 |
|
12 |
12 |
$38.64 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
54 |
39 |
$0.00 |