| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,091 |
2,032 |
$169K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,038 |
2,003 |
$122K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,279 |
2,232 |
$92K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
55 |
54 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
16 |
15 |
$346.70 |
| 71045 |
Radiologic examination, chest; single view |
37 |
37 |
$155.19 |