| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,339 |
1,334 |
$92K |
| 99349 |
|
2,361 |
2,176 |
$86K |
| 99350 |
Prolong home eval add 15m |
1,990 |
1,799 |
$70K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
686 |
686 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
50 |
$2K |
| 99348 |
|
37 |
37 |
$1K |
| 99343 |
|
15 |
15 |
$557.18 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$473.80 |
| 99487 |
Ccm add 20min |
220 |
215 |
$0.00 |