| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,124 |
3,406 |
$805K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,669 |
2,996 |
$757K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,911 |
3,752 |
$510K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,395 |
965 |
$190K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13,330 |
9,336 |
$142K |
| 71046 |
Radiologic examination, chest; 2 views |
11,619 |
8,270 |
$118K |
| 76830 |
Ultrasound, transvaginal |
2,496 |
1,761 |
$111K |
| 71045 |
Radiologic examination, chest; single view |
15,887 |
6,987 |
$109K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,136 |
2,090 |
$107K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,709 |
234 |
$101K |
| 71250 |
|
1,152 |
673 |
$93K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,071 |
2,081 |
$85K |
| 76641 |
|
1,113 |
747 |
$53K |
| 93970 |
|
742 |
438 |
$41K |
| 76770 |
|
1,087 |
731 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
179 |
113 |
$32K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
839 |
617 |
$32K |
| 74178 |
|
199 |
120 |
$30K |
| 72100 |
|
2,467 |
1,756 |
$29K |
| 76536 |
|
1,088 |
756 |
$29K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
361 |
163 |
$29K |
| 99222 |
Initial hospital care, per day, moderate complexity |
257 |
162 |
$28K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
411 |
364 |
$27K |
| 73560 |
|
2,315 |
1,348 |
$23K |
| 74018 |
|
2,327 |
1,552 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
522 |
304 |
$19K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
291 |
184 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
102 |
71 |
$18K |
| 70486 |
|
139 |
83 |
$16K |
| 78227 |
|
220 |
95 |
$15K |
| 72040 |
|
1,345 |
1,008 |
$15K |
| 77080 |
|
553 |
309 |
$14K |
| 73030 |
|
1,093 |
714 |
$12K |
| 73620 |
|
1,341 |
829 |
$12K |
| 93923 |
|
330 |
181 |
$10K |
| 73600 |
|
869 |
560 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
107 |
43 |
$9K |
| J2805 |
Injection, sincalide, 5 micrograms |
87 |
40 |
$8K |
| 73120 |
|
697 |
406 |
$7K |
| 93224 |
|
68 |
40 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
46 |
25 |
$6K |
| 93971 |
|
151 |
110 |
$6K |
| 73090 |
|
606 |
343 |
$6K |
| 93000 |
|
367 |
324 |
$5K |
| 73590 |
|
489 |
265 |
$5K |
| 73562 |
|
635 |
267 |
$5K |
| 73070 |
|
484 |
315 |
$5K |
| 76870 |
|
122 |
82 |
$4K |
| 73610 |
|
312 |
198 |
$4K |
| 72170 |
|
629 |
404 |
$4K |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
115 |
53 |
$4K |
| 73501 |
|
456 |
215 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48 |
44 |
$3K |
| 93227 |
|
55 |
41 |
$3K |
| 73630 |
|
240 |
124 |
$3K |
| 93925 |
|
49 |
31 |
$3K |
| 73100 |
|
275 |
181 |
$3K |
| 77073 |
|
144 |
76 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
49 |
44 |
$2K |
| 78306 |
|
34 |
13 |
$2K |
| 78013 |
|
42 |
16 |
$2K |
| 72081 |
|
94 |
65 |
$2K |
| 72070 |
|
167 |
120 |
$1K |
| 77066 |
Tomosynthesis, mammo |
77 |
35 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
170 |
148 |
$1K |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
36 |
16 |
$982.12 |
| 72080 |
|
96 |
88 |
$901.21 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
12 |
$837.83 |
| 70210 |
|
51 |
48 |
$685.98 |
| 73502 |
|
52 |
30 |
$676.91 |
| 74019 |
|
50 |
27 |
$658.18 |
| 73552 |
|
53 |
24 |
$631.36 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
14 |
$289.00 |
| 70260 |
|
14 |
12 |
$263.25 |
| 73551 |
|
13 |
12 |
$196.92 |
| 73060 |
|
17 |
12 |
$106.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
20 |
14 |
$11.70 |