| Code | Description | Claims | Bene. Records | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
640 |
632 |
$18K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
168 |
168 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
100 |
97 |
$1K |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
26 |
25 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
93 |
90 |
$0.00 |