| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,737 |
8,684 |
$540K |
| 71045 |
Radiologic examination, chest; single view |
57,148 |
50,770 |
$307K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,593 |
9,429 |
$203K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,645 |
3,608 |
$185K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
3,231 |
3,197 |
$137K |
| 99460 |
|
1,929 |
1,908 |
$106K |
| 49083 |
|
979 |
741 |
$74K |
| 71046 |
Radiologic examination, chest; 2 views |
9,955 |
9,845 |
$72K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
557 |
552 |
$48K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,229 |
781 |
$44K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
343 |
341 |
$38K |
| 99462 |
|
1,286 |
1,120 |
$37K |
| 73610 |
|
4,081 |
3,860 |
$27K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
406 |
405 |
$26K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,048 |
1,041 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,344 |
1,332 |
$23K |
| 99223 |
Prolong inpt eval add15 m |
273 |
273 |
$21K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
275 |
275 |
$20K |
| 73630 |
|
2,961 |
2,806 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
177 |
176 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
260 |
260 |
$13K |
| 99152 |
|
948 |
927 |
$13K |
| 73110 |
|
2,012 |
1,870 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
442 |
441 |
$12K |
| 74018 |
|
1,960 |
1,792 |
$12K |
| 73030 |
|
1,701 |
1,588 |
$11K |
| 73130 |
|
1,292 |
1,180 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
352 |
352 |
$8K |
| 99255 |
|
98 |
96 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
173 |
173 |
$6K |
| 76801 |
|
183 |
181 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
271 |
267 |
$5K |
| 76813 |
|
100 |
100 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
170 |
170 |
$5K |
| 99233 |
Prolong inpt eval add15 m |
104 |
81 |
$5K |
| 73562 |
|
933 |
857 |
$5K |
| 76830 |
Ultrasound, transvaginal |
219 |
219 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
111 |
104 |
$4K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
43 |
12 |
$4K |
| 99221 |
|
77 |
76 |
$3K |
| 59025 |
Fetal non-stress test |
219 |
180 |
$2K |
| 73502 |
|
383 |
363 |
$2K |
| 74183 |
|
50 |
50 |
$2K |
| 77049 |
|
25 |
25 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$2K |
| 54150 |
|
14 |
14 |
$2K |
| 76770 |
|
88 |
88 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
58 |
37 |
$1K |
| 73080 |
|
211 |
200 |
$1K |
| 73590 |
|
263 |
231 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
23 |
14 |
$1K |
| 93971 |
|
106 |
106 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
45 |
45 |
$1K |
| 72040 |
|
160 |
157 |
$1K |
| 78264 |
|
40 |
40 |
$951.43 |
| 72100 |
|
127 |
127 |
$949.33 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
29 |
$911.50 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
36 |
35 |
$857.01 |
| 73100 |
|
173 |
152 |
$834.14 |
| 71250 |
|
28 |
27 |
$679.43 |
| 93880 |
|
28 |
28 |
$625.62 |
| 73560 |
|
136 |
120 |
$572.21 |
| 77065 |
Tomosynthesis, mammo |
16 |
16 |
$493.41 |
| 73140 |
|
130 |
120 |
$451.01 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$390.68 |
| 76642 |
|
14 |
14 |
$374.36 |
| 73090 |
|
56 |
52 |
$373.32 |
| 93970 |
|
12 |
12 |
$351.97 |
| 72081 |
|
26 |
26 |
$305.95 |
| 76937 |
|
53 |
50 |
$295.64 |
| 73564 |
|
62 |
53 |
$250.74 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$250.65 |
| 76882 |
|
13 |
13 |
$211.10 |
| 72170 |
|
52 |
51 |
$179.80 |
| 73000 |
|
14 |
12 |
$97.74 |
| 73552 |
|
13 |
13 |
$42.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
15 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$0.00 |