| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,058 |
8,106 |
$571K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,250 |
2,894 |
$277K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,581 |
6,760 |
$242K |
| 71046 |
Radiologic examination, chest; 2 views |
25,148 |
22,508 |
$184K |
| 71045 |
Radiologic examination, chest; single view |
22,861 |
16,549 |
$133K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
4,127 |
853 |
$65K |
| 76641 |
|
2,151 |
1,714 |
$54K |
| 77066 |
Tomosynthesis, mammo |
1,642 |
1,504 |
$51K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,699 |
1,544 |
$45K |
| 76830 |
Ultrasound, transvaginal |
789 |
727 |
$20K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
485 |
466 |
$19K |
| 76536 |
|
930 |
845 |
$18K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
874 |
777 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
603 |
557 |
$15K |
| 99253 |
|
447 |
380 |
$13K |
| 72100 |
|
1,467 |
1,356 |
$12K |
| 99242 |
|
290 |
262 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
322 |
298 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
244 |
49 |
$4K |
| 93971 |
|
115 |
109 |
$3K |
| 73030 |
|
343 |
304 |
$3K |
| 76770 |
|
93 |
74 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
92 |
82 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
462 |
414 |
$2K |
| 72040 |
|
219 |
196 |
$2K |
| 71250 |
|
52 |
44 |
$2K |
| 73560 |
|
274 |
191 |
$2K |
| 74018 |
|
255 |
237 |
$2K |
| 77080 |
|
231 |
199 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
36 |
31 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
91 |
79 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
12 |
12 |
$1K |
| 99233 |
Prolong inpt eval add15 m |
38 |
12 |
$734.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$405.58 |
| 73620 |
|
56 |
51 |
$347.38 |
| 73120 |
|
45 |
43 |
$310.00 |
| 73590 |
|
32 |
31 |
$230.19 |
| 73630 |
|
29 |
28 |
$211.15 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$181.98 |
| 73610 |
|
16 |
15 |
$124.12 |
| 73600 |
|
17 |
17 |
$101.45 |
| 73070 |
|
13 |
12 |
$87.51 |