| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,028 |
4,844 |
$191K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,360 |
4,139 |
$121K |
| 71045 |
Radiologic examination, chest; single view |
16,462 |
15,470 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
6,850 |
6,577 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
743 |
731 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
559 |
545 |
$22K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
529 |
510 |
$15K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,442 |
1,310 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
264 |
252 |
$4K |
| 73630 |
|
889 |
755 |
$4K |
| 70496 |
|
81 |
73 |
$3K |
| 93975 |
|
107 |
106 |
$3K |
| 70498 |
|
69 |
61 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
112 |
107 |
$3K |
| 72110 |
|
414 |
375 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
111 |
$2K |
| 93970 |
|
96 |
89 |
$2K |
| 76830 |
Ultrasound, transvaginal |
66 |
66 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
56 |
54 |
$2K |
| 73564 |
|
242 |
203 |
$2K |
| 73130 |
|
324 |
285 |
$1K |
| 76801 |
|
61 |
61 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
59 |
37 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
64 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
32 |
32 |
$946.70 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$640.53 |
| 72050 |
|
122 |
115 |
$637.77 |
| 73610 |
|
129 |
122 |
$584.41 |
| 73030 |
|
149 |
120 |
$498.85 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$407.96 |
| 72100 |
|
73 |
70 |
$373.91 |
| 93000 |
|
41 |
40 |
$349.87 |
| 77080 |
|
74 |
72 |
$233.20 |
| 93971 |
|
12 |
12 |
$132.00 |
| 73562 |
|
14 |
12 |
$72.00 |
| 73110 |
|
13 |
13 |
$60.00 |
| 73590 |
|
15 |
14 |
$45.94 |
| 73090 |
|
19 |
12 |
$42.04 |
| 77085 |
|
14 |
12 |
$30.40 |