| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,456 |
1,360 |
$111K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
480 |
448 |
$60K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
433 |
410 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
54 |
48 |
$5K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
213 |
205 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
254 |
230 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
80 |
70 |
$620.16 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$484.00 |