| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
6,367 |
6,117 |
$365K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
3,032 |
2,945 |
$111K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
667 |
633 |
$61K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
787 |
767 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
2,681 |
2,348 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
2,024 |
1,954 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
444 |
427 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
95 |
95 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
132 |
131 |
$3K |
| 74018 |
|
29 |
25 |
$366.98 |
| 73630 |
|
26 |
26 |
$154.72 |