| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,299 |
1,154 |
$79K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
573 |
513 |
$57K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
617 |
566 |
$20K |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
20 |
20 |
$2K |
| A0425 |
Ground mileage, per statute mile |
65 |
62 |
$2K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
15 |
15 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
21 |
12 |
$1K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$865.69 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
24 |
14 |
$453.55 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
13 |
12 |
$110.75 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
12 |
12 |
$108.05 |