| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
548 |
543 |
$25K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
192 |
190 |
$14K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
64 |
62 |
$7K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
194 |
191 |
$6K |
| T1015 |
Clinic visit/encounter, all-inclusive |
21 |
21 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
32 |
$1K |
| S9088 |
Services provided in an urgent care center (list in addition to code for service) |
25 |
25 |
$873.00 |
| 2000F |
|
14 |
14 |
$0.00 |
| 2001F |
|
14 |
14 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |