| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
196 |
156 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
300 |
242 |
$18K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
52 |
44 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
57 |
56 |
$0.00 |
| 96360 |
Intravenous infusion, hydration; initial, 31 minutes to 1 hour |
32 |
31 |
$0.00 |