| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
5,453 |
4,659 |
$481K |
| 88312 |
|
3,062 |
2,638 |
$129K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
7,362 |
1,749 |
$101K |
| 88313 |
|
3,192 |
2,753 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,056 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
241 |
196 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
160 |
141 |
$13K |
| 74183 |
|
141 |
101 |
$13K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
271 |
196 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
441 |
115 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
223 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
112 |
105 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
46 |
37 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
49 |
24 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$621.01 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$223.37 |
| 82570 |
|
434 |
370 |
$172.59 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
336 |
291 |
$171.38 |
| 81025 |
|
28 |
24 |
$78.47 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
160 |
122 |
$20.82 |