| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
165 |
149 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,458 |
1,076 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
74 |
71 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
216 |
192 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
210 |
202 |
$1K |
| 99307 |
|
127 |
117 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
28 |
$724.85 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$294.79 |