| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
297 |
295 |
$9K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
192 |
190 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
156 |
155 |
$3K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
58 |
57 |
$682.49 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
12 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
21 |
21 |
$0.00 |