| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
470 |
447 |
$99K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
164 |
152 |
$61K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
87 |
80 |
$27K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
24 |
$3K |
| 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 |
20 |
19 |
$3K |