| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,630 |
1,417 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
893 |
791 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,713 |
1,414 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,299 |
1,028 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,211 |
1,209 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,903 |
1,892 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
542 |
538 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,060 |
1,054 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
219 |
160 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
5,567 |
4,252 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
3,574 |
3,487 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
966 |
938 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
129 |
104 |
$2K |
| 72110 |
|
713 |
653 |
$2K |
| 71250 |
|
131 |
104 |
$2K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
35 |
35 |
$2K |
| 73562 |
|
1,203 |
1,019 |
$1K |
| 76642 |
|
205 |
151 |
$1K |
| 73030 |
|
876 |
755 |
$1K |
| 76830 |
Ultrasound, transvaginal |
378 |
377 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
166 |
158 |
$915.80 |
| 73630 |
|
661 |
596 |
$808.16 |
| 76641 |
|
497 |
330 |
$795.99 |
| 73610 |
|
528 |
494 |
$753.22 |
| 76801 |
|
246 |
233 |
$638.38 |
| 77066 |
Tomosynthesis, mammo |
214 |
212 |
$608.83 |
| 73130 |
|
334 |
305 |
$533.81 |
| 73110 |
|
266 |
248 |
$440.34 |
| 71020 |
|
127 |
105 |
$410.94 |
| 71010 |
|
128 |
115 |
$396.50 |
| 76536 |
|
146 |
146 |
$335.02 |
| 70486 |
|
17 |
12 |
$324.54 |
| 72050 |
|
119 |
107 |
$319.79 |
| 76775 |
|
82 |
81 |
$314.05 |
| 76870 |
|
18 |
12 |
$281.78 |
| 93970 |
|
13 |
13 |
$260.76 |
| 73502 |
|
146 |
135 |
$238.64 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
22 |
12 |
$198.77 |
| 76770 |
|
155 |
155 |
$172.16 |
| 93971 |
|
89 |
85 |
$160.74 |
| 93976 |
|
46 |
44 |
$152.04 |
| 74018 |
|
112 |
107 |
$143.84 |
| 73080 |
|
63 |
61 |
$98.27 |
| 72072 |
|
28 |
28 |
$63.97 |
| 72100 |
|
58 |
58 |
$54.53 |
| 76937 |
|
17 |
17 |
$41.56 |
| 73590 |
|
22 |
19 |
$28.80 |
| 73140 |
|
40 |
39 |
$23.13 |
| 74019 |
|
13 |
12 |
$9.92 |