| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,330 |
3,708 |
$660K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,700 |
3,182 |
$316K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,958 |
1,721 |
$301K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,173 |
1,850 |
$85K |
| 71045 |
Radiologic examination, chest; single view |
10,091 |
7,551 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
5,519 |
4,607 |
$50K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
990 |
851 |
$36K |
| 93000 |
|
1,299 |
822 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,443 |
1,262 |
$24K |
| 72100 |
|
2,358 |
2,005 |
$23K |
| 76641 |
|
571 |
344 |
$20K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
176 |
124 |
$19K |
| 99221 |
|
231 |
124 |
$17K |
| 74018 |
|
2,314 |
1,888 |
$16K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
131 |
85 |
$16K |
| 72040 |
|
1,427 |
1,235 |
$14K |
| 76830 |
Ultrasound, transvaginal |
318 |
278 |
$12K |
| 73560 |
|
1,212 |
1,026 |
$11K |
| 73030 |
|
1,041 |
852 |
$9K |
| 76536 |
|
236 |
183 |
$7K |
| 73620 |
|
770 |
595 |
$6K |
| 73120 |
|
607 |
467 |
$5K |
| 73600 |
|
561 |
460 |
$5K |
| 77066 |
Tomosynthesis, mammo |
268 |
128 |
$4K |
| 70250 |
|
444 |
364 |
$4K |
| 99070 |
|
178 |
150 |
$4K |
| 76770 |
|
120 |
89 |
$4K |
| 73630 |
|
296 |
252 |
$3K |
| 73100 |
|
303 |
211 |
$2K |
| 74019 |
|
173 |
134 |
$2K |
| 71250 |
|
17 |
16 |
$1K |
| 73070 |
|
151 |
118 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
28 |
28 |
$1K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
100 |
98 |
$849.50 |
| 59515 |
|
12 |
12 |
$566.04 |
| 70210 |
|
77 |
50 |
$538.66 |
| 73090 |
|
69 |
53 |
$515.68 |
| 73610 |
|
45 |
44 |
$505.12 |
| 73020 |
|
87 |
64 |
$409.80 |
| 99241 |
|
16 |
12 |
$395.00 |
| 99251 |
|
48 |
38 |
$355.00 |
| 72070 |
|
28 |
26 |
$316.77 |
| 73562 |
|
36 |
32 |
$193.84 |
| 73590 |
|
18 |
13 |
$187.20 |
| 73130 |
|
13 |
13 |
$153.98 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
19 |
15 |
$125.00 |
| 70360 |
|
13 |
13 |
$95.62 |
| 77065 |
Tomosynthesis, mammo |
396 |
101 |
$79.59 |