| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
477 |
475 |
$16K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
532 |
522 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
63 |
62 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
99 |
99 |
$582.00 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
24 |
$217.72 |