| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
4,374 |
4,110 |
$69K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,267 |
2,108 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
961 |
801 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
705 |
668 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
3,957 |
3,678 |
$12K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
587 |
567 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
216 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
392 |
366 |
$3K |
| 98942 |
|
325 |
254 |
$3K |
| 73630 |
|
783 |
725 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
328 |
320 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
37 |
37 |
$2K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
110 |
98 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
328 |
320 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
758 |
636 |
$1K |
| 99221 |
|
58 |
51 |
$915.12 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
27 |
27 |
$856.62 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
38 |
$659.93 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
113 |
78 |
$572.53 |
| 76830 |
Ultrasound, transvaginal |
25 |
24 |
$437.92 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$327.72 |
| 73610 |
|
153 |
133 |
$220.27 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$209.05 |
| 72100 |
|
46 |
42 |
$169.74 |
| 76801 |
|
12 |
12 |
$124.89 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
90 |
38 |
$124.18 |
| 81003 |
|
53 |
51 |
$109.12 |
| 73030 |
|
42 |
36 |
$99.56 |
| 73564 |
|
13 |
13 |
$75.14 |
| 51798 |
|
28 |
24 |
$68.82 |
| 71045 |
Radiologic examination, chest; single view |
56 |
49 |
$67.56 |
| 93227 |
|
13 |
12 |
$29.66 |
| 73140 |
|
12 |
12 |
$18.37 |
| 97032 |
|
325 |
218 |
$0.00 |
| 3341F |
|
38 |
38 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
19 |
19 |
$0.00 |