| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
3,792 |
2,277 |
$196K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,127 |
2,291 |
$146K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,365 |
2,960 |
$134K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,493 |
1,954 |
$124K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,244 |
3,318 |
$116K |
| 71046 |
Radiologic examination, chest; 2 views |
14,570 |
11,038 |
$87K |
| 76830 |
Ultrasound, transvaginal |
3,048 |
2,431 |
$77K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,651 |
2,068 |
$59K |
| 0012A |
|
3,212 |
1,641 |
$56K |
| 0002A |
|
1,972 |
1,366 |
$45K |
| 0001A |
|
2,042 |
1,409 |
$43K |
| 76536 |
|
1,798 |
1,403 |
$40K |
| 76770 |
|
1,254 |
891 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,207 |
915 |
$33K |
| 0011A |
|
3,347 |
1,693 |
$33K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
749 |
620 |
$26K |
| 0064A |
|
1,763 |
735 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,688 |
2,871 |
$20K |
| 93970 |
|
263 |
182 |
$17K |
| 72100 |
|
1,514 |
1,187 |
$13K |
| 0004A |
|
426 |
368 |
$13K |
| 0071A |
|
369 |
366 |
$12K |
| 0072A |
|
317 |
317 |
$12K |
| 93925 |
|
187 |
112 |
$9K |
| 72040 |
|
785 |
586 |
$7K |
| 74178 |
|
55 |
27 |
$6K |
| 73030 |
|
660 |
361 |
$6K |
| 0031A |
|
299 |
104 |
$4K |
| 73560 |
|
470 |
346 |
$3K |
| 0003A |
|
124 |
89 |
$3K |
| 71250 |
|
82 |
55 |
$2K |
| 73620 |
|
330 |
179 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,696 |
1,018 |
$2K |
| 77065 |
Tomosynthesis, mammo |
58 |
45 |
$2K |
| 73120 |
|
140 |
69 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
13 |
$893.35 |
| 77066 |
Tomosynthesis, mammo |
23 |
19 |
$830.07 |
| 73565 |
|
95 |
68 |
$691.88 |
| 73600 |
|
75 |
37 |
$623.66 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
272 |
264 |
$583.77 |
| 93971 |
|
64 |
51 |
$510.15 |
| 74018 |
|
90 |
87 |
$493.01 |
| 72084 |
|
21 |
12 |
$393.72 |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
258 |
255 |
$374.20 |
| 76870 |
|
12 |
12 |
$362.19 |
| 72082 |
|
26 |
13 |
$360.49 |
| 73130 |
|
20 |
12 |
$140.10 |
| 74019 |
|
15 |
12 |
$124.80 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$117.30 |
| 72070 |
|
34 |
24 |
$88.44 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
69 |
64 |
$0.00 |
| 99223 |
Prolong inpt eval add15 m |
60 |
55 |
$0.00 |
| 99233 |
Prolong inpt eval add15 m |
42 |
40 |
$0.00 |