| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,233 |
1,212 |
$174K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,020 |
960 |
$148K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
256 |
245 |
$99K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
38 |
38 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
24 |
$2K |