| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,336 |
1,293 |
$67K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,157 |
1,115 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
2,675 |
2,549 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
689 |
686 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
216 |
205 |
$11K |
| 76801 |
|
379 |
352 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
525 |
513 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
320 |
319 |
$9K |
| 76830 |
Ultrasound, transvaginal |
432 |
420 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,664 |
1,495 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
374 |
372 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
248 |
223 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
320 |
320 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
81 |
81 |
$3K |
| 73610 |
|
655 |
574 |
$3K |
| 73630 |
|
628 |
568 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
92 |
91 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
55 |
55 |
$3K |
| 73562 |
|
499 |
454 |
$3K |
| 73110 |
|
517 |
396 |
$3K |
| 73130 |
|
445 |
379 |
$2K |
| 73030 |
|
381 |
349 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
99 |
$2K |
| 72100 |
|
292 |
290 |
$2K |
| 74019 |
|
145 |
137 |
$928.68 |
| 73502 |
|
144 |
138 |
$906.62 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$649.29 |
| 73564 |
|
99 |
67 |
$627.66 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
24 |
$556.14 |
| 73221 |
|
12 |
12 |
$461.16 |
| 76536 |
|
25 |
25 |
$396.25 |
| 74018 |
|
67 |
65 |
$345.05 |
| 93971 |
|
12 |
12 |
$152.16 |
| 73080 |
|
14 |
12 |
$69.30 |
| 72170 |
|
13 |
12 |
$64.35 |
| 73590 |
|
12 |
12 |
$54.72 |