| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
249 |
246 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
15 |
$900.25 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
27 |
27 |
$772.80 |
| 99233 |
Prolong inpt eval add15 m |
281 |
73 |
$451.56 |
| 99223 |
Prolong inpt eval add15 m |
48 |
40 |
$138.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
63 |
55 |
$78.10 |