| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
30 |
27 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
36 |
31 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
846 |
548 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
13 |
12 |
$431.46 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
173 |
96 |
$41.96 |
| 81002 |
|
37 |
29 |
$1.20 |
| 90656 |
|
70 |
34 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
38 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
43 |
$0.00 |