| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,299 |
1,219 |
$390K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,309 |
1,256 |
$226K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
314 |
293 |
$46K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
58 |
52 |
$10K |
| 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 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
12 |
$1K |