| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,310 |
3,097 |
$200K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,657 |
1,547 |
$74K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
649 |
608 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
7,711 |
5,326 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
742 |
699 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
4,321 |
3,984 |
$24K |
| 73564 |
|
1,264 |
1,037 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
575 |
511 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
426 |
386 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
411 |
386 |
$12K |
| 73630 |
|
1,114 |
991 |
$11K |
| 73610 |
|
770 |
701 |
$10K |
| 93970 |
|
539 |
493 |
$8K |
| 73130 |
|
875 |
735 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
289 |
246 |
$6K |
| 71250 |
|
207 |
174 |
$6K |
| 73030 |
|
509 |
457 |
$5K |
| 72110 |
|
252 |
242 |
$4K |
| 73110 |
|
248 |
210 |
$3K |
| 76770 |
|
90 |
84 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
123 |
116 |
$2K |
| 73221 |
|
13 |
12 |
$2K |
| 74018 |
|
300 |
262 |
$1K |
| 76801 |
|
42 |
39 |
$1K |
| 70486 |
|
34 |
31 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
46 |
38 |
$1K |
| 70496 |
|
13 |
13 |
$1K |
| 70498 |
|
13 |
13 |
$1K |
| 93971 |
|
103 |
102 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$580.05 |
| 73590 |
|
48 |
38 |
$408.92 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$393.51 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$320.16 |
| 73502 |
|
40 |
39 |
$215.91 |
| 73140 |
|
23 |
13 |
$196.75 |
| 72100 |
|
14 |
13 |
$192.97 |