| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,674 |
2,529 |
$146K |
| 71045 |
Radiologic examination, chest; single view |
29,118 |
24,095 |
$127K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,551 |
4,274 |
$123K |
| 71046 |
Radiologic examination, chest; 2 views |
8,566 |
8,218 |
$62K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
472 |
447 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
547 |
498 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
364 |
359 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
453 |
437 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
179 |
170 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
160 |
155 |
$7K |
| 71020 |
|
446 |
435 |
$7K |
| 74018 |
|
1,226 |
1,052 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
408 |
398 |
$6K |
| 71010 |
|
348 |
284 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
126 |
124 |
$4K |
| 73562 |
|
481 |
440 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
38 |
$3K |
| 73610 |
|
359 |
338 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
64 |
59 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
125 |
86 |
$2K |
| 73630 |
|
297 |
282 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
52 |
50 |
$2K |
| 73030 |
|
262 |
248 |
$2K |
| 73110 |
|
221 |
201 |
$2K |
| 72100 |
|
220 |
209 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$472.62 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$432.92 |
| 76775 |
|
15 |
15 |
$345.52 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$283.69 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$216.62 |
| 73130 |
|
13 |
13 |
$122.10 |
| 72040 |
|
13 |
12 |
$89.05 |
| 73502 |
|
12 |
12 |
$85.02 |