| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,301 |
1,214 |
$267K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,492 |
1,393 |
$252K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
209 |
195 |
$56K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
14 |
12 |
$542.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
13 |
$491.45 |