| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
971 |
805 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
749 |
726 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
4,018 |
3,800 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
460 |
436 |
$26K |
| 76830 |
Ultrasound, transvaginal |
374 |
369 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
188 |
185 |
$12K |
| 73630 |
|
603 |
533 |
$9K |
| 73610 |
|
421 |
384 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
31 |
27 |
$7K |
| 73564 |
|
233 |
214 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,399 |
1,244 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
104 |
103 |
$4K |
| 74018 |
|
359 |
336 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
54 |
52 |
$4K |
| 76801 |
|
50 |
49 |
$3K |
| 73030 |
|
233 |
219 |
$3K |
| 73110 |
|
159 |
135 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
82 |
80 |
$3K |
| 72100 |
|
141 |
138 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$2K |
| 76770 |
|
51 |
51 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
29 |
$2K |
| 73502 |
|
63 |
60 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
31 |
$1K |
| 73130 |
|
52 |
45 |
$939.75 |
| 73562 |
|
60 |
52 |
$903.49 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
35 |
35 |
$846.97 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
13 |
$824.15 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$665.08 |
| 76642 |
|
15 |
15 |
$469.71 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
14 |
$345.36 |
| 72040 |
|
15 |
14 |
$268.17 |
| 71250 |
|
14 |
13 |
$216.31 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
142 |
127 |
$105.40 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
20 |
16 |
$12.46 |