| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,145 |
1,131 |
$101K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,181 |
2,179 |
$84K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
880 |
870 |
$79K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
4,406 |
4,143 |
$47K |
| 64484 |
|
875 |
521 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,290 |
1,267 |
$36K |
| 76812 |
|
182 |
180 |
$36K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
810 |
810 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
2,702 |
2,599 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
792 |
780 |
$30K |
| 64483 |
|
553 |
539 |
$27K |
| 76830 |
Ultrasound, transvaginal |
718 |
717 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
637 |
634 |
$21K |
| 76801 |
|
448 |
430 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
1,783 |
1,676 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
285 |
276 |
$12K |
| 99152 |
|
403 |
400 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
118 |
117 |
$8K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
118 |
118 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
64 |
63 |
$5K |
| 73562 |
|
450 |
389 |
$4K |
| 73610 |
|
380 |
359 |
$3K |
| 76642 |
|
103 |
87 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
31 |
$3K |
| 73630 |
|
347 |
304 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
31 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
54 |
$2K |
| 99153 |
Mod sedat endo service >5yrs |
133 |
132 |
$2K |
| 76770 |
|
40 |
40 |
$1K |
| 72083 |
|
69 |
69 |
$1K |
| 74018 |
|
107 |
104 |
$930.29 |
| 77065 |
Tomosynthesis, mammo |
24 |
24 |
$867.10 |
| 93225 |
|
31 |
30 |
$838.48 |
| 73030 |
|
87 |
79 |
$816.25 |
| 72100 |
|
56 |
56 |
$619.61 |
| 70360 |
|
90 |
88 |
$432.31 |
| 73110 |
|
45 |
42 |
$401.20 |
| 73130 |
|
42 |
39 |
$371.92 |
| 76536 |
|
14 |
14 |
$337.26 |
| 77080 |
|
17 |
17 |
$170.68 |
| 73590 |
|
13 |
12 |
$104.39 |