| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
6,233 |
4,446 |
$637K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,933 |
2,046 |
$132K |
| 71045 |
Radiologic examination, chest; single view |
11,872 |
7,686 |
$84K |
| 71046 |
Radiologic examination, chest; 2 views |
8,993 |
6,728 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
963 |
797 |
$71K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
705 |
395 |
$63K |
| 74018 |
|
6,834 |
4,013 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
411 |
342 |
$37K |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
325 |
71 |
$35K |
| 72100 |
|
3,350 |
2,437 |
$32K |
| 76770 |
|
305 |
254 |
$27K |
| 76872 |
|
227 |
179 |
$26K |
| 76641 |
|
458 |
228 |
$26K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
677 |
402 |
$23K |
| 74178 |
|
192 |
102 |
$22K |
| 72040 |
|
1,162 |
878 |
$10K |
| 50590 |
|
12 |
12 |
$7K |
| 77066 |
Tomosynthesis, mammo |
173 |
108 |
$6K |
| 72170 |
|
700 |
390 |
$5K |
| 76830 |
Ultrasound, transvaginal |
155 |
94 |
$5K |
| 73562 |
|
131 |
69 |
$5K |
| 51741 |
|
128 |
117 |
$5K |
| 73565 |
|
348 |
183 |
$4K |
| 76857 |
|
93 |
87 |
$4K |
| 73560 |
|
477 |
319 |
$4K |
| 76870 |
|
44 |
32 |
$3K |
| 73030 |
|
301 |
237 |
$3K |
| 93970 |
|
38 |
25 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
68 |
31 |
$2K |
| 90461 |
|
155 |
155 |
$2K |
| 76000 |
|
392 |
275 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
262 |
257 |
$2K |
| 77080 |
|
62 |
49 |
$864.59 |
| 73620 |
|
120 |
113 |
$767.09 |
| 74019 |
|
74 |
65 |
$698.97 |
| 73120 |
|
60 |
55 |
$388.00 |
| 73590 |
|
27 |
24 |
$203.96 |
| 73600 |
|
28 |
26 |
$176.17 |
| 73090 |
|
14 |
13 |
$108.00 |
| 90670 |
|
46 |
44 |
$0.00 |
| 90655 |
|
35 |
35 |
$0.00 |
| 90707 |
|
15 |
15 |
$0.00 |
| 90656 |
|
64 |
64 |
$0.00 |
| 90716 |
|
56 |
56 |
$0.00 |
| 90647 |
|
16 |
16 |
$0.00 |