| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,976 |
7,192 |
$314K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22,178 |
4,834 |
$291K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13,099 |
9,916 |
$197K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,398 |
2,959 |
$193K |
| 71045 |
Radiologic examination, chest; single view |
52,080 |
39,715 |
$185K |
| 71046 |
Radiologic examination, chest; 2 views |
20,549 |
16,962 |
$138K |
| 99233 |
Prolong inpt eval add15 m |
3,979 |
1,173 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,451 |
4,118 |
$66K |
| 99223 |
Prolong inpt eval add15 m |
1,096 |
811 |
$62K |
| 99222 |
Initial hospital care, per day, moderate complexity |
2,317 |
1,654 |
$58K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,028 |
1,321 |
$46K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,407 |
1,150 |
$42K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,700 |
1,953 |
$38K |
| 74018 |
|
6,789 |
5,247 |
$34K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
603 |
558 |
$32K |
| 99254 |
|
477 |
365 |
$30K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,475 |
1,093 |
$25K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,590 |
2,556 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
784 |
552 |
$11K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
752 |
525 |
$10K |
| 93970 |
|
769 |
534 |
$9K |
| 76801 |
|
488 |
316 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
116 |
92 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
84 |
77 |
$7K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
2,411 |
1,650 |
$6K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
884 |
336 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
509 |
374 |
$5K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
112 |
88 |
$4K |
| 90461 |
|
105 |
98 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
832 |
422 |
$3K |
| 73562 |
|
607 |
380 |
$2K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,197 |
838 |
$2K |
| 73610 |
|
256 |
241 |
$1K |
| 95819 |
|
51 |
40 |
$1K |
| 73630 |
|
277 |
245 |
$1K |
| 90935 |
Hemodialysis procedure with single evaluation by a physician |
97 |
36 |
$1K |
| 99221 |
|
12 |
12 |
$701.48 |
| 91301 |
|
20 |
18 |
$688.00 |
| 73030 |
|
95 |
65 |
$658.53 |
| 93971 |
|
57 |
49 |
$648.78 |
| 99307 |
|
886 |
596 |
$635.02 |
| 73130 |
|
140 |
120 |
$627.82 |
| 90961 |
|
34 |
27 |
$546.66 |
| 76818 |
|
15 |
12 |
$420.57 |
| 99460 |
|
34 |
34 |
$384.88 |
| 0012A |
|
241 |
214 |
$372.78 |
| 0011A |
|
279 |
246 |
$339.76 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
24 |
$313.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$312.13 |
| 73110 |
|
40 |
38 |
$264.60 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
409 |
312 |
$218.07 |
| 64450 |
|
315 |
211 |
$200.40 |
| 90962 |
|
15 |
12 |
$159.20 |
| 74022 |
|
15 |
14 |
$146.44 |
| 97597 |
|
57 |
13 |
$120.54 |
| 73080 |
|
14 |
13 |
$109.34 |
| 99462 |
|
29 |
29 |
$81.75 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
16 |
12 |
$70.54 |
| 80053 |
Comprehensive metabolic panel |
38 |
36 |
$46.75 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
196 |
$42.62 |
| 0064A |
|
122 |
99 |
$40.00 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
981 |
362 |
$25.69 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
747 |
665 |
$19.89 |
| 93296 |
|
77 |
55 |
$18.45 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
470 |
366 |
$16.40 |
| 94060 |
|
15 |
12 |
$15.70 |
| 94729 |
|
15 |
12 |
$13.33 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
510 |
208 |
$4.44 |
| 94727 |
|
15 |
12 |
$1.44 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
70 |
62 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
84 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
45 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 73564 |
|
13 |
12 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
205 |
79 |
$0.00 |
| 90662 |
|
22 |
13 |
$0.00 |
| 0013A |
|
17 |
12 |
$0.00 |