| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
5,902 |
5,881 |
$489K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
9,228 |
9,209 |
$459K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
4,232 |
4,216 |
$419K |
| 49083 |
|
2,802 |
2,219 |
$192K |
| 99152 |
|
967 |
923 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
691 |
579 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
164 |
164 |
$1K |
| 76937 |
|
157 |
152 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
46 |
41 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
29 |
$1K |
| 36556 |
|
13 |
13 |
$646.32 |
| 76506 |
|
13 |
13 |
$368.68 |
| 99217 |
|
12 |
12 |
$287.09 |