| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,984 |
1,767 |
$74K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
3,148 |
1,190 |
$71K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,691 |
2,475 |
$59K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,251 |
2,819 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,511 |
2,317 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
7,870 |
7,123 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
9,192 |
7,804 |
$37K |
| 99223 |
Prolong inpt eval add15 m |
394 |
273 |
$16K |
| 76000 |
|
2,425 |
2,178 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
338 |
148 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
229 |
207 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
531 |
497 |
$9K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
113 |
103 |
$7K |
| 72110 |
|
827 |
769 |
$7K |
| 99222 |
Initial hospital care, per day, moderate complexity |
107 |
95 |
$6K |
| 74018 |
|
1,064 |
977 |
$6K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
141 |
131 |
$5K |
| 73630 |
|
832 |
749 |
$4K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
137 |
108 |
$4K |
| 73562 |
|
589 |
543 |
$3K |
| 73610 |
|
317 |
291 |
$2K |
| 73030 |
|
309 |
287 |
$2K |
| 76775 |
|
130 |
122 |
$2K |
| 99220 |
|
48 |
38 |
$1K |
| 73502 |
|
156 |
137 |
$792.10 |
| 73130 |
|
114 |
100 |
$615.07 |
| 76536 |
|
28 |
26 |
$555.70 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$498.08 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$353.20 |
| 76641 |
|
14 |
12 |
$333.09 |
| 73110 |
|
58 |
55 |
$331.02 |
| 77080 |
|
30 |
28 |
$155.14 |
| 99217 |
|
53 |
37 |
$119.80 |
| 73090 |
|
13 |
12 |
$61.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
20 |
17 |
$0.00 |
| 93971 |
|
13 |
13 |
$0.00 |
| 76830 |
Ultrasound, transvaginal |
20 |
17 |
$0.00 |