| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
2,752 |
2,290 |
$85K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,810 |
1,479 |
$81K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
508 |
404 |
$33K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
237 |
169 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
294 |
251 |
$950.08 |
| 71045 |
Radiologic examination, chest; single view |
46 |
42 |
$89.36 |
| 93042 |
|
23 |
12 |
$20.49 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
210 |
190 |
$0.00 |