| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,088 |
1,050 |
$222K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
511 |
469 |
$211K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
132 |
123 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
87 |
76 |
$7K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
23 |
14 |
$2K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
12 |
$763.18 |