| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99284 |
Emergency department visit for the evaluation and management, high severity |
4,307 |
3,960 |
$286K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
5,835 |
5,456 |
$256K |
| 71046 |
Radiologic examination, chest; 2 views |
3,202 |
2,945 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
81 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
783 |
675 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
119 |
113 |
$3K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29 |
28 |
$3K |
| 73630 |
|
253 |
228 |
$2K |
| 71250 |
|
29 |
29 |
$1K |
| 73610 |
|
128 |
119 |
$856.08 |
| 72100 |
|
81 |
75 |
$673.22 |
| 73130 |
|
78 |
76 |
$533.14 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
14 |
14 |
$345.94 |
| 73562 |
|
33 |
31 |
$234.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
13 |
$221.36 |
| 73030 |
|
30 |
25 |
$184.66 |