| Code | Description | Claims | Beneficiaries | Total Paid |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
746 |
739 |
$71K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
217 |
216 |
$21K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
151 |
151 |
$15K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
15 |
15 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
326 |
308 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
15 |
15 |
$0.00 |