| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,219 |
1,201 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
908 |
855 |
$50K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
96 |
93 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
94 |
$8K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
218 |
182 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$919.30 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$839.75 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$451.32 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$306.64 |
| 99173 |
|
17 |
17 |
$5.70 |