| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,007 |
2,591 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,285 |
4,189 |
$247K |
| 01922 |
|
1,087 |
768 |
$171K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,866 |
1,622 |
$98K |
| 99215 |
Prolong outpt/office vis |
1,111 |
976 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,178 |
1,534 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
905 |
821 |
$41K |
| 85097 |
|
1,080 |
658 |
$35K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,703 |
2,960 |
$23K |
| 78816 |
|
311 |
207 |
$23K |
| 92018 |
|
503 |
403 |
$22K |
| 92250 |
|
1,069 |
867 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
206 |
192 |
$10K |
| 77387 |
|
388 |
106 |
$10K |
| 88108 |
|
940 |
634 |
$10K |
| 93308 |
|
381 |
322 |
$9K |
| 93886 |
|
257 |
242 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
280 |
255 |
$8K |
| 96450 |
|
80 |
65 |
$7K |
| 88188 |
|
158 |
118 |
$6K |
| 93888 |
|
179 |
179 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
209 |
122 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
84 |
40 |
$4K |
| G6002 |
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy |
363 |
127 |
$4K |
| 93325 |
|
362 |
307 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
70 |
65 |
$3K |
| 70355 |
|
453 |
415 |
$3K |
| 92133 |
|
200 |
177 |
$3K |
| 93321 |
|
375 |
319 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
412 |
371 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
105 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
30 |
14 |
$2K |
| 00635 |
|
30 |
25 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
106 |
49 |
$1K |
| 99417 |
Prolong home eval add 15m |
52 |
39 |
$1K |
| 92083 |
|
59 |
52 |
$932.69 |
| 88341 |
|
60 |
12 |
$828.27 |
| 88342 |
|
25 |
12 |
$620.65 |
| 71045 |
Radiologic examination, chest; single view |
96 |
54 |
$561.41 |
| 85060 |
|
96 |
60 |
$441.62 |
| 88311 |
|
65 |
37 |
$400.36 |
| 94726 |
|
82 |
62 |
$349.90 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
28 |
12 |
$250.48 |
| 94729 |
|
67 |
50 |
$188.99 |
| 88300 |
|
23 |
19 |
$103.53 |
| 94010 |
|
44 |
31 |
$92.21 |