| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,780 |
1,756 |
$72K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
875 |
869 |
$29K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
243 |
239 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
55 |
55 |
$2K |
| 0450 |
Emergency room services |
53 |
38 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18 |
18 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
40 |
40 |
$1K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
29 |
24 |
$723.45 |
| 71045 |
Radiologic examination, chest; single view |
16 |
16 |
$118.05 |