| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
739 |
701 |
$204K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
710 |
680 |
$93K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
185 |
180 |
$33K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$353.40 |