| Code | Description | Claims | Bene. Records | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
171 |
170 |
$12K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
69 |
69 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
12 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
41 |
41 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$524.76 |