| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
568 |
559 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
310 |
138 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
79 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
325 |
321 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
72 |
$2K |
| 72100 |
|
93 |
91 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$1K |
| 29581 |
|
105 |
41 |
$923.69 |
| 73562 |
|
52 |
50 |
$833.31 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
243 |
94 |
$360.39 |
| 73630 |
|
15 |
15 |
$264.52 |
| 87486 |
|
12 |
12 |
$0.00 |
| 87581 |
|
12 |
12 |
$0.00 |
| 87541 |
|
12 |
12 |
$0.00 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12 |
12 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
12 |
12 |
$0.00 |
| 87631 |
|
12 |
12 |
$0.00 |