| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,446 |
2,295 |
$202K |
| 36471 |
|
2,466 |
1,090 |
$125K |
| 93971 |
|
3,644 |
1,873 |
$120K |
| 93970 |
|
1,948 |
1,270 |
$101K |
| 93976 |
|
786 |
669 |
$64K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,119 |
1,984 |
$60K |
| 76942 |
|
1,527 |
691 |
$50K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,118 |
939 |
$47K |
| 36475 |
|
69 |
28 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
3,286 |
2,627 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,003 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
432 |
241 |
$15K |
| 71250 |
|
246 |
163 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
916 |
419 |
$14K |
| 76641 |
|
230 |
147 |
$13K |
| 36465 |
|
24 |
13 |
$12K |
| 76536 |
|
257 |
203 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
646 |
473 |
$8K |
| 93975 |
|
44 |
41 |
$5K |
| 62323 |
|
26 |
25 |
$3K |
| 72100 |
|
32 |
27 |
$443.52 |
| 72110 |
|
13 |
13 |
$373.89 |
| 73564 |
|
17 |
12 |
$239.40 |
| 73130 |
|
15 |
12 |
$173.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
167 |
125 |
$0.00 |
| 1124F |
|
67 |
56 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
147 |
126 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
31 |
29 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
45 |
40 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
76 |
69 |
$0.00 |
| 1123F |
|
60 |
54 |
$0.00 |
| 1036F |
|
44 |
41 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
30 |
26 |
$0.00 |