| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
791 |
738 |
$45K |
| 80053 |
Comprehensive metabolic panel |
250 |
226 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
343 |
304 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
28 |
$1K |
| 87400 |
|
100 |
47 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$799.35 |
| 81000 |
|
37 |
31 |
$154.65 |
| 36415 |
Collection of venous blood by venipuncture |
557 |
467 |
$3.24 |