| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
459 |
443 |
$40K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
178 |
175 |
$23K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
50 |
50 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$681.79 |