| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
720 |
696 |
$165K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
775 |
750 |
$106K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
291 |
278 |
$57K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
99 |
97 |
$18K |
| 99223 |
Prolong inpt eval add15 m |
30 |
30 |
$4K |