| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,312 |
2,300 |
$333K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,938 |
2,929 |
$303K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,389 |
1,384 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,030 |
1,926 |
$145K |
| 76641 |
|
1,845 |
1,311 |
$144K |
| 36902 |
|
284 |
280 |
$127K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,602 |
1,596 |
$90K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,457 |
3,144 |
$86K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
590 |
579 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,177 |
1,082 |
$60K |
| 93925 |
|
288 |
288 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
1,745 |
1,721 |
$44K |
| 77080 |
|
958 |
954 |
$40K |
| 93990 |
|
802 |
782 |
$40K |
| 77065 |
Tomosynthesis, mammo |
332 |
292 |
$36K |
| 74178 |
|
143 |
143 |
$35K |
| 71271 |
|
221 |
220 |
$34K |
| 93226 |
|
736 |
734 |
$18K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,821 |
2,713 |
$17K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
379 |
373 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
184 |
184 |
$17K |
| 76937 |
|
990 |
941 |
$17K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
3,073 |
3,028 |
$15K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
632 |
581 |
$15K |
| 01844 |
|
126 |
124 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
56 |
56 |
$9K |
| 93225 |
|
736 |
734 |
$8K |
| 93970 |
|
61 |
61 |
$7K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
365 |
359 |
$6K |
| 76377 |
|
136 |
136 |
$5K |
| 62323 |
|
29 |
24 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
24 |
24 |
$4K |
| G0296 |
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) |
151 |
150 |
$4K |
| 99152 |
|
109 |
106 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$3K |
| 0002A |
|
71 |
70 |
$3K |
| 93017 |
|
90 |
89 |
$3K |
| 0001A |
|
62 |
62 |
$2K |
| 36901 |
|
17 |
14 |
$2K |
| 71270 |
|
16 |
16 |
$2K |
| 72141 |
|
18 |
18 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
401 |
343 |
$2K |
| 75635 |
|
12 |
12 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 20611 |
|
22 |
12 |
$2K |
| 0011A |
|
39 |
39 |
$2K |
| 64493 |
|
13 |
12 |
$2K |
| 93016 |
|
90 |
89 |
$2K |
| 0012A |
|
36 |
35 |
$1K |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
1,260 |
1,209 |
$1K |
| 71250 |
|
13 |
13 |
$1K |
| 01992 |
|
12 |
12 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
105 |
102 |
$1K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
45 |
42 |
$859.05 |
| 76942 |
|
14 |
13 |
$742.56 |
| 64494 |
|
13 |
12 |
$725.05 |
| 01924 |
|
12 |
12 |
$718.47 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$685.16 |
| 76775 |
|
12 |
12 |
$455.63 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
332 |
271 |
$289.36 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
96 |
94 |
$36.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$13.50 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
74 |
68 |
$7.93 |
| J1644 |
Injection, heparin sodium, per 1000 units |
72 |
68 |
$1.71 |
| 91300 |
|
212 |
185 |
$0.00 |
| 91301 |
|
100 |
97 |
$0.00 |
| 99406 |
|
524 |
487 |
$0.00 |