| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
8,014 |
7,085 |
$415K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
902 |
753 |
$67K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
519 |
379 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,148 |
838 |
$39K |
| 99253 |
|
636 |
275 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,596 |
1,907 |
$18K |
| 99070 |
|
724 |
308 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,162 |
1,840 |
$17K |
| 99233 |
Prolong inpt eval add15 m |
192 |
42 |
$17K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
65 |
26 |
$14K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
735 |
320 |
$10K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
255 |
227 |
$7K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
54 |
16 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
60 |
45 |
$3K |
| 99252 |
|
59 |
51 |
$2K |
| 70496 |
|
28 |
13 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
25 |
$512.74 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$109.80 |
| 76641 |
|
72 |
70 |
$99.04 |
| 74018 |
|
16 |
15 |
$48.94 |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$0.00 |