| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 01967 |
Neuraxial labor analgesia/anesthesia for planned vaginal delivery |
3,049 |
2,772 |
$626K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
2,132 |
1,913 |
$294K |
| 71045 |
Radiologic examination, chest; single view |
37,128 |
23,460 |
$130K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,755 |
1,683 |
$83K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
417 |
136 |
$38K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,874 |
1,344 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
703 |
668 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,088 |
1,961 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,428 |
1,390 |
$29K |
| 88307 |
|
528 |
477 |
$29K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,354 |
1,270 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
608 |
583 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,862 |
3,723 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
428 |
407 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,522 |
1,493 |
$17K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
380 |
367 |
$15K |
| 99222 |
Initial hospital care, per day, moderate complexity |
402 |
369 |
$15K |
| 76830 |
Ultrasound, transvaginal |
631 |
618 |
$15K |
| 76801 |
|
449 |
421 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,644 |
1,617 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
362 |
127 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
342 |
320 |
$7K |
| 76642 |
|
366 |
329 |
$7K |
| 74018 |
|
1,390 |
1,172 |
$7K |
| 01961 |
|
30 |
25 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
206 |
197 |
$6K |
| 73630 |
|
1,180 |
1,087 |
$6K |
| 73610 |
|
1,000 |
943 |
$6K |
| 73130 |
|
839 |
752 |
$5K |
| 76770 |
|
251 |
231 |
$4K |
| 73030 |
|
667 |
575 |
$3K |
| 73110 |
|
458 |
419 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
47 |
41 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
125 |
117 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
97 |
92 |
$2K |
| 73564 |
|
337 |
310 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
89 |
83 |
$2K |
| 73090 |
|
385 |
352 |
$2K |
| 72100 |
|
390 |
386 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
27 |
25 |
$2K |
| 73562 |
|
335 |
282 |
$2K |
| 73590 |
|
350 |
315 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
69 |
67 |
$1K |
| 00126 |
|
14 |
14 |
$1K |
| 99217 |
|
47 |
44 |
$1K |
| 93976 |
|
69 |
63 |
$1K |
| 88300 |
|
203 |
123 |
$734.48 |
| 73080 |
|
109 |
104 |
$668.34 |
| 93970 |
|
60 |
43 |
$616.89 |
| 77066 |
Tomosynthesis, mammo |
28 |
25 |
$567.15 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$523.79 |
| 93971 |
|
62 |
56 |
$347.66 |
| 88304 |
|
38 |
36 |
$308.41 |
| 72170 |
|
81 |
75 |
$301.99 |
| 73502 |
|
41 |
40 |
$147.58 |
| 77080 |
|
89 |
83 |
$120.55 |
| 73552 |
|
32 |
25 |
$115.72 |
| 74022 |
|
12 |
12 |
$114.26 |
| 73560 |
|
16 |
12 |
$77.68 |