| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
463 |
395 |
$28K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
434 |
383 |
$25K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
387 |
341 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
106 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
85 |
$4K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
57 |
56 |
$1K |