| Code | Description | Claims | Beneficiaries | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,962 |
2,736 |
$350K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
2,911 |
2,620 |
$176K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
2,914 |
2,504 |
$127K |
| 71045 |
Radiologic examination, chest; single view |
18,932 |
9,194 |
$104K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,157 |
1,034 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,069 |
2,467 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,724 |
3,114 |
$92K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,810 |
3,196 |
$88K |
| 70496 |
|
1,212 |
1,020 |
$52K |
| 88307 |
|
844 |
737 |
$50K |
| 74018 |
|
7,322 |
3,559 |
$44K |
| 70498 |
|
1,047 |
887 |
$43K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
621 |
534 |
$37K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
450 |
427 |
$35K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
360 |
298 |
$30K |
| 76770 |
|
1,008 |
978 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
512 |
480 |
$29K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,030 |
338 |
$27K |
| 99245 |
|
237 |
183 |
$26K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
546 |
496 |
$26K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
975 |
792 |
$23K |
| 76813 |
|
296 |
276 |
$23K |
| 76506 |
|
707 |
591 |
$17K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
405 |
328 |
$17K |
| 99243 |
|
193 |
171 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
424 |
373 |
$13K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
335 |
330 |
$13K |
| 88321 |
|
378 |
325 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,446 |
1,369 |
$12K |
| 88112 |
|
305 |
264 |
$12K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
169 |
167 |
$10K |
| 70491 |
|
245 |
230 |
$10K |
| 88304 |
|
1,261 |
1,153 |
$10K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
96 |
92 |
$9K |
| 99215 |
Prolong outpt/office vis |
267 |
256 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
198 |
190 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
256 |
229 |
$8K |
| 71250 |
|
220 |
193 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
160 |
138 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
24 |
$5K |
| 92015 |
Determination of refractive state |
967 |
618 |
$4K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
97 |
71 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
277 |
273 |
$4K |
| 99233 |
Prolong inpt eval add15 m |
132 |
38 |
$4K |
| 93295 |
|
584 |
579 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
267 |
263 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
45 |
$3K |
| 80305 |
|
375 |
229 |
$3K |
| 88300 |
|
897 |
876 |
$3K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
405 |
350 |
$3K |
| 88342 |
|
112 |
96 |
$2K |
| 96101 |
|
29 |
26 |
$2K |
| 92567 |
|
293 |
220 |
$2K |
| 90832 |
Psychotherapy, 30 minutes with patient |
59 |
38 |
$2K |
| 99173 |
|
76 |
75 |
$2K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
318 |
198 |
$2K |
| 88141 |
|
144 |
132 |
$2K |
| 99152 |
|
278 |
237 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
33 |
$2K |
| 99242 |
|
33 |
29 |
$2K |
| 73562 |
|
130 |
93 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
38 |
31 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
60 |
$1K |
| 73130 |
|
133 |
110 |
$1K |
| 59025 |
Fetal non-stress test |
56 |
15 |
$1K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
21 |
13 |
$1K |
| 73630 |
|
157 |
127 |
$1K |
| 73610 |
|
152 |
124 |
$1K |
| 72158 |
|
13 |
13 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
303 |
176 |
$1K |
| H0049 |
Alcohol and/or drug screening |
79 |
53 |
$1K |
| 73030 |
|
99 |
84 |
$935.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
147 |
145 |
$886.49 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
19 |
19 |
$878.86 |
| 76801 |
|
29 |
24 |
$868.66 |
| 76820 |
|
15 |
15 |
$820.17 |
| 72100 |
|
81 |
74 |
$815.22 |
| 88331 |
|
14 |
12 |
$690.67 |
| 88173 |
|
13 |
12 |
$685.07 |
| 95816 |
|
17 |
17 |
$639.67 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
64 |
26 |
$628.20 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
146 |
$603.66 |
| 92552 |
|
98 |
74 |
$588.24 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
26 |
$587.72 |
| 92588 |
|
17 |
13 |
$540.45 |
| 70486 |
|
14 |
12 |
$511.50 |
| 62328 |
|
12 |
12 |
$492.12 |
| 88108 |
|
22 |
19 |
$476.63 |
| 73110 |
|
61 |
52 |
$464.03 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$451.18 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$400.77 |
| 92551 |
|
71 |
69 |
$374.11 |
| 88312 |
|
16 |
16 |
$362.26 |
| 72040 |
|
44 |
38 |
$342.76 |
| 93298 |
|
32 |
31 |
$304.84 |
| 99051 |
|
68 |
65 |
$302.94 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$293.08 |
| 93970 |
|
22 |
16 |
$281.91 |
| 92555 |
|
49 |
39 |
$265.86 |
| 73590 |
|
52 |
41 |
$265.32 |
| 90670 |
|
90 |
89 |
$255.03 |
| 99417 |
Prolong home eval add 15m |
15 |
12 |
$254.37 |
| 92557 |
|
19 |
16 |
$239.67 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
16 |
12 |
$232.06 |
| 73560 |
|
41 |
28 |
$218.88 |
| 95117 |
|
25 |
19 |
$214.44 |
| D0473 |
|
27 |
25 |
$185.43 |
| 73552 |
|
32 |
25 |
$182.39 |
| 73120 |
|
26 |
13 |
$177.60 |
| 73100 |
|
26 |
13 |
$177.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$171.72 |
| 93294 |
|
12 |
12 |
$150.51 |
| 81003 |
|
384 |
332 |
$127.76 |
| 73080 |
|
17 |
14 |
$112.98 |
| 95251 |
|
56 |
26 |
$93.70 |
| G0145 |
Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision |
12 |
12 |
$83.22 |
| 81002 |
|
152 |
76 |
$73.91 |
| 51798 |
|
12 |
12 |
$69.56 |
| 81025 |
|
22 |
15 |
$61.78 |
| 88302 |
|
16 |
14 |
$54.65 |
| 96127 |
|
23 |
22 |
$23.97 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
79 |
75 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
95 |
92 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 90723 |
|
29 |
28 |
$0.00 |
| 90651 |
|
14 |
13 |
$0.00 |
| 90647 |
|
21 |
21 |
$0.00 |
| 96040 |
|
64 |
56 |
$0.00 |
| 99024 |
|
30 |
15 |
$0.00 |
| 90681 |
|
14 |
14 |
$0.00 |
| D1120 |
Prophylaxis - child |
84 |
81 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 90648 |
|
14 |
13 |
$0.00 |