| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,535 |
2,193 |
$121K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
485 |
415 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,980 |
1,721 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
6,393 |
5,356 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
4,098 |
3,697 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
982 |
861 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
346 |
314 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
278 |
253 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
249 |
219 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
230 |
197 |
$5K |
| 74018 |
|
680 |
560 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
60 |
56 |
$4K |
| 73630 |
|
630 |
522 |
$4K |
| 70498 |
|
30 |
24 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
78 |
75 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
88 |
80 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
74 |
67 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
380 |
376 |
$3K |
| 72131 |
|
76 |
70 |
$3K |
| 73610 |
|
440 |
380 |
$3K |
| 70496 |
|
15 |
13 |
$2K |
| 73562 |
|
392 |
317 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
67 |
63 |
$2K |
| 93971 |
|
150 |
124 |
$2K |
| 73110 |
|
324 |
275 |
$2K |
| 73130 |
|
301 |
240 |
$2K |
| 72100 |
|
185 |
162 |
$1K |
| 73030 |
|
188 |
161 |
$1K |
| 76642 |
|
74 |
69 |
$988.31 |
| 76770 |
|
44 |
41 |
$975.10 |
| 76536 |
|
48 |
44 |
$826.00 |
| 72141 |
|
15 |
12 |
$664.52 |
| 73140 |
|
108 |
102 |
$512.11 |
| 72128 |
|
12 |
12 |
$304.07 |
| 73080 |
|
26 |
26 |
$159.25 |
| 73090 |
|
33 |
27 |
$152.87 |
| 76376 |
|
14 |
13 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
268 |
266 |
$0.00 |