| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
58 |
54 |
$24K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
26 |
$14K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
25 |
24 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
15 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$2K |