| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
85 |
79 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
41 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
14 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
15 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
16 |
$1K |