| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,684 |
1,616 |
$374K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
833 |
779 |
$271K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
606 |
549 |
$158K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
155 |
141 |
$18K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$3K |