| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,063 |
617 |
$150K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,738 |
1,339 |
$140K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
5,833 |
4,434 |
$92K |
| 70450 |
Computed tomography, head or brain; without contrast material |
965 |
532 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
708 |
151 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
390 |
251 |
$60K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
656 |
382 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
2,906 |
1,747 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
4,023 |
1,596 |
$27K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
288 |
282 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
219 |
160 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
355 |
199 |
$14K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
286 |
203 |
$8K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
153 |
146 |
$4K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
127 |
105 |
$4K |
| 71250 |
|
44 |
25 |
$4K |
| 72100 |
|
276 |
175 |
$4K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
105 |
103 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
13 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
160 |
113 |
$1K |
| 73630 |
|
106 |
72 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
18 |
14 |
$840.00 |
| 73030 |
|
31 |
24 |
$416.55 |
| 72040 |
|
18 |
14 |
$250.50 |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
31 |
27 |
$112.00 |