| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,711 |
1,646 |
$303K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,061 |
1,020 |
$152K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
487 |
456 |
$135K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
25 |
$2K |
| U0003 |
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r |
12 |
12 |
$1K |