| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,307 |
1,165 |
$426K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,907 |
1,826 |
$344K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
626 |
586 |
$91K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
92 |
83 |
$4K |
| 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 |
13 |
12 |
$4K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
15 |
12 |
$512.54 |
| 80053 |
Comprehensive metabolic panel |
14 |
12 |
$402.62 |