| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
642 |
633 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
527 |
523 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
365 |
$20K |
| 76830 |
Ultrasound, transvaginal |
412 |
409 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,432 |
1,415 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
311 |
308 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
137 |
136 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
961 |
925 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
79 |
79 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
206 |
203 |
$5K |
| 71250 |
|
135 |
132 |
$5K |
| 76770 |
|
152 |
150 |
$4K |
| 76536 |
|
155 |
155 |
$4K |
| 74018 |
|
326 |
324 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
56 |
56 |
$2K |
| 71271 |
|
56 |
56 |
$2K |
| 72110 |
|
95 |
94 |
$1K |
| 72100 |
|
109 |
109 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
30 |
$765.02 |
| 73630 |
|
100 |
98 |
$716.04 |
| 73030 |
|
82 |
81 |
$693.31 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$687.82 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$476.85 |
| 73502 |
|
60 |
55 |
$411.29 |
| 73610 |
|
44 |
44 |
$330.18 |
| 72050 |
|
13 |
13 |
$175.79 |
| 73560 |
|
14 |
14 |
$112.62 |