| Code | Description | Claims | Beneficiaries | Total Paid |
| 01922 |
|
2,598 |
2,519 |
$546K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,483 |
4,445 |
$270K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,542 |
1,528 |
$177K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
131 |
74 |
$34K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
156 |
155 |
$27K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
65 |
25 |
$27K |
| 99233 |
Prolong inpt eval add15 m |
87 |
66 |
$9K |
| 00635 |
|
29 |
25 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
19 |
18 |
$773.64 |