| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
14,930 |
13,730 |
$624K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
3,557 |
3,200 |
$263K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
3,321 |
3,118 |
$46K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
192 |
169 |
$20K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
659 |
585 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
290 |
265 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
169 |
134 |
$745.57 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
279 |
112 |
$0.00 |
| 85018 |
|
142 |
55 |
$0.00 |
| 92551 |
|
86 |
28 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,426 |
453 |
$0.00 |
| 99173 |
|
83 |
27 |
$0.00 |
| 81003 |
|
36 |
12 |
$0.00 |