| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,622 |
5,265 |
$247K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,977 |
7,924 |
$230K |
| 71045 |
Radiologic examination, chest; single view |
23,631 |
19,443 |
$96K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,214 |
1,125 |
$89K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,152 |
1,081 |
$63K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,063 |
1,936 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
6,689 |
6,341 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
534 |
507 |
$22K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
548 |
509 |
$22K |
| 72131 |
|
462 |
438 |
$13K |
| 70498 |
|
214 |
202 |
$11K |
| 70496 |
|
220 |
208 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
126 |
122 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
244 |
229 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
270 |
248 |
$5K |
| 70486 |
|
113 |
106 |
$3K |
| 72128 |
|
96 |
89 |
$3K |
| 73630 |
|
428 |
375 |
$3K |
| 76801 |
|
98 |
90 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
96 |
96 |
$2K |
| 74018 |
|
385 |
304 |
$2K |
| 73130 |
|
312 |
268 |
$2K |
| 76770 |
|
76 |
70 |
$1K |
| 73610 |
|
182 |
168 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
40 |
39 |
$1K |
| 73030 |
|
163 |
146 |
$854.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
40 |
39 |
$837.76 |
| 73564 |
|
114 |
98 |
$812.59 |
| 99152 |
|
29 |
25 |
$446.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
25 |
$415.12 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$392.49 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$225.26 |