| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,928 |
3,607 |
$191K |
| 71045 |
Radiologic examination, chest; single view |
19,374 |
15,477 |
$93K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,511 |
3,979 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
13,142 |
12,075 |
$79K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,710 |
1,638 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,688 |
1,619 |
$32K |
| 73630 |
|
5,179 |
4,335 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
595 |
538 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
521 |
492 |
$19K |
| 74018 |
|
3,430 |
3,025 |
$19K |
| 73610 |
|
1,896 |
1,678 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
358 |
331 |
$8K |
| 73110 |
|
1,432 |
1,149 |
$7K |
| 73130 |
|
991 |
838 |
$5K |
| 72100 |
|
713 |
684 |
$4K |
| 73030 |
|
591 |
519 |
$3K |
| 73562 |
|
484 |
424 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
37 |
37 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
88 |
79 |
$2K |
| 71250 |
|
56 |
49 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
121 |
120 |
$911.21 |
| 73560 |
|
147 |
123 |
$543.05 |
| 73502 |
|
83 |
79 |
$481.37 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
17 |
$372.06 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$322.06 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$276.55 |
| 73564 |
|
15 |
12 |
$119.98 |
| 77080 |
|
28 |
26 |
$90.12 |
| 73080 |
|
19 |
12 |
$79.48 |
| 93971 |
|
44 |
42 |
$56.60 |
| 76830 |
Ultrasound, transvaginal |
78 |
76 |
$26.79 |
| 76536 |
|
13 |
13 |
$0.00 |