| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,535 |
1,522 |
$103K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,312 |
1,400 |
$101K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,143 |
2,067 |
$58K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
1,273 |
1,252 |
$56K |
| 99233 |
Prolong inpt eval add15 m |
1,311 |
570 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
6,648 |
5,703 |
$42K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
510 |
287 |
$40K |
| 99223 |
Prolong inpt eval add15 m |
557 |
553 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,055 |
1,020 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
289 |
286 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
622 |
619 |
$12K |
| 99222 |
Initial hospital care, per day, moderate complexity |
192 |
191 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
480 |
470 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
357 |
357 |
$10K |
| 76830 |
Ultrasound, transvaginal |
533 |
530 |
$10K |
| 93975 |
|
112 |
112 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,103 |
1,068 |
$9K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
49 |
42 |
$7K |
| 76642 |
|
214 |
200 |
$6K |
| 93971 |
|
401 |
397 |
$5K |
| 01400 |
|
37 |
37 |
$5K |
| 01961 |
|
17 |
16 |
$5K |
| 93976 |
|
129 |
129 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
113 |
112 |
$3K |
| 93970 |
|
94 |
89 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
89 |
88 |
$3K |
| 73630 |
|
354 |
322 |
$2K |
| 77066 |
Tomosynthesis, mammo |
50 |
50 |
$2K |
| 01830 |
|
17 |
17 |
$2K |
| 74018 |
|
292 |
259 |
$2K |
| 73030 |
|
151 |
148 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
37 |
36 |
$1K |
| 76770 |
|
43 |
43 |
$954.54 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$951.04 |
| 73564 |
|
127 |
118 |
$873.69 |
| 73130 |
|
128 |
115 |
$836.83 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
31 |
31 |
$727.28 |
| 70496 |
|
12 |
12 |
$722.23 |
| 70498 |
|
12 |
12 |
$549.67 |
| 73610 |
|
78 |
76 |
$489.82 |
| 72110 |
|
37 |
37 |
$415.06 |
| 77062 |
|
14 |
14 |
$355.45 |
| 73502 |
|
28 |
28 |
$239.99 |
| 74022 |
|
12 |
12 |
$127.98 |
| 73562 |
|
15 |
15 |
$87.77 |
| 73110 |
|
13 |
12 |
$65.13 |
| 73590 |
|
12 |
12 |
$64.80 |
| 76000 |
|
13 |
13 |
$54.70 |
| 73560 |
|
15 |
14 |
$52.30 |