| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,146 |
1,129 |
$101K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,051 |
1,048 |
$49K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
171 |
170 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$846.95 |