| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
97 |
96 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
60 |
58 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
57 |
56 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
64 |
63 |
$299.25 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$56.65 |