| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
11,062 |
9,573 |
$654K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,447 |
2,300 |
$216K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,485 |
5,616 |
$186K |
| 71045 |
Radiologic examination, chest; single view |
22,989 |
18,481 |
$134K |
| 71046 |
Radiologic examination, chest; 2 views |
16,484 |
15,075 |
$118K |
| 76641 |
|
1,832 |
1,530 |
$67K |
| 77066 |
Tomosynthesis, mammo |
915 |
849 |
$45K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,659 |
1,501 |
$39K |
| 76830 |
Ultrasound, transvaginal |
1,121 |
1,048 |
$26K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
618 |
588 |
$22K |
| 74018 |
|
2,640 |
2,308 |
$13K |
| 72100 |
|
1,538 |
1,408 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
199 |
194 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
258 |
220 |
$8K |
| 73560 |
|
1,033 |
891 |
$5K |
| 76536 |
|
295 |
261 |
$5K |
| 70496 |
|
123 |
74 |
$4K |
| 77065 |
Tomosynthesis, mammo |
146 |
130 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
183 |
175 |
$4K |
| 72040 |
|
412 |
372 |
$3K |
| 74178 |
|
28 |
26 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
99 |
83 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
97 |
80 |
$2K |
| 70498 |
|
54 |
48 |
$2K |
| 93971 |
|
14 |
12 |
$691.60 |
| 76770 |
|
39 |
27 |
$646.10 |
| 73030 |
|
88 |
76 |
$523.36 |
| 73100 |
|
75 |
67 |
$409.38 |
| 73620 |
|
82 |
69 |
$390.72 |
| 93880 |
|
12 |
12 |
$315.02 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
13 |
$283.66 |
| 73600 |
|
29 |
29 |
$225.72 |
| 70544 |
|
17 |
15 |
$199.03 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
21 |
17 |
$0.00 |