| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
545 |
521 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
3,641 |
2,785 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
947 |
887 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
311 |
296 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,262 |
1,218 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
244 |
244 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
258 |
258 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
198 |
198 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
143 |
141 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
137 |
135 |
$4K |
| 73562 |
|
439 |
365 |
$3K |
| 73630 |
|
247 |
221 |
$2K |
| 73130 |
|
217 |
191 |
$2K |
| 71250 |
|
101 |
93 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
32 |
30 |
$2K |
| 73030 |
|
211 |
195 |
$2K |
| 72100 |
|
176 |
175 |
$2K |
| 73610 |
|
135 |
124 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$1K |
| 74018 |
|
113 |
107 |
$954.62 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
28 |
$856.54 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$648.97 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$535.92 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$405.28 |
| 76801 |
|
13 |
12 |
$338.75 |
| 73110 |
|
29 |
27 |
$297.54 |
| 73502 |
|
56 |
55 |
$222.14 |
| 93922 |
|
12 |
12 |
$31.24 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
18 |
18 |
$0.00 |