| Code | Description | Claims | Beneficiaries | Total Paid |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
102 |
34 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
39 |
37 |
$2K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
13 |
$600.00 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
12 |
12 |
$353.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28 |
26 |
$103.24 |