| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,295 |
1,150 |
$225K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,203 |
1,138 |
$207K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,839 |
1,750 |
$191K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
235 |
201 |
$25K |
| 80053 |
Comprehensive metabolic panel |
154 |
130 |
$14K |
| 36415 |
Collection of venous blood by venipuncture |
114 |
90 |
$12K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
56 |
55 |
$11K |
| 96361 |
Intravenous infusion, hydration; each additional hour |
35 |
26 |
$9K |