| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
107 |
97 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
46 |
46 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
15 |
15 |
$692.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
19 |
$399.20 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$364.84 |