| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,192 |
1,143 |
$307K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
474 |
459 |
$151K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
782 |
749 |
$97K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
18 |
18 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
12 |
$3K |