| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
571 |
448 |
$30K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
588 |
511 |
$20K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
175 |
133 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
35 |
32 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
28 |
19 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
12 |
12 |
$85.90 |