| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
1,152 |
681 |
$43K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
215 |
144 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
871 |
731 |
$14K |
| 77080 |
|
3,244 |
2,677 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
97 |
$5K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
42 |
38 |
$4K |
| 76536 |
|
120 |
88 |
$3K |
| 77066 |
Tomosynthesis, mammo |
36 |
36 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
72 |
69 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
176 |
164 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
298 |
206 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
20 |
$611.93 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
52 |
$255.09 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
132 |
119 |
$174.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |
| 71250 |
|
14 |
12 |
$0.00 |