| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
5,092 |
5,034 |
$430K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,972 |
2,943 |
$242K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
204 |
204 |
$16K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
76 |
72 |
$13K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
128 |
127 |
$8K |
| 74183 |
|
27 |
27 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
88 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
65 |
64 |
$7K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
403 |
385 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
24 |
24 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
203 |
203 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
77 |
76 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
15 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
283 |
279 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
55 |
50 |
$849.78 |
| 36415 |
Collection of venous blood by venipuncture |
616 |
521 |
$655.43 |
| 76536 |
|
14 |
13 |
$547.80 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
25 |
12 |
$513.35 |
| 73562 |
|
30 |
28 |
$479.92 |
| 73030 |
|
28 |
24 |
$319.06 |
| 73610 |
|
14 |
14 |
$242.36 |
| 73630 |
|
15 |
15 |
$237.02 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
12 |
$151.68 |