| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,060 |
2,945 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
384 |
364 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
462 |
435 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
51 |
$6K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,855 |
2,170 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
267 |
225 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
638 |
591 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,263 |
1,064 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
48 |
45 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
116 |
103 |
$1K |
| 74021 |
|
72 |
69 |
$605.44 |
| 76830 |
Ultrasound, transvaginal |
31 |
29 |
$459.28 |
| 72100 |
|
41 |
39 |
$203.08 |
| 72040 |
|
34 |
34 |
$125.90 |
| 73030 |
|
18 |
15 |
$50.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
69 |
69 |
$46.76 |
| 73560 |
|
12 |
12 |
$34.62 |