| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
7,320 |
7,273 |
$636K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,655 |
9,441 |
$455K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,929 |
2,921 |
$291K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
353 |
291 |
$213K |
| 59425 |
|
2,956 |
1,893 |
$202K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
2,555 |
1,644 |
$192K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,325 |
5,161 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,037 |
2,025 |
$179K |
| 93000 |
|
2,760 |
2,726 |
$101K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,062 |
996 |
$93K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
335 |
335 |
$88K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
298 |
298 |
$77K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
550 |
550 |
$65K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
3,914 |
3,515 |
$64K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
224 |
224 |
$53K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
503 |
320 |
$51K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
465 |
291 |
$48K |
| Z1034 |
|
861 |
544 |
$47K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
52 |
51 |
$44K |
| 93015 |
|
270 |
270 |
$40K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
880 |
544 |
$39K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
257 |
256 |
$38K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
104 |
102 |
$33K |
| 99215 |
Prolong outpt/office vis |
526 |
525 |
$32K |
| 72110 |
|
566 |
563 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
494 |
494 |
$23K |
| 93970 |
|
268 |
266 |
$23K |
| J2785 |
Injection, regadenoson, 0.1 mg |
105 |
105 |
$21K |
| 72141 |
|
204 |
133 |
$20K |
| 73221 |
|
181 |
119 |
$18K |
| 93458 |
|
55 |
55 |
$16K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
149 |
93 |
$16K |
| 72170 |
|
656 |
649 |
$14K |
| 71271 |
|
119 |
96 |
$14K |
| 76642 |
|
220 |
168 |
$13K |
| 93971 |
|
589 |
579 |
$13K |
| 93017 |
|
169 |
169 |
$12K |
| 99205 |
Prolong outpt/office vis |
114 |
114 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
189 |
187 |
$11K |
| 77066 |
Tomosynthesis, mammo |
189 |
189 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
408 |
384 |
$11K |
| 71250 |
|
215 |
197 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
126 |
114 |
$8K |
| 77065 |
Tomosynthesis, mammo |
88 |
86 |
$7K |
| 99233 |
Prolong inpt eval add15 m |
126 |
96 |
$7K |
| 93016 |
|
175 |
175 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
346 |
345 |
$6K |
| 45385 |
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) |
13 |
13 |
$6K |
| 20610 |
|
215 |
173 |
$6K |
| 99245 |
|
30 |
30 |
$6K |
| 90715 |
|
104 |
91 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
89 |
82 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
401 |
401 |
$5K |
| 99152 |
|
87 |
87 |
$5K |
| 59430 |
|
67 |
67 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
49 |
41 |
$4K |
| 76536 |
|
86 |
86 |
$4K |
| 76830 |
Ultrasound, transvaginal |
57 |
57 |
$3K |
| 72050 |
|
90 |
90 |
$3K |
| 73630 |
|
145 |
138 |
$3K |
| 90686 |
|
88 |
87 |
$3K |
| A9573 |
Injection, gadopiclenol, 1 ml |
77 |
64 |
$3K |
| 73030 |
|
135 |
130 |
$3K |
| 72146 |
|
23 |
14 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
98 |
72 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
64 |
64 |
$2K |
| 77062 |
|
12 |
12 |
$2K |
| 93925 |
|
38 |
38 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
249 |
247 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
42 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
51 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
87 |
$2K |
| 72100 |
|
68 |
68 |
$2K |
| 93922 |
|
51 |
51 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$2K |
| 73562 |
|
78 |
75 |
$1K |
| 77080 |
|
44 |
44 |
$1K |
| 99254 |
|
13 |
13 |
$1K |
| 93880 |
|
14 |
14 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 93296 |
|
29 |
29 |
$1K |
| 73502 |
|
55 |
54 |
$1K |
| 76770 |
|
30 |
30 |
$1K |
| 93295 |
|
13 |
13 |
$1K |
| 82962 |
|
375 |
375 |
$1K |
| 93244 |
|
24 |
24 |
$896.08 |
| 74018 |
|
45 |
45 |
$837.17 |
| 81025 |
|
151 |
145 |
$729.46 |
| 72072 |
|
28 |
28 |
$709.09 |
| 93242 |
|
30 |
29 |
$627.50 |
| 70486 |
|
13 |
13 |
$601.37 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
60 |
60 |
$569.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
95 |
95 |
$560.90 |
| 73130 |
|
33 |
28 |
$550.98 |
| 72131 |
|
13 |
12 |
$401.89 |
| 73610 |
|
14 |
14 |
$359.80 |
| 99221 |
|
13 |
13 |
$343.00 |
| 93246 |
|
12 |
12 |
$227.87 |
| 99223 |
Prolong inpt eval add15 m |
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
12 |
$0.00 |
| 73564 |
|
18 |
14 |
$0.00 |