| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,440 |
2,250 |
$87K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,903 |
1,802 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,555 |
1,475 |
$49K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
11,809 |
10,101 |
$46K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,127 |
483 |
$27K |
| 97597 |
|
1,670 |
677 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
841 |
795 |
$20K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
462 |
435 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
6,013 |
5,110 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
362 |
338 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
351 |
328 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,714 |
2,577 |
$18K |
| 73562 |
|
820 |
729 |
$5K |
| 72100 |
|
649 |
619 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
241 |
227 |
$5K |
| T1015 |
Clinic visit/encounter, all-inclusive |
55 |
45 |
$5K |
| 73630 |
|
775 |
692 |
$5K |
| 99219 |
|
111 |
94 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
318 |
308 |
$4K |
| 74018 |
|
671 |
613 |
$4K |
| 76830 |
Ultrasound, transvaginal |
129 |
124 |
$3K |
| 71250 |
|
74 |
71 |
$3K |
| 73130 |
|
424 |
369 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
262 |
137 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
123 |
121 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
92 |
$2K |
| 73030 |
|
317 |
287 |
$2K |
| 73610 |
|
311 |
288 |
$2K |
| 74019 |
|
243 |
232 |
$2K |
| 99460 |
|
39 |
39 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
86 |
63 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
29 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
32 |
$980.07 |
| 99462 |
|
44 |
39 |
$789.43 |
| 99218 |
|
26 |
26 |
$740.86 |
| 70486 |
|
18 |
14 |
$700.74 |
| 72040 |
|
78 |
75 |
$606.32 |
| 99221 |
|
12 |
12 |
$362.62 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$359.34 |
| 73502 |
|
26 |
26 |
$235.73 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
39 |
$232.54 |
| 73110 |
|
27 |
25 |
$178.22 |
| 94010 |
|
14 |
13 |
$86.49 |
| 73590 |
|
13 |
13 |
$60.31 |
| 72020 |
|
13 |
12 |
$48.96 |
| 99421 |
|
79 |
36 |
$26.25 |
| 99217 |
|
245 |
212 |
$13.90 |
| Q3014 |
Telehealth originating site facility fee |
31 |
13 |
$0.00 |