| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,737 |
4,437 |
$307K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,015 |
7,304 |
$273K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,625 |
3,377 |
$188K |
| 71045 |
Radiologic examination, chest; single view |
33,326 |
25,445 |
$155K |
| 71046 |
Radiologic examination, chest; 2 views |
9,215 |
8,412 |
$63K |
| 71250 |
|
965 |
900 |
$29K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
848 |
802 |
$21K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
348 |
326 |
$19K |
| 71010 |
|
1,632 |
1,120 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
944 |
886 |
$16K |
| 76770 |
|
680 |
639 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
568 |
506 |
$14K |
| 71020 |
|
1,142 |
946 |
$13K |
| 73630 |
|
1,376 |
1,180 |
$12K |
| 73610 |
|
1,108 |
974 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
743 |
697 |
$9K |
| 74018 |
|
1,478 |
1,220 |
$9K |
| 73110 |
|
1,241 |
976 |
$8K |
| 99152 |
|
953 |
853 |
$8K |
| 73130 |
|
764 |
660 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
97 |
92 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
123 |
116 |
$7K |
| 73030 |
|
931 |
801 |
$7K |
| 73560 |
|
1,060 |
864 |
$6K |
| 76830 |
Ultrasound, transvaginal |
102 |
94 |
$4K |
| 76937 |
|
682 |
603 |
$4K |
| 93970 |
|
149 |
133 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
43 |
41 |
$3K |
| 72100 |
|
320 |
296 |
$3K |
| 93971 |
|
99 |
95 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
51 |
48 |
$2K |
| 36573 |
|
27 |
24 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
24 |
$2K |
| 36569 |
|
15 |
15 |
$2K |
| 72141 |
|
12 |
12 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
12 |
$1K |
| 73502 |
|
243 |
218 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
15 |
$812.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
75 |
37 |
$634.60 |
| 93975 |
|
12 |
12 |
$545.81 |
| 77012 |
|
13 |
12 |
$528.63 |
| 76642 |
|
18 |
15 |
$417.97 |
| 77066 |
Tomosynthesis, mammo |
18 |
15 |
$403.10 |
| 49083 |
|
21 |
12 |
$334.95 |
| 73090 |
|
34 |
30 |
$312.80 |
| 93923 |
|
17 |
17 |
$307.71 |
| 77001 |
|
36 |
25 |
$259.96 |
| 93880 |
|
14 |
14 |
$180.98 |
| 72040 |
|
16 |
13 |
$168.94 |
| 99153 |
Mod sedat endo service >5yrs |
27 |
24 |
$123.38 |
| 73070 |
|
14 |
13 |
$113.45 |
| 73590 |
|
13 |
13 |
$108.60 |
| 73140 |
|
19 |
12 |
$83.91 |
| 7025F |
|
134 |
121 |
$0.00 |
| 3341F |
|
76 |
66 |
$0.00 |
| 3342F |
|
72 |
66 |
$0.00 |
| 74000 |
|
15 |
15 |
$0.00 |