| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,714 |
1,529 |
$178K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,037 |
1,786 |
$108K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
729 |
637 |
$78K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
389 |
285 |
$72K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
652 |
469 |
$70K |
| 71045 |
Radiologic examination, chest; single view |
9,294 |
7,214 |
$62K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
506 |
396 |
$53K |
| 99070 |
|
1,837 |
1,474 |
$42K |
| 99221 |
|
628 |
384 |
$42K |
| 93000 |
|
1,410 |
1,025 |
$41K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,666 |
1,378 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,077 |
875 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,491 |
3,139 |
$26K |
| 99156 |
|
328 |
297 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
447 |
397 |
$13K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
488 |
417 |
$12K |
| 72100 |
|
1,360 |
1,229 |
$12K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
78 |
45 |
$8K |
| 76641 |
|
161 |
118 |
$8K |
| 99241 |
|
287 |
263 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
344 |
280 |
$7K |
| 74018 |
|
793 |
702 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
65 |
58 |
$5K |
| 72040 |
|
385 |
362 |
$3K |
| 74178 |
|
20 |
12 |
$2K |
| 73560 |
|
232 |
218 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
51 |
48 |
$1K |
| 73030 |
|
134 |
124 |
$1K |
| 76830 |
Ultrasound, transvaginal |
38 |
38 |
$969.08 |
| 72170 |
|
190 |
172 |
$953.68 |
| 73620 |
|
108 |
90 |
$612.50 |
| 73590 |
|
62 |
58 |
$428.34 |
| 73630 |
|
55 |
53 |
$357.08 |
| 74019 |
|
25 |
24 |
$169.62 |
| 73120 |
|
29 |
26 |
$160.86 |
| 73600 |
|
20 |
13 |
$132.48 |
| 70250 |
|
14 |
14 |
$131.18 |
| 73610 |
|
13 |
13 |
$95.33 |
| 73090 |
|
13 |
13 |
$93.60 |
| 71010 |
|
13 |
13 |
$0.00 |