| Code | Description | Claims | Beneficiaries | Total Paid |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
215,044 |
212,706 |
$28.22M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
117,186 |
115,910 |
$8.73M |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
29,513 |
29,013 |
$4.92M |
| 81220 |
CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants |
3,344 |
3,339 |
$2.08M |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13,579 |
12,855 |
$1.48M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,019 |
9,847 |
$984K |
| 71045 |
Radiologic examination, chest; single view |
100,512 |
58,600 |
$830K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
16,068 |
16,022 |
$589K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,351 |
3,293 |
$571K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,291 |
14,107 |
$571K |
| 88307 |
|
4,734 |
4,632 |
$492K |
| 71046 |
Radiologic examination, chest; 2 views |
40,870 |
39,786 |
$451K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
10,724 |
10,716 |
$439K |
| 81329 |
|
3,595 |
3,559 |
$388K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
186 |
184 |
$369K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
8,057 |
7,771 |
$323K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
11,083 |
11,073 |
$303K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
6,275 |
6,269 |
$225K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
6,271 |
6,266 |
$224K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
1,278 |
1,205 |
$220K |
| 74018 |
|
24,281 |
12,847 |
$204K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
4,735 |
4,656 |
$195K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,211 |
5,209 |
$167K |
| 76770 |
|
3,997 |
3,920 |
$153K |
| 81243 |
|
3,682 |
3,665 |
$152K |
| 88342 |
|
2,696 |
2,535 |
$137K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,069 |
2,013 |
$123K |
| 83020 |
|
5,178 |
5,155 |
$102K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
2,500 |
2,499 |
$87K |
| 71250 |
|
1,486 |
1,432 |
$79K |
| 76641 |
|
1,179 |
1,096 |
$67K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
796 |
777 |
$65K |
| 88341 |
|
579 |
529 |
$61K |
| 72082 |
|
2,685 |
2,652 |
$49K |
| 84165 |
|
2,844 |
2,606 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
454 |
451 |
$43K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,794 |
1,718 |
$43K |
| 76642 |
|
1,077 |
1,018 |
$43K |
| 88141 |
|
1,385 |
1,385 |
$39K |
| 86334 |
|
2,217 |
2,021 |
$39K |
| 93970 |
|
1,057 |
952 |
$35K |
| 88112 |
|
1,001 |
938 |
$33K |
| 76506 |
|
852 |
640 |
$28K |
| 74183 |
|
234 |
232 |
$26K |
| 77072 |
|
2,182 |
2,178 |
$24K |
| 88142 |
|
1,014 |
1,014 |
$21K |
| 84166 |
|
1,212 |
1,105 |
$20K |
| 93971 |
|
1,026 |
915 |
$20K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
217 |
215 |
$19K |
| 88304 |
|
1,152 |
1,131 |
$18K |
| 88313 |
|
251 |
220 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
435 |
427 |
$17K |
| 73610 |
|
1,853 |
1,716 |
$16K |
| 93975 |
|
235 |
205 |
$14K |
| 70486 |
|
193 |
192 |
$13K |
| 86335 |
|
688 |
622 |
$12K |
| 76830 |
Ultrasound, transvaginal |
327 |
318 |
$12K |
| 73630 |
|
1,487 |
1,349 |
$11K |
| 81229 |
|
12 |
12 |
$11K |
| 73564 |
|
804 |
616 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
301 |
292 |
$10K |
| 73030 |
|
1,104 |
1,029 |
$10K |
| 73110 |
|
1,103 |
954 |
$10K |
| 77065 |
Tomosynthesis, mammo |
221 |
218 |
$10K |
| 88185 |
|
13 |
12 |
$10K |
| 88173 |
|
63 |
53 |
$10K |
| 88312 |
|
178 |
172 |
$9K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
30 |
30 |
$9K |
| 76536 |
|
263 |
254 |
$7K |
| 73560 |
|
856 |
795 |
$7K |
| 73130 |
|
870 |
773 |
$7K |
| 88346 |
|
177 |
160 |
$6K |
| 88189 |
|
59 |
55 |
$5K |
| 81401 |
|
51 |
49 |
$5K |
| 88360 |
|
38 |
32 |
$5K |
| 70552 |
|
37 |
37 |
$5K |
| 73562 |
|
503 |
467 |
$4K |
| 73590 |
|
547 |
478 |
$4K |
| 75574 |
|
42 |
39 |
$4K |
| 81265 |
|
13 |
12 |
$4K |
| 10060 |
|
39 |
39 |
$4K |
| 73080 |
|
421 |
352 |
$4K |
| 72100 |
|
364 |
362 |
$4K |
| 74019 |
|
343 |
309 |
$4K |
| 72197 |
|
30 |
30 |
$4K |
| 86077 |
|
57 |
42 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
85 |
77 |
$3K |
| 73523 |
|
160 |
160 |
$3K |
| 70498 |
|
41 |
40 |
$3K |
| 70496 |
|
43 |
41 |
$3K |
| 76870 |
|
81 |
80 |
$2K |
| 88331 |
|
15 |
15 |
$2K |
| 88302 |
|
160 |
159 |
$2K |
| 73502 |
|
149 |
142 |
$2K |
| 76882 |
|
57 |
53 |
$2K |
| 74230 |
|
55 |
54 |
$2K |
| 88311 |
|
95 |
93 |
$2K |
| 73090 |
|
186 |
166 |
$2K |
| 74178 |
|
12 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 76140 |
|
33 |
33 |
$1K |
| 77066 |
Tomosynthesis, mammo |
19 |
19 |
$1K |
| 73140 |
|
147 |
137 |
$941.85 |
| 88184 |
|
12 |
12 |
$865.10 |
| 88300 |
|
158 |
156 |
$836.93 |
| 72110 |
|
54 |
54 |
$831.71 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
38 |
38 |
$822.17 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$792.02 |
| 93976 |
|
18 |
12 |
$785.10 |
| 12001 |
|
12 |
12 |
$784.32 |
| 88344 |
|
16 |
15 |
$693.18 |
| 76885 |
|
14 |
12 |
$586.30 |
| 73521 |
|
42 |
42 |
$573.05 |
| 76857 |
|
30 |
29 |
$541.53 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$524.84 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
12 |
$481.28 |
| 93308 |
|
20 |
18 |
$435.97 |
| 99281 |
Emergency department visit for the evaluation and management, self-limited or minor |
20 |
19 |
$357.09 |
| 77073 |
|
24 |
24 |
$344.12 |
| 73620 |
|
46 |
38 |
$289.89 |
| 76604 |
|
27 |
27 |
$258.49 |
| 72170 |
|
26 |
26 |
$219.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,426 |
457 |
$152.71 |
| 71101 |
|
12 |
12 |
$146.63 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
17 |
17 |
$143.65 |
| 73120 |
|
12 |
12 |
$112.89 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$35.23 |
| 82962 |
|
12 |
12 |
$34.16 |
| 3341F |
|
1,029 |
1,029 |
$0.00 |
| 7025F |
|
1,776 |
1,775 |
$0.00 |
| 99429 |
|
988 |
729 |
$0.00 |
| 3100F |
|
12 |
12 |
$0.00 |
| 3340F |
|
67 |
67 |
$0.00 |
| 3342F |
|
355 |
355 |
$0.00 |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
110 |
101 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
92 |
86 |
$0.00 |
| 99080 |
|
2,596 |
1,057 |
$0.00 |