| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
377 |
358 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
410 |
397 |
$15K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
103 |
100 |
$10K |
| 99053 |
|
291 |
279 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$739.44 |