| Code | Description | Claims | Beneficiaries | Total Paid |
| 54150 |
|
125 |
120 |
$33K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
195 |
192 |
$23K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
33 |
33 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
13 |
13 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
17 |
17 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$624.71 |
| 99462 |
|
13 |
12 |
$465.98 |