| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
18,176 |
16,848 |
$693K |
| 70450 |
|
39,312 |
35,536 |
$591K |
| 71045 |
|
138,739 |
106,942 |
$512K |
| 74176 |
|
9,720 |
9,002 |
$286K |
| 71046 |
|
53,424 |
48,990 |
$282K |
| 74018 |
|
19,386 |
16,270 |
$76K |
| 71275 |
|
2,327 |
2,185 |
$64K |
| 70553 |
|
1,347 |
1,262 |
$59K |
| 71260 |
|
3,183 |
2,922 |
$56K |
| 77067 |
|
1,829 |
1,757 |
$52K |
| 99214 |
|
1,909 |
1,656 |
$49K |
| 72125 |
|
2,949 |
2,703 |
$48K |
| 70551 |
|
2,107 |
1,947 |
$48K |
| 76819 |
|
1,628 |
1,065 |
$38K |
| 76705 |
|
2,405 |
2,232 |
$30K |
| 74019 |
|
4,172 |
3,813 |
$25K |
| 76815 |
|
1,265 |
1,078 |
$23K |
| 72100 |
|
4,040 |
3,782 |
$19K |
| 71250 |
|
1,449 |
1,321 |
$18K |
| 73630 |
|
3,987 |
3,545 |
$17K |
| 76642 |
|
1,071 |
915 |
$16K |
| 99213 |
|
856 |
810 |
$15K |
| 73030 |
|
3,611 |
3,228 |
$14K |
| 73562 |
|
3,299 |
2,839 |
$14K |
| 73610 |
|
2,810 |
2,497 |
$13K |
| 76805 |
|
421 |
363 |
$13K |
| 70496 |
|
445 |
392 |
$11K |
| 73721 |
|
358 |
311 |
$11K |
| 99204 |
|
188 |
184 |
$10K |
| G9637 |
Doc >1 dose reduc tech |
42,794 |
34,335 |
$10K |
| 99152 |
|
2,766 |
2,477 |
$8K |
| 73502 |
|
2,098 |
1,950 |
$8K |
| 73130 |
|
1,769 |
1,516 |
$8K |
| 74230 |
|
911 |
832 |
$7K |
| 76816 |
|
290 |
230 |
$6K |
| 70498 |
|
335 |
297 |
$6K |
| 76506 |
|
274 |
218 |
$6K |
| 77065 |
Tomosynthesis, mammo |
399 |
348 |
$5K |
| 93971 |
|
818 |
742 |
$5K |
| 77066 |
Tomosynthesis, mammo |
229 |
218 |
$4K |
| 73560 |
|
988 |
787 |
$3K |
| 72148 |
|
228 |
197 |
$3K |
| 76770 |
|
213 |
188 |
$2K |
| 73110 |
|
584 |
503 |
$2K |
| 49083 |
|
38 |
27 |
$2K |
| 74178 |
|
111 |
88 |
$2K |
| 36569 |
|
38 |
37 |
$2K |
| 72141 |
|
91 |
74 |
$2K |
| 76882 |
|
141 |
107 |
$2K |
| 76817 |
|
58 |
50 |
$1K |
| 76801 |
|
44 |
39 |
$1K |
| 99203 |
|
47 |
42 |
$1K |
| 70486 |
|
112 |
92 |
$1K |
| G9551 |
Imag no les |
17,965 |
16,268 |
$1K |
| 77001 |
|
221 |
199 |
$973.44 |
| 73590 |
|
399 |
312 |
$966.91 |
| 76377 |
|
129 |
86 |
$804.29 |
| 36573 |
|
25 |
25 |
$762.37 |
| G9557 |
Ct/cta/mri/a no thyr <1.0cm |
9,316 |
8,756 |
$742.70 |
| 72170 |
|
423 |
355 |
$718.67 |
| 93970 |
|
91 |
71 |
$701.12 |
| 77012 |
|
43 |
39 |
$653.21 |
| 73020 |
|
265 |
226 |
$622.40 |
| 78815 |
|
12 |
12 |
$544.93 |
| 72040 |
|
118 |
99 |
$521.02 |
| 72131 |
|
107 |
74 |
$492.78 |
