| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
65 |
65 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
51 |
48 |
$1K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
17 |
17 |
$480.10 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$16.92 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
51 |
$0.00 |