| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
6,260 |
5,883 |
$380K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
2,266 |
1,976 |
$165K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,099 |
4,528 |
$155K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,160 |
7,017 |
$103K |
| 71045 |
Radiologic examination, chest; single view |
35,848 |
25,360 |
$96K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,269 |
1,255 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,058 |
775 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,925 |
3,410 |
$22K |
| 76801 |
|
796 |
658 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
188 |
144 |
$6K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
224 |
175 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
337 |
275 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
193 |
127 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
71 |
52 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
249 |
229 |
$712.02 |
| 74018 |
|
134 |
104 |
$515.44 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
49 |
42 |
$487.20 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$400.62 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
18 |
15 |
$366.96 |
| 73610 |
|
64 |
55 |
$311.89 |
| 73130 |
|
67 |
54 |
$297.43 |
| 71250 |
|
44 |
27 |
$291.49 |
| 76818 |
|
14 |
12 |
$279.40 |
| 73630 |
|
42 |
32 |
$211.37 |
| 93971 |
|
36 |
31 |
$193.65 |
| 73562 |
|
34 |
31 |
$145.85 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$109.16 |
| 73030 |
|
12 |
12 |
$37.71 |