| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,293 |
1,180 |
$19K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,646 |
1,604 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,084 |
991 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,643 |
1,602 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,979 |
1,805 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
856 |
747 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
247 |
236 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,978 |
1,555 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
417 |
409 |
$2K |
| 76801 |
|
218 |
205 |
$2K |
| 76830 |
Ultrasound, transvaginal |
380 |
344 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
106 |
102 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
109 |
93 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
255 |
234 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
84 |
78 |
$696.20 |
| 73610 |
|
733 |
628 |
$692.63 |
| 73564 |
|
410 |
383 |
$647.86 |
| 73030 |
|
429 |
374 |
$624.66 |
| 72100 |
|
423 |
404 |
$615.38 |
| 73130 |
|
456 |
388 |
$595.07 |
| 73630 |
|
527 |
468 |
$501.87 |
| 74022 |
|
51 |
46 |
$377.87 |
| 73110 |
|
337 |
298 |
$332.18 |
| 74018 |
|
238 |
195 |
$238.32 |
| 71271 |
|
39 |
39 |
$173.87 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$118.92 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$107.90 |
| 73140 |
|
88 |
81 |
$72.94 |
| 76642 |
|
15 |
13 |
$53.82 |
| 72072 |
|
13 |
13 |
$26.76 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
36 |
35 |
$21.12 |
| 73080 |
|
12 |
12 |
$14.10 |
| 73502 |
|
15 |
12 |
$9.01 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$0.00 |
| 73590 |
|
12 |
12 |
$0.00 |