| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,367 |
2,140 |
$127K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,587 |
1,444 |
$114K |
| T1015 |
Clinic visit/encounter, all-inclusive |
214 |
104 |
$15K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
434 |
407 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
627 |
584 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
55 |
54 |
$3K |
| 99252 |
|
38 |
37 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
188 |
90 |
$46.56 |
| 4050F |
|
24 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
35 |
17 |
$0.00 |
| 97802 |
|
35 |
17 |
$0.00 |
| 1159F |
|
34 |
18 |
$0.00 |