| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
572 |
546 |
$21K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
203 |
203 |
$10K |
| 99223 |
Prolong inpt eval add15 m |
34 |
32 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
101 |
100 |
$3K |
| 99233 |
Prolong inpt eval add15 m |
35 |
14 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
88 |
85 |
$662.40 |