| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
245 |
240 |
$60K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
241 |
240 |
$39K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$5K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
80 |
77 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
575 |
543 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
222 |
217 |
$1K |
| 80053 |
Comprehensive metabolic panel |
151 |
147 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$328.32 |