| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,735 |
1,714 |
$58K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
803 |
277 |
$11K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
335 |
109 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
113 |
38 |
$120.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
62 |
27 |
$0.00 |
| 3210F |
|
62 |
27 |
$0.00 |