| Code | Description | Claims | Beneficiaries | Total Paid |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,180 |
2,982 |
$182K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
670 |
612 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
304 |
291 |
$37K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
403 |
378 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,024 |
930 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
352 |
319 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,090 |
891 |
$8K |
| 74018 |
|
72 |
69 |
$523.72 |
| 80053 |
Comprehensive metabolic panel |
27 |
25 |
$102.45 |