| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
134 |
127 |
$56K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
66 |
63 |
$29K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55 |
51 |
$16K |
| 36415 |
Collection of venous blood by venipuncture |
37 |
30 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
29 |
$8K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
14 |
14 |
$5K |