| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
2,373 |
1,724 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,966 |
6,891 |
$64K |
| 0002A |
|
1,715 |
1,673 |
$62K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,336 |
3,805 |
$55K |
| 0001A |
|
1,981 |
1,846 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
773 |
723 |
$50K |
| 76830 |
Ultrasound, transvaginal |
701 |
641 |
$44K |
| 71046 |
Radiologic examination, chest; 2 views |
1,956 |
1,850 |
$36K |
| 72100 |
|
1,581 |
1,512 |
$35K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
568 |
501 |
$33K |
| 0003A |
|
845 |
840 |
$30K |
| 72040 |
|
1,048 |
1,013 |
$25K |
| 76770 |
|
237 |
202 |
$13K |
| 90649 |
|
1,907 |
1,648 |
$12K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
115 |
80 |
$11K |
| 77066 |
Tomosynthesis, mammo |
169 |
103 |
$8K |
| 90686 |
|
2,999 |
2,549 |
$7K |
| 90734 |
|
1,830 |
1,635 |
$7K |
| 76536 |
|
188 |
151 |
$7K |
| 76641 |
|
185 |
129 |
$7K |
| 90670 |
|
1,336 |
1,227 |
$7K |
| 74018 |
|
483 |
452 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
555 |
485 |
$6K |
| 0124A |
|
142 |
141 |
$5K |
| 0072A |
|
129 |
128 |
$5K |
| 0071A |
|
123 |
117 |
$5K |
| 73560 |
|
326 |
285 |
$5K |
| 77080 |
|
303 |
247 |
$5K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
51 |
27 |
$4K |
| 0013A |
|
72 |
72 |
$3K |
| 73030 |
|
122 |
102 |
$2K |
| 90621 |
|
89 |
76 |
$2K |
| 0004A |
|
45 |
40 |
$2K |
| 90474 |
|
290 |
280 |
$2K |
| 90715 |
|
502 |
419 |
$1K |
| 90620 |
|
129 |
98 |
$1K |
| 91320 |
|
17 |
16 |
$1K |
| 90716 |
|
755 |
679 |
$959.25 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$736.62 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
162 |
131 |
$526.28 |
| 0073A |
|
13 |
13 |
$480.00 |
| 0081A |
|
19 |
19 |
$440.00 |
| 90480 |
|
23 |
21 |
$400.00 |
| 70250 |
|
26 |
26 |
$343.33 |
| 90633 |
|
652 |
563 |
$311.09 |
| 73620 |
|
22 |
22 |
$263.56 |
| 90707 |
|
679 |
612 |
$142.92 |
| 90700 |
|
429 |
416 |
$39.80 |
| 90648 |
|
542 |
525 |
$39.27 |
| 90723 |
|
515 |
487 |
$0.29 |
| 90713 |
|
246 |
244 |
$0.19 |
| 90680 |
|
222 |
212 |
$0.05 |
| 90744 |
|
12 |
12 |
$0.03 |
| 90698 |
|
58 |
44 |
$0.02 |
| 90681 |
|
59 |
58 |
$0.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
30 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
12 |
$0.00 |