| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,988 |
3,890 |
$172K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,332 |
1,283 |
$99K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
473 |
463 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
94 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
366 |
350 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
30 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
32 |
$706.57 |
| 71045 |
Radiologic examination, chest; single view |
116 |
110 |
$559.62 |
| 76801 |
|
14 |
12 |
$393.78 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
57 |
56 |
$257.63 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$248.64 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$189.08 |