| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
418 |
392 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
230 |
202 |
$7K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
143 |
137 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$589.28 |