| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
805 |
797 |
$79K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
669 |
655 |
$65K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
283 |
282 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
109 |
100 |
$499.35 |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$17.98 |