| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
474 |
417 |
$150K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
515 |
474 |
$93K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
253 |
233 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
39 |
38 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
15 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
15 |
14 |
$3K |