| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,979 |
6,570 |
$263K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14,128 |
9,099 |
$146K |
| 71045 |
Radiologic examination, chest; single view |
45,122 |
29,991 |
$116K |
| 71046 |
Radiologic examination, chest; 2 views |
23,523 |
16,783 |
$90K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,044 |
702 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,428 |
1,130 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,350 |
1,100 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
837 |
568 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
345 |
267 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
422 |
273 |
$4K |
| 74018 |
|
539 |
441 |
$2K |
| 76830 |
Ultrasound, transvaginal |
260 |
197 |
$989.05 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
303 |
223 |
$914.06 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
70 |
56 |
$808.10 |
| 73630 |
|
330 |
253 |
$758.45 |
| 49083 |
|
94 |
25 |
$660.94 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
130 |
107 |
$514.21 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
35 |
$380.16 |
| 73610 |
|
253 |
156 |
$338.22 |
| 73562 |
|
101 |
85 |
$299.63 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
272 |
197 |
$272.25 |
| 76377 |
|
15 |
12 |
$112.35 |
| 76937 |
|
49 |
25 |
$71.55 |
| 77080 |
|
13 |
12 |
$8.20 |
| 73560 |
|
170 |
103 |
$0.00 |
| 74019 |
|
66 |
41 |
$0.00 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
39 |
32 |
$0.00 |
| 76801 |
|
138 |
106 |
$0.00 |
| 93971 |
|
183 |
131 |
$0.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
34 |
27 |
$0.00 |
| 73502 |
|
15 |
14 |
$0.00 |
| 73090 |
|
30 |
14 |
$0.00 |
| 74230 |
|
14 |
12 |
$0.00 |
| 70486 |
|
15 |
13 |
$0.00 |
| 73590 |
|
15 |
12 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
87 |
67 |
$0.00 |
| 73130 |
|
101 |
71 |
$0.00 |
| 72100 |
|
14 |
14 |
$0.00 |
| 93970 |
|
72 |
50 |
$0.00 |
| 76642 |
|
56 |
39 |
$0.00 |
| 77065 |
Tomosynthesis, mammo |
18 |
13 |
$0.00 |
| 73110 |
|
48 |
29 |
$0.00 |
| 71250 |
|
78 |
68 |
$0.00 |
| 73030 |
|
101 |
76 |
$0.00 |
| 73140 |
|
17 |
12 |
$0.00 |
| 73080 |
|
16 |
12 |
$0.00 |
| 76770 |
|
18 |
18 |
$0.00 |