| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
561 |
448 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
205 |
167 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
768 |
366 |
$13K |
| 93886 |
|
114 |
114 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
97 |
83 |
$5K |
| 85097 |
|
148 |
97 |
$4K |
| 92018 |
|
29 |
29 |
$3K |
| 78816 |
|
40 |
32 |
$3K |
| 88106 |
|
273 |
184 |
$2K |
| 85060 |
|
159 |
112 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
34 |
29 |
$1K |
| 88188 |
|
51 |
26 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
15 |
$868.94 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
13 |
$768.16 |
| 92250 |
|
28 |
27 |
$523.17 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
74 |
51 |
$444.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
27 |
$286.12 |
| 71046 |
Radiologic examination, chest; 2 views |
23 |
16 |
$86.68 |