| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
569 |
515 |
$29K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
245 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
254 |
209 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
536 |
475 |
$4K |
| 00120 |
|
13 |
12 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
184 |
153 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
13 |
12 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
25 |
25 |
$666.31 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
14 |
13 |
$202.95 |