| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,454 |
383 |
$97K |
| 99215 |
Prolong outpt/office vis |
1,011 |
785 |
$36K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
8,237 |
6,988 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
666 |
441 |
$22K |
| 92018 |
|
162 |
156 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,426 |
1,872 |
$11K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
167 |
163 |
$10K |
| 77427 |
|
60 |
26 |
$8K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
154 |
49 |
$5K |
| 87305 |
|
798 |
557 |
$5K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
340 |
36 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
153 |
147 |
$5K |
| 88108 |
|
320 |
291 |
$5K |
| 86077 |
|
1,380 |
1,129 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
86 |
85 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
39 |
39 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$1K |
| 92250 |
|
122 |
120 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
41 |
$1K |
| 90837 |
Psychotherapy, 53 minutes with patient |
21 |
12 |
$975.06 |
| 71046 |
Radiologic examination, chest; 2 views |
328 |
323 |
$915.77 |
| 96450 |
|
15 |
12 |
$904.72 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
24 |
24 |
$738.14 |
| 94729 |
|
146 |
145 |
$652.28 |
| 94010 |
|
135 |
134 |
$618.99 |
| 99417 |
Prolong home eval add 15m |
37 |
12 |
$532.77 |
| 94726 |
|
93 |
93 |
$515.41 |
| 92060 |
|
14 |
14 |
$489.85 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
1,083 |
593 |
$464.57 |
| 78306 |
|
25 |
25 |
$356.77 |
| 87207 |
|
235 |
214 |
$266.06 |
| 92082 |
|
25 |
24 |
$142.93 |
| 92133 |
|
25 |
24 |
$140.47 |
| 84165 |
|
432 |
420 |
$122.45 |
| 74018 |
|
18 |
14 |
$77.13 |
| 89051 |
|
14 |
13 |
$56.54 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
37 |
37 |
$28.87 |
| 86334 |
|
139 |
135 |
$17.83 |
| 86335 |
|
24 |
24 |
$0.00 |
| 88291 |
|
15 |
15 |
$0.00 |
| 84166 |
|
38 |
37 |
$0.00 |
| 77080 |
|
27 |
27 |
$0.00 |