| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
109 |
107 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
58 |
18 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
26 |
26 |
$436.29 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$311.99 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
64 |
62 |
$0.00 |
| 99053 |
|
12 |
12 |
$0.00 |