| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
578 |
415 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,136 |
848 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
534 |
459 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
474 |
440 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
558 |
508 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
473 |
417 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
542 |
489 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,500 |
1,978 |
$14K |
| 76801 |
|
381 |
321 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
348 |
302 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
356 |
327 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
957 |
894 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
215 |
195 |
$5K |
| 76642 |
|
86 |
80 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$976.32 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
26 |
$938.41 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
21 |
12 |
$905.96 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
14 |
$784.49 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$686.98 |
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
15 |
14 |
$538.64 |
| 73030 |
|
31 |
25 |
$194.84 |
| 73630 |
|
27 |
25 |
$188.25 |
| 73562 |
|
16 |
14 |
$162.15 |
| 72100 |
|
18 |
13 |
$111.98 |
| 73100 |
|
14 |
13 |
$79.71 |
| 73610 |
|
14 |
12 |
$73.20 |
| 1159F |
|
352 |
249 |
$0.00 |