| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,347 |
1,267 |
$240K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
440 |
416 |
$77K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
290 |
277 |
$29K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
47 |
44 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
13 |
$248.84 |