| 73090 |
|
123 |
103 |
$399.72 |
| 76830 |
|
14 |
12 |
$324.10 |
| 78226 |
|
12 |
12 |
$252.75 |
| 76536 |
|
13 |
13 |
$250.49 |
| 76937 |
|
54 |
51 |
$230.41 |
| 99202 |
|
12 |
12 |
$204.85 |
| 76700 |
|
31 |
25 |
$202.49 |
| 73552 |
|
87 |
57 |
$132.02 |
| 73140 |
|
56 |
47 |
$129.95 |
| 93880 |
|
12 |
12 |
$106.79 |
| 72070 |
|
35 |
31 |
$106.55 |
| G8427 |
Docrev cur meds by elig clin |
560 |
519 |
$85.37 |
| 93923 |
|
13 |
13 |
$72.08 |
| G9500 |
Rad expos ind/exp tm doc |
682 |
619 |
$60.02 |
| 73080 |
|
12 |
12 |
$52.97 |
| 73060 |
|
12 |
12 |
$27.59 |
| 73620 |
|
22 |
14 |
$26.04 |
| 71101 |
|
43 |
36 |
$22.48 |
| G9329 |
Norsn no dicom format doc |
76 |
70 |
$22.31 |
| 73070 |
|
22 |
12 |
$14.06 |
| G9638 |
No doc >1 dose reduc tech |
158 |
151 |
$5.53 |
| 3017F |
|
280 |
266 |
$0.00 |
| 77063 |
|
1,226 |
1,139 |
$0.00 |
| G8754 |
Dias bp less 90 |
99 |
96 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
40 |
38 |
$0.00 |
| 3100F |
|
127 |
124 |
$0.00 |
| 1036F |
|
137 |
134 |
$0.00 |
| G8428 |
Cur meds not document |
287 |
274 |
$0.00 |
| 6030F |
|
110 |
106 |
$0.00 |
| G9902 |
Pt scrn tbco and id as user |
13 |
13 |
$0.00 |
| 4044F |
|
24 |
24 |
$0.00 |
| G9903 |
Pt scrn tbco id as non user |
105 |
102 |
$0.00 |
| G8420 |
Calc bmi norm parameters |
15 |
15 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
13 |
13 |
$0.00 |
| 1090F |
|
190 |
181 |
$0.00 |
| G9900 |
Scrn mam perf rslts not doc |
76 |
72 |
$0.00 |
| G8421 |
Bmi not calculated |
276 |
264 |
$0.00 |
| G8417 |
Calc bmi abv up param f/u |
46 |
43 |
$0.00 |
| 4040F |
|
279 |
265 |
$0.00 |
| G8752 |
Sys bp less 140 |
70 |
69 |
$0.00 |
| G8730 |
Pain doc pos and plan |
728 |
682 |
$0.00 |
| G9905 |
No pt tbco scrn rng |
285 |
273 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
275 |
263 |
$0.00 |
| G8482 |
Flu immunize order/admin |
84 |
80 |
$0.00 |
| G8400 |
Pt w/dxa no results doc |
79 |
75 |
$0.00 |
| G9744 |
Pt not eli d/t act dig htn |
140 |
136 |
$0.00 |
| 4004F |
|
305 |
292 |
$0.00 |
| G9501 |
Rad expos ind/exp tm no doc |
31 |
29 |
$0.00 |
| G9322 |
No cnt ct nuc med doc 12mo |
75 |
69 |
$0.00 |
| G8484 |
Flu immunize no admin |
113 |
109 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
13 |
13 |
$0.00 |
| 72192 |
|
23 |
15 |
$0.00 |
| G9899 |
Scrn mam perf rslts doc |
12 |
12 |
$0.00 |