| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
22,098 |
13,343 |
$958K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,990 |
3,357 |
$958K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,063 |
2,002 |
$314K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,340 |
767 |
$272K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
2,100 |
1,276 |
$186K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
975 |
600 |
$156K |
| 50590 |
|
160 |
117 |
$96K |
| 76641 |
|
1,403 |
511 |
$80K |
| 71045 |
Radiologic examination, chest; single view |
9,627 |
5,251 |
$78K |
| 71046 |
Radiologic examination, chest; 2 views |
5,870 |
3,861 |
$67K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
6,111 |
2,515 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,156 |
712 |
$53K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
865 |
525 |
$51K |
| 71250 |
|
314 |
173 |
$37K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
316 |
182 |
$35K |
| 77066 |
Tomosynthesis, mammo |
729 |
398 |
$32K |
| 93970 |
|
385 |
225 |
$30K |
| 76830 |
Ultrasound, transvaginal |
624 |
382 |
$28K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
184 |
97 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
471 |
299 |
$23K |
| 76770 |
|
542 |
330 |
$23K |
| 76536 |
|
329 |
172 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
97 |
52 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
89 |
54 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
71 |
38 |
$10K |
| 74018 |
|
953 |
384 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
249 |
131 |
$9K |
| 93971 |
|
213 |
130 |
$8K |
| 59025 |
Fetal non-stress test |
339 |
176 |
$5K |
| 72197 |
|
26 |
14 |
$5K |
| 95819 |
|
43 |
41 |
$5K |
| 76882 |
|
165 |
78 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
78 |
39 |
$3K |
| 95957 |
|
43 |
41 |
$3K |
| 72100 |
|
157 |
94 |
$2K |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
218 |
181 |
$2K |
| 93925 |
|
22 |
12 |
$2K |
| 70486 |
|
17 |
12 |
$2K |
| 76818 |
|
36 |
28 |
$2K |
| 77065 |
Tomosynthesis, mammo |
51 |
27 |
$1K |
| 73560 |
|
66 |
32 |
$880.01 |
| 73030 |
|
50 |
28 |
$622.88 |
| 59050 |
|
16 |
14 |
$293.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$263.34 |
| 73620 |
|
25 |
13 |
$188.82 |
| 72040 |
|
14 |
12 |
$167.22 |
| 71010 |
|
44 |
42 |
$0.00 |