| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,703 |
2,553 |
$136K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,393 |
2,923 |
$77K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,213 |
1,185 |
$75K |
| 71045 |
Radiologic examination, chest; single view |
10,839 |
5,735 |
$54K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
993 |
944 |
$47K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
837 |
800 |
$42K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,903 |
1,900 |
$41K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
688 |
682 |
$28K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,572 |
1,533 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
4,244 |
3,707 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,407 |
1,406 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
505 |
489 |
$14K |
| 72100 |
|
1,459 |
1,357 |
$9K |
| 76830 |
Ultrasound, transvaginal |
432 |
428 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
167 |
161 |
$6K |
| 74018 |
|
997 |
835 |
$5K |
| 73630 |
|
788 |
733 |
$4K |
| 76642 |
|
201 |
172 |
$4K |
| 76536 |
|
205 |
205 |
$3K |
| 72040 |
|
500 |
460 |
$3K |
| 72141 |
|
66 |
66 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
78 |
75 |
$3K |
| 73130 |
|
480 |
403 |
$2K |
| 73562 |
|
440 |
394 |
$2K |
| 73030 |
|
417 |
374 |
$2K |
| 71250 |
|
69 |
68 |
$2K |
| 73502 |
|
284 |
267 |
$2K |
| 73610 |
|
348 |
325 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
24 |
24 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
87 |
85 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
55 |
50 |
$1K |
| 74019 |
|
193 |
178 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
46 |
46 |
$1K |
| 76775 |
|
76 |
76 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
24 |
$1K |
| 73110 |
|
198 |
175 |
$912.42 |
| 72020 |
|
203 |
143 |
$882.92 |
| 71271 |
|
27 |
27 |
$812.97 |
| 70496 |
|
15 |
15 |
$736.95 |
| 70498 |
|
15 |
15 |
$736.95 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
12 |
12 |
$347.04 |
| 99051 |
|
51 |
47 |
$0.00 |
| 99053 |
|
17 |
17 |
$0.00 |