| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,904 |
3,901 |
$196K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,566 |
2,559 |
$85K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
965 |
947 |
$57K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,384 |
1,318 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,820 |
3,678 |
$26K |
| 71250 |
|
186 |
186 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,416 |
2,163 |
$14K |
| 77080 |
|
1,431 |
1,428 |
$12K |
| 72110 |
|
625 |
589 |
$6K |
| 73562 |
|
985 |
620 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
134 |
$5K |
| 76770 |
|
141 |
141 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
50 |
$4K |
| 76830 |
Ultrasound, transvaginal |
122 |
122 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
36 |
36 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
111 |
109 |
$2K |
| 72100 |
|
157 |
155 |
$2K |
| 76536 |
|
86 |
86 |
$2K |
| 71271 |
|
26 |
26 |
$2K |
| 73030 |
|
246 |
188 |
$1K |
| 76642 |
|
38 |
36 |
$1K |
| 74018 |
|
61 |
55 |
$505.11 |
| 72050 |
|
41 |
41 |
$473.46 |
| 72070 |
|
53 |
53 |
$417.04 |
| 72170 |
|
39 |
39 |
$356.86 |
| 72114 |
|
12 |
12 |
$325.78 |
| 73630 |
|
15 |
12 |
$194.40 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$158.64 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
27 |
$0.00 |