| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,000 |
7,407 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,308 |
6,319 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,068 |
1,685 |
$68K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,059 |
1,675 |
$57K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,310 |
1,714 |
$47K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
10,239 |
7,089 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,239 |
987 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,340 |
1,844 |
$26K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
504 |
412 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
8,281 |
5,833 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
849 |
660 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,594 |
1,397 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
566 |
417 |
$12K |
| 99215 |
Prolong outpt/office vis |
296 |
238 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
465 |
387 |
$8K |
| 92134 |
|
1,313 |
772 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
149 |
124 |
$6K |
| 71250 |
|
339 |
278 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
376 |
306 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
158 |
146 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,158 |
1,000 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
233 |
$4K |
| 76830 |
Ultrasound, transvaginal |
180 |
153 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
209 |
162 |
$3K |
| 73630 |
|
733 |
526 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
292 |
235 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
135 |
$2K |
| 73130 |
|
427 |
342 |
$2K |
| 93970 |
|
182 |
143 |
$2K |
| 76641 |
|
107 |
92 |
$2K |
| 81003 |
|
1,827 |
1,388 |
$1K |
| 93971 |
|
171 |
139 |
$1K |
| 92133 |
|
153 |
114 |
$1K |
| 92015 |
Determination of refractive state |
144 |
113 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
30 |
12 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
44 |
37 |
$919.93 |
| 73564 |
|
219 |
174 |
$887.55 |
| 92083 |
|
113 |
93 |
$881.85 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$762.51 |
| 74019 |
|
201 |
138 |
$742.33 |
| 73610 |
|
155 |
126 |
$580.92 |
| 73030 |
|
185 |
125 |
$496.17 |
| 96127 |
|
250 |
193 |
$488.14 |
| 72100 |
|
146 |
119 |
$486.32 |
| 43235 |
|
18 |
13 |
$483.07 |
| 11721 |
|
77 |
57 |
$454.91 |
| 92250 |
|
322 |
118 |
$440.77 |
| 76801 |
|
18 |
14 |
$402.93 |
| 70486 |
|
13 |
12 |
$346.50 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$324.88 |
| 20610 |
|
13 |
13 |
$305.30 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
18 |
12 |
$220.74 |
| 71271 |
|
23 |
14 |
$208.45 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
13 |
12 |
$194.77 |
| 93976 |
|
15 |
14 |
$189.26 |
| 73120 |
|
35 |
24 |
$178.25 |
| 3074F |
|
158 |
125 |
$130.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
47 |
36 |
$115.20 |
| 3077F |
|
85 |
73 |
$90.00 |
| 11719 |
|
92 |
57 |
$60.53 |
| 3080F |
|
100 |
74 |
$50.00 |
| 3078F |
|
66 |
51 |
$40.00 |
| 3008F |
|
18 |
15 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
212 |
128 |
$0.00 |