| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14,578 |
13,595 |
$888K |
| 71045 |
Radiologic examination, chest; single view |
64,417 |
25,470 |
$302K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,644 |
5,096 |
$263K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
5,693 |
4,643 |
$217K |
| 88307 |
|
2,404 |
2,263 |
$209K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,105 |
6,192 |
$170K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,399 |
2,266 |
$152K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
3,445 |
3,229 |
$145K |
| 74018 |
|
24,989 |
11,226 |
$121K |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
3,314 |
2,659 |
$98K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,928 |
1,803 |
$82K |
| 71046 |
Radiologic examination, chest; 2 views |
12,976 |
11,709 |
$80K |
| 99215 |
Prolong outpt/office vis |
698 |
399 |
$70K |
| 93320 |
|
6,274 |
4,884 |
$68K |
| 99233 |
Prolong inpt eval add15 m |
928 |
264 |
$62K |
| 76770 |
|
2,565 |
2,441 |
$56K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,160 |
1,088 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
843 |
662 |
$55K |
| 88342 |
|
1,493 |
1,374 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,242 |
1,081 |
$48K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,673 |
2,436 |
$46K |
| 76825 |
|
768 |
702 |
$39K |
| 85390 |
|
1,207 |
1,117 |
$36K |
| 71250 |
|
1,254 |
1,111 |
$35K |
| 88341 |
|
407 |
375 |
$30K |
| 85060 |
|
1,656 |
1,460 |
$28K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,622 |
4,266 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
798 |
744 |
$25K |
| 88173 |
|
258 |
241 |
$22K |
| 93975 |
|
642 |
505 |
$22K |
| 78816 |
|
271 |
262 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
342 |
$17K |
| 93325 |
|
8,564 |
6,816 |
$17K |
| 88313 |
|
500 |
454 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
359 |
151 |
$15K |
| 76506 |
|
805 |
570 |
$15K |
| 76827 |
|
769 |
703 |
$14K |
| 88112 |
|
622 |
574 |
$13K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
114 |
39 |
$13K |
| 88291 |
|
464 |
422 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
442 |
415 |
$11K |
| 93970 |
|
582 |
458 |
$11K |
| 88350 |
|
74 |
67 |
$10K |
| 93971 |
|
843 |
697 |
$10K |
| 88189 |
|
150 |
137 |
$10K |
| 74019 |
|
1,397 |
1,205 |
$9K |
| 88108 |
|
487 |
439 |
$8K |
| 84165 |
|
483 |
467 |
$7K |
| 88304 |
|
513 |
506 |
$6K |
| 88368 |
|
175 |
143 |
$5K |
| 99152 |
|
901 |
794 |
$5K |
| 88348 |
|
69 |
66 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
105 |
37 |
$3K |
| 88312 |
|
118 |
103 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
26 |
$2K |
| 99417 |
Prolong home eval add 15m |
44 |
25 |
$2K |
| 86334 |
|
163 |
152 |
$2K |
| 77072 |
|
382 |
376 |
$2K |
| 88172 |
|
58 |
52 |
$2K |
| 99464 |
|
48 |
46 |
$2K |
| 70491 |
|
56 |
51 |
$2K |
| 88346 |
|
72 |
67 |
$2K |
| 76937 |
|
271 |
220 |
$2K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
70 |
$2K |
| 74174 |
|
33 |
28 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
49 |
42 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$1K |
| 70496 |
|
29 |
26 |
$1K |
| 76801 |
|
41 |
39 |
$1K |
| 74183 |
|
24 |
24 |
$1K |
| 70498 |
|
26 |
25 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
38 |
$1K |
| 92134 |
|
45 |
43 |
$908.38 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
27 |
$843.46 |
| 73630 |
|
154 |
139 |
$830.22 |
| 88311 |
|
68 |
66 |
$810.90 |
| 73610 |
|
120 |
115 |
$791.11 |
| 88188 |
|
12 |
12 |
$659.27 |
| 74230 |
|
37 |
32 |
$659.14 |
| 76830 |
Ultrasound, transvaginal |
29 |
25 |
$645.80 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
18 |
17 |
$606.11 |
| 88369 |
|
15 |
12 |
$603.79 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$384.97 |
| 73560 |
|
65 |
50 |
$331.26 |
| 93976 |
|
12 |
12 |
$323.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$304.70 |
| 88302 |
|
36 |
34 |
$289.50 |
| 93925 |
|
15 |
12 |
$260.15 |
| 88300 |
|
37 |
37 |
$127.53 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
65 |
63 |
$91.95 |
| 73562 |
|
14 |
13 |
$90.00 |
| 73590 |
|
13 |
12 |
$69.75 |
| 73030 |
|
13 |
12 |
$51.20 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
764 |
467 |
$0.00 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
871 |
670 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
56 |
56 |
$0.00 |