| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,072 |
952 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
688 |
651 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
140 |
121 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,876 |
1,807 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,926 |
1,630 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
179 |
172 |
$6K |
| 73564 |
|
320 |
286 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
126 |
113 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
161 |
156 |
$4K |
| 73030 |
|
190 |
166 |
$2K |
| 72110 |
|
92 |
85 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
63 |
60 |
$1K |
| 73630 |
|
156 |
143 |
$968.94 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
25 |
$935.19 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$887.34 |
| 74018 |
|
207 |
189 |
$839.76 |
| 76770 |
|
43 |
42 |
$819.12 |
| 72100 |
|
139 |
130 |
$662.21 |
| 73610 |
|
79 |
69 |
$563.15 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$423.57 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
12 |
$388.18 |
| 71250 |
|
28 |
27 |
$353.59 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$288.65 |
| 73110 |
|
28 |
27 |
$258.43 |
| 73560 |
|
40 |
33 |
$256.79 |
| 74019 |
|
42 |
42 |
$246.66 |
| 73130 |
|
39 |
39 |
$244.51 |
| 73562 |
|
37 |
25 |
$126.69 |
| 93971 |
|
19 |
15 |
$99.13 |
| 73502 |
|
12 |
12 |
$45.00 |
| 72072 |
|
12 |
12 |
$32.96 |