| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
592 |
556 |
$32K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
799 |
744 |
$21K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
80 |
72 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
31 |
$222.63 |
| 71045 |
Radiologic examination, chest; single view |
17 |
12 |
$83.60 |
| T1015 |
Clinic visit/encounter, all-inclusive |
346 |
154 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
26 |
$0.00 |