| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,771 |
4,386 |
$181K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,201 |
3,400 |
$148K |
| 71045 |
Radiologic examination, chest; single view |
62,263 |
40,300 |
$132K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,714 |
8,579 |
$121K |
| 71046 |
Radiologic examination, chest; 2 views |
22,465 |
18,644 |
$114K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,320 |
1,022 |
$73K |
| 76830 |
Ultrasound, transvaginal |
1,038 |
779 |
$38K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,181 |
2,115 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,653 |
1,092 |
$32K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
728 |
555 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,572 |
958 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,027 |
732 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,660 |
1,183 |
$12K |
| 74018 |
|
3,074 |
1,919 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
373 |
325 |
$11K |
| 76642 |
|
731 |
504 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
750 |
619 |
$8K |
| 71250 |
|
310 |
254 |
$7K |
| 76536 |
|
216 |
175 |
$6K |
| 93976 |
|
297 |
200 |
$4K |
| 76770 |
|
118 |
102 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
143 |
97 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
143 |
119 |
$2K |
| 77066 |
Tomosynthesis, mammo |
28 |
17 |
$1K |
| 82565 |
|
491 |
382 |
$673.56 |
| 74230 |
|
180 |
127 |
$592.39 |
| 77062 |
|
18 |
12 |
$591.64 |
| 73630 |
|
210 |
143 |
$589.94 |
| 77080 |
|
111 |
97 |
$535.37 |
| 77065 |
Tomosynthesis, mammo |
18 |
12 |
$532.47 |
| 70496 |
|
14 |
12 |
$454.47 |
| 93971 |
|
50 |
41 |
$435.78 |
| 70498 |
|
16 |
14 |
$351.70 |
| 93975 |
|
14 |
12 |
$330.16 |
| 73564 |
|
65 |
52 |
$243.04 |
| 70486 |
|
15 |
13 |
$228.92 |
| 77072 |
|
14 |
14 |
$184.58 |
| 72110 |
|
29 |
27 |
$169.48 |
| 73502 |
|
52 |
41 |
$167.50 |
| 73130 |
|
28 |
24 |
$113.43 |
| 73610 |
|
38 |
26 |
$111.39 |
| 99072 |
|
1,700 |
1,511 |
$108.87 |
| 73090 |
|
22 |
12 |
$82.40 |
| 73030 |
|
29 |
25 |
$71.94 |
| 74019 |
|
13 |
13 |
$68.28 |
| 76376 |
|
12 |
12 |
$3.31 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
53 |
44 |
$0.00 |