| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,383 |
3,243 |
$143K |
| 71045 |
Radiologic examination, chest; single view |
17,458 |
13,906 |
$78K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,370 |
4,118 |
$75K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,948 |
1,874 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
6,849 |
6,536 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,395 |
1,332 |
$43K |
| 76801 |
|
287 |
257 |
$11K |
| 71250 |
|
427 |
409 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
144 |
129 |
$5K |
| 73560 |
|
915 |
810 |
$4K |
| 74018 |
|
691 |
648 |
$4K |
| 93971 |
|
398 |
374 |
$4K |
| 72100 |
|
546 |
531 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
208 |
203 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
65 |
65 |
$3K |
| 36902 |
|
41 |
40 |
$3K |
| 73030 |
|
329 |
312 |
$2K |
| 73630 |
|
237 |
215 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
63 |
63 |
$1K |
| 73610 |
|
160 |
151 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
24 |
$754.48 |
| 93880 |
|
42 |
41 |
$726.39 |
| 76770 |
|
37 |
34 |
$584.77 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$521.51 |
| 73130 |
|
76 |
68 |
$475.04 |
| 73502 |
|
82 |
80 |
$383.34 |
| 93925 |
|
12 |
12 |
$297.43 |
| 99152 |
|
138 |
131 |
$137.40 |
| 72040 |
|
12 |
12 |
$125.25 |
| 93922 |
|
12 |
12 |
$107.09 |
| 77001 |
|
12 |
12 |
$48.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |