| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
323 |
289 |
$17K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
434 |
401 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
215 |
199 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
23 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
26 |
24 |
$82.37 |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
21 |
15 |
$0.00 |