| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 36465 |
|
831 |
709 |
$284K |
| 37229 |
|
208 |
180 |
$87K |
| 37225 |
|
106 |
91 |
$42K |
| 93970 |
|
1,693 |
1,669 |
$41K |
| 36247 |
|
120 |
97 |
$33K |
| 93923 |
|
809 |
795 |
$33K |
| 37252 |
|
439 |
371 |
$31K |
| 93925 |
|
980 |
972 |
$28K |
| 93971 |
|
542 |
501 |
$15K |
| 93975 |
|
63 |
63 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
89 |
87 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
693 |
666 |
$5K |
| 37233 |
|
122 |
100 |
$4K |
| 37253 |
|
443 |
371 |
$4K |
| 75716 |
|
114 |
100 |
$4K |
| 75625 |
|
97 |
83 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
56 |
44 |
$3K |
| 76937 |
|
669 |
561 |
$3K |
| 36482 |
|
171 |
145 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
248 |
170 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
13 |
$973.57 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$863.02 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
74 |
71 |
$728.19 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$606.48 |
| 75710 |
|
48 |
45 |
$558.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
34 |
$411.45 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
33 |
$377.78 |
| 99304 |
|
12 |
12 |
$280.40 |
| 99307 |
|
43 |
42 |
$247.16 |
| 99306 |
Prolong nursin fac eval 15m |
29 |
29 |
$223.00 |
| 72100 |
|
13 |
12 |
$150.73 |