It sounds like he doesn't want the patient to pull that trick again!
99050 and 99058 apply to services in the office.
99056 describes the situation, I would use that
As for 99214, if the pt wasn't registered in the ER, then this is the right code area to look at. I would double check his documentation to make sure he has a solid 99214, as I suspect that 99056 will cause extra scrutiny from the payer.
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