| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
464 |
436 |
$35K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
221 |
213 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
42 |
38 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$1K |