| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,201 |
3,073 |
$149K |
| 71046 |
Radiologic examination, chest; 2 views |
11,061 |
10,671 |
$73K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,179 |
2,988 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
13,420 |
11,272 |
$48K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,085 |
1,044 |
$27K |
| 76801 |
|
606 |
576 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
534 |
507 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
398 |
396 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
261 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
138 |
137 |
$6K |
| 76830 |
Ultrasound, transvaginal |
166 |
165 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
125 |
125 |
$4K |
| 72100 |
|
469 |
458 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
64 |
$2K |
| 73630 |
|
404 |
376 |
$2K |
| 73030 |
|
306 |
287 |
$2K |
| 73564 |
|
259 |
234 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
81 |
79 |
$2K |
| 73610 |
|
191 |
180 |
$1K |
| 74018 |
|
140 |
126 |
$948.70 |
| 73130 |
|
136 |
126 |
$777.56 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
41 |
40 |
$735.25 |
| 73502 |
|
83 |
79 |
$456.99 |
| 71250 |
|
17 |
16 |
$390.91 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$374.70 |
| 93971 |
|
38 |
37 |
$326.30 |
| 76770 |
|
13 |
12 |
$243.00 |
| 73110 |
|
25 |
25 |
$185.95 |
| 74022 |
|
12 |
12 |
$112.18 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
367 |
366 |
$0.00 |