| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
56 |
$960.64 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
32 |
$353.64 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14 |
14 |
$191.81 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
12 |
12 |
$127.50 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
13 |
$21.00 |