| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,571 |
1,170 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
297 |
282 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
783 |
696 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
190 |
183 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
153 |
144 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
14 |
12 |
$401.94 |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$384.04 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$273.69 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
60 |
25 |
$151.66 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
14 |
14 |
$20.46 |