| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
10,884 |
9,796 |
$479K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,975 |
1,826 |
$334K |
| 71045 |
Radiologic examination, chest; single view |
35,519 |
26,277 |
$202K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,982 |
5,992 |
$155K |
| 70496 |
|
671 |
614 |
$94K |
| 70498 |
|
657 |
603 |
$91K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,377 |
1,284 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
6,908 |
6,282 |
$47K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
622 |
597 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,856 |
1,714 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,498 |
1,400 |
$34K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,062 |
973 |
$32K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
718 |
694 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
737 |
699 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
801 |
746 |
$28K |
| 76801 |
|
631 |
531 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,244 |
1,237 |
$23K |
| 72131 |
|
684 |
623 |
$22K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
472 |
429 |
$20K |
| 76830 |
Ultrasound, transvaginal |
810 |
763 |
$19K |
| 72141 |
|
354 |
346 |
$18K |
| 72128 |
|
495 |
451 |
$15K |
| 70486 |
|
428 |
406 |
$15K |
| 74018 |
|
2,587 |
1,993 |
$14K |
| 76770 |
|
534 |
500 |
$13K |
| 71250 |
|
401 |
379 |
$12K |
| 93971 |
|
778 |
715 |
$9K |
| 73630 |
|
1,439 |
1,300 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
305 |
292 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
354 |
316 |
$7K |
| 76642 |
|
414 |
403 |
$7K |
| 73610 |
|
1,238 |
1,154 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
224 |
187 |
$7K |
| 73562 |
|
1,066 |
900 |
$6K |
| 73110 |
|
974 |
893 |
$6K |
| 73130 |
|
954 |
809 |
$5K |
| 76536 |
|
290 |
279 |
$5K |
| 70491 |
|
125 |
114 |
$5K |
| 73030 |
|
849 |
748 |
$5K |
| 73221 |
|
92 |
84 |
$4K |
| 72100 |
|
541 |
515 |
$4K |
| 76870 |
|
181 |
174 |
$4K |
| 93970 |
|
151 |
140 |
$3K |
| 73080 |
|
467 |
438 |
$3K |
| 73590 |
|
526 |
439 |
$3K |
| 73502 |
|
401 |
371 |
$3K |
| 77066 |
Tomosynthesis, mammo |
120 |
118 |
$3K |
| 73700 |
|
82 |
71 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
69 |
$2K |
| 73140 |
|
552 |
526 |
$2K |
| 72146 |
|
41 |
40 |
$2K |
| 73090 |
|
433 |
387 |
$2K |
| 72170 |
|
378 |
353 |
$2K |
| 72040 |
|
226 |
217 |
$2K |
| 74230 |
|
83 |
76 |
$1K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$924.94 |
| 74019 |
|
111 |
104 |
$796.89 |
| 74174 |
|
15 |
13 |
$683.72 |
| 73560 |
|
107 |
87 |
$556.87 |
| 73552 |
|
107 |
94 |
$526.17 |
| 77065 |
Tomosynthesis, mammo |
31 |
29 |
$372.52 |
| 70360 |
|
62 |
56 |
$370.69 |
| 73000 |
|
50 |
46 |
$296.54 |
| 73660 |
|
51 |
49 |
$235.23 |
| 72110 |
|
18 |
17 |
$160.56 |
| 73060 |
|
30 |
27 |
$156.04 |
| 77080 |
|
25 |
24 |
$134.24 |
| 72072 |
|
14 |
13 |
$114.82 |
| 72070 |
|
13 |
13 |
$114.38 |
| 71101 |
|
12 |
12 |
$65.88 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
488 |
487 |
$0.00 |