| Code | Description | Claims | Beneficiaries | Total Paid |
| 00813 |
|
538 |
484 |
$51K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
94 |
73 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
663 |
625 |
$5K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
31 |
25 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
77 |
73 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
753 |
682 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
40 |
$2K |
| 99221 |
|
29 |
26 |
$1K |
| 00731 |
|
12 |
12 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
31 |
25 |
$870.78 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$835.56 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
13 |
13 |
$800.04 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
28 |
12 |
$542.01 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
31 |
25 |
$363.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$304.08 |
| 73630 |
|
17 |
16 |
$121.52 |