| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
549 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
900 |
766 |
$35K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
75 |
70 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
46 |
43 |
$5K |
| 73564 |
|
326 |
284 |
$4K |
| 73110 |
|
295 |
234 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 73630 |
|
244 |
213 |
$2K |
| 73610 |
|
159 |
132 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
43 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
152 |
150 |
$2K |
| 73030 |
|
158 |
149 |
$1K |
| 73130 |
|
117 |
97 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 76770 |
|
25 |
24 |
$588.84 |
| 90686 |
|
20 |
18 |
$281.43 |
| 73502 |
|
18 |
17 |
$151.20 |
| 72100 |
|
12 |
12 |
$144.37 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
51 |
50 |
$68.93 |