| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
1,476 |
599 |
$54K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
517 |
174 |
$42K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
755 |
409 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
598 |
530 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
338 |
286 |
$11K |
| 99222 |
Initial hospital care, per day, moderate complexity |
101 |
93 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
3,782 |
3,315 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
300 |
$9K |
| 99221 |
|
320 |
300 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
290 |
180 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
97 |
$2K |
| 99497 |
|
67 |
55 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
16 |
12 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
364 |
309 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
333 |
316 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
102 |
100 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
24 |
$847.91 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
76 |
$766.98 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
28 |
$634.50 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
27 |
$604.28 |
| 99251 |
|
15 |
15 |
$512.58 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
13 |
$487.27 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$249.12 |
| 73630 |
|
66 |
53 |
$230.28 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$196.20 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$111.73 |
| 73610 |
|
15 |
13 |
$59.76 |
| 73030 |
|
18 |
15 |
$50.66 |
| 73130 |
|
12 |
12 |
$47.16 |
| 77080 |
|
13 |
12 |
$40.33 |