| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,342 |
1,328 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,187 |
1,143 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,727 |
1,677 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
7,821 |
5,879 |
$15K |
| 71250 |
|
638 |
605 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
2,647 |
2,565 |
$10K |
| 74018 |
|
1,762 |
1,698 |
$8K |
| 76376 |
|
2,637 |
2,120 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
224 |
211 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
338 |
317 |
$5K |
| 73630 |
|
697 |
633 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
254 |
241 |
$5K |
| 76536 |
|
287 |
275 |
$4K |
| 76770 |
|
536 |
532 |
$4K |
| 73610 |
|
487 |
440 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
178 |
176 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
102 |
102 |
$4K |
| 73130 |
|
460 |
428 |
$2K |
| 73562 |
|
426 |
371 |
$2K |
| 72110 |
|
304 |
302 |
$2K |
| 74178 |
|
58 |
58 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
48 |
44 |
$2K |
| 72084 |
|
102 |
102 |
$1K |
| 72100 |
|
171 |
165 |
$1K |
| 72170 |
|
434 |
426 |
$1K |
| 72040 |
|
318 |
312 |
$871.65 |
| 73090 |
|
181 |
162 |
$850.96 |
| 73030 |
|
273 |
245 |
$805.89 |
| 93975 |
|
25 |
25 |
$787.94 |
| 76870 |
|
39 |
39 |
$750.90 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
206 |
204 |
$659.76 |
| 76641 |
|
44 |
39 |
$458.29 |
| 76775 |
|
34 |
27 |
$409.99 |
| 74019 |
|
57 |
50 |
$395.50 |
| 73110 |
|
76 |
69 |
$312.26 |
| 73590 |
|
84 |
69 |
$301.25 |
| 72070 |
|
53 |
48 |
$268.31 |
| 72080 |
|
32 |
30 |
$246.30 |
| 76881 |
|
15 |
15 |
$241.76 |
| 72082 |
|
18 |
16 |
$182.52 |
| 77081 |
|
591 |
566 |
$162.12 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$151.07 |
| 70260 |
|
14 |
14 |
$127.53 |
| 73552 |
|
16 |
13 |
$61.78 |
| 73502 |
|
12 |
12 |
$41.42 |