| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,506 |
3,460 |
$151K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,012 |
999 |
$71K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
1,066 |
1,053 |
$27K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
55 |
54 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
671 |
635 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
143 |
139 |
$3K |
| 74178 |
|
12 |
12 |
$670.08 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$658.97 |
| 71045 |
Radiologic examination, chest; single view |
100 |
93 |
$478.27 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
12 |
12 |
$92.16 |