| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
763 |
761 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
661 |
656 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
317 |
311 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
180 |
178 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
236 |
235 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
29 |
24 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
331 |
330 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
374 |
370 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
72 |
71 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
92 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
34 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
37 |
26 |
$2K |
| 73130 |
|
149 |
135 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
23 |
13 |
$1K |
| 73610 |
|
154 |
145 |
$1K |
| 73630 |
|
149 |
137 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
43 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$680.74 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$607.08 |
| 73562 |
|
53 |
48 |
$506.79 |
| 0072A |
|
13 |
13 |
$504.14 |
| 90480 |
|
12 |
12 |
$486.84 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
19 |
$474.36 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$378.03 |
| 90686 |
|
34 |
34 |
$321.62 |
| 73110 |
|
15 |
13 |
$136.50 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
15 |
$124.29 |
| 73030 |
|
12 |
12 |
$116.76 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
13 |
12 |
$107.64 |
| 90674 |
|
16 |
16 |
$0.00 |