| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,757 |
8,479 |
$299K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,880 |
12,362 |
$296K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,601 |
5,445 |
$186K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,824 |
4,632 |
$115K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,170 |
4,057 |
$114K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,174 |
2,074 |
$103K |
| 71045 |
Radiologic examination, chest; single view |
34,954 |
29,903 |
$102K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,496 |
6,367 |
$90K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,175 |
1,122 |
$88K |
| 71046 |
Radiologic examination, chest; 2 views |
16,862 |
16,514 |
$78K |
| 76830 |
Ultrasound, transvaginal |
3,049 |
2,957 |
$73K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,044 |
2,851 |
$65K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,209 |
5,083 |
$56K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,082 |
2,960 |
$44K |
| 93970 |
|
2,799 |
2,682 |
$43K |
| 31231 |
|
1,179 |
1,115 |
$37K |
| 71250 |
|
1,731 |
1,671 |
$37K |
| 76770 |
|
2,088 |
2,005 |
$35K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,597 |
1,541 |
$33K |
| 70496 |
|
968 |
935 |
$32K |
| 70498 |
|
950 |
921 |
$31K |
| 93975 |
|
1,126 |
1,100 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
843 |
823 |
$29K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
913 |
882 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
625 |
599 |
$15K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,023 |
573 |
$12K |
| 76536 |
|
958 |
936 |
$12K |
| 73630 |
|
2,681 |
2,379 |
$11K |
| 31575 |
|
172 |
157 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
143 |
$9K |
| 73564 |
|
1,243 |
1,076 |
$8K |
| 93971 |
|
961 |
927 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
154 |
151 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
602 |
600 |
$7K |
| 90674 |
|
298 |
298 |
$5K |
| 76642 |
|
378 |
334 |
$5K |
| 90756 |
|
290 |
290 |
$5K |
| 72110 |
|
637 |
629 |
$5K |
| 73130 |
|
707 |
629 |
$3K |
| 73030 |
|
705 |
637 |
$3K |
| 76801 |
|
129 |
123 |
$3K |
| 73610 |
|
603 |
564 |
$3K |
| 90670 |
|
24 |
24 |
$3K |
| 78580 |
|
116 |
115 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
147 |
78 |
$2K |
| 72141 |
|
42 |
41 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
59 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$2K |
| 92557 |
|
121 |
110 |
$2K |
| 72100 |
|
250 |
218 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
80 |
51 |
$1K |
| 3008F |
|
6,607 |
6,344 |
$1K |
| 74022 |
|
174 |
165 |
$1K |
| 72050 |
|
154 |
153 |
$991.43 |
| 77085 |
|
279 |
273 |
$952.36 |
| 77066 |
Tomosynthesis, mammo |
48 |
47 |
$941.91 |
| 70544 |
|
26 |
24 |
$862.43 |
| 31579 |
|
12 |
12 |
$844.18 |
| 99215 |
Prolong outpt/office vis |
31 |
29 |
$835.19 |
| 74018 |
|
279 |
265 |
$829.32 |
| 78264 |
|
53 |
52 |
$816.56 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
18 |
$791.21 |
| 70486 |
|
28 |
27 |
$780.22 |
| 36415 |
Collection of venous blood by venipuncture |
285 |
285 |
$633.81 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$631.13 |
| 73502 |
|
138 |
132 |
$511.29 |
| 73110 |
|
99 |
89 |
$490.43 |
| 99443 |
|
28 |
28 |
$473.38 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
15 |
$466.23 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
34 |
33 |
$453.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$351.61 |
| 77080 |
|
79 |
79 |
$319.25 |
| 99442 |
|
26 |
26 |
$264.56 |
| 76882 |
|
28 |
25 |
$244.57 |
| 76870 |
|
15 |
15 |
$237.80 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
33 |
$224.63 |
| 92567 |
|
79 |
70 |
$212.01 |
| 77062 |
|
16 |
16 |
$180.78 |
| 73590 |
|
33 |
28 |
$103.01 |
| G0009 |
Administration of pneumococcal vaccine |
12 |
12 |
$67.59 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
116 |
112 |
$7.00 |
| 3074F |
|
106 |
104 |
$2.00 |
| 3078F |
|
43 |
43 |
$0.00 |
| 3077F |
|
13 |
12 |
$0.00 |
| 3079F |
|
119 |
117 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
29 |
29 |
$0.00 |