| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,209 |
1,925 |
$151K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
1,312 |
1,135 |
$133K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,232 |
1,132 |
$45K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
390 |
385 |
$10K |
| 76604 |
|
13 |
13 |
$373.67 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$298.46 |