| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
419 |
358 |
$74K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
33 |
27 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
37 |
$5K |
| 72141 |
|
16 |
15 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
46 |
39 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
277 |
248 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
609 |
587 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
261 |
$608.42 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$593.40 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
15 |
$331.40 |
| 74018 |
|
13 |
13 |
$97.63 |
| 96127 |
|
116 |
115 |
$32.42 |
| 1101F |
|
105 |
103 |
$0.00 |
| 1036F |
|
704 |
672 |
$0.00 |
| G8433 |
Screening for depression not completed, documented patient or medical reason |
60 |
59 |
$0.00 |
| G9637 |
Final reports with 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) |
48 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,002 |
949 |
$0.00 |
| 4004F |
|
220 |
207 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
166 |
160 |
$0.00 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
32 |
32 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
26 |
25 |
$0.00 |