| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
704 |
691 |
$27K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
307 |
289 |
$21K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
336 |
323 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
49 |
48 |
$5K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
28 |
26 |
$0.00 |