| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
184 |
161 |
$8K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
148 |
147 |
$4K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
36 |
33 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
26 |
$1K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
33 |
33 |
$427.44 |