| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,260 |
1,245 |
$111K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
444 |
443 |
$58K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
836 |
834 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$937.64 |