| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,031 |
3,979 |
$899K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,440 |
3,472 |
$397K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
341 |
301 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
857 |
751 |
$51K |
| 71250 |
|
248 |
214 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
289 |
222 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
63 |
57 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
138 |
86 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
389 |
78 |
$4K |
| 97803 |
|
463 |
345 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
182 |
158 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
149 |
104 |
$2K |
| 93000 |
|
99 |
57 |
$2K |
| 94060 |
|
59 |
56 |
$2K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
112 |
81 |
$2K |
| 0003A |
|
61 |
58 |
$2K |
| 70486 |
|
23 |
12 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
37 |
25 |
$342.52 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$262.00 |