| Code | Description | Claims | Beneficiaries | Total Paid |
| 99219 |
|
415 |
302 |
$32K |
| 99235 |
|
153 |
150 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
153 |
153 |
$13K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
63 |
39 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
199 |
198 |
$7K |
| 99218 |
|
122 |
84 |
$7K |
| 99236 |
Prolong inpt eval add15 m |
36 |
36 |
$6K |
| 99220 |
|
14 |
14 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
68 |
65 |
$2K |