| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
325 |
311 |
$37K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
235 |
232 |
$22K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
56 |
56 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
111 |
108 |
$751.25 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
23 |
23 |
$0.00 |
| 99053 |
|
50 |
50 |
$0.00 |