| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
458 |
437 |
$96K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
413 |
402 |
$51K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
128 |
122 |
$22K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
30 |
$860.41 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
13 |
$389.23 |