I have one that has an identical reverse as this one, but the obverse legend and bust are slightly different. Again, I apologize for the small image.

Elagabalus, AE27 of Markianopolis - Varbanov 1553
Obv: AVT K M AVPHΛIOC ANTΩNEINOC, laureate, draped, and cuirassed bust right.
Rev: VΠ IOVΛ ANT CEΛEVKOV MAPKIANOΠOΛITΩN, Hygieia standing right, holding patera, feeding serpent in arms.