| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,041 |
4,925 |
$305K |
| 71045 |
Radiologic examination, chest; single view |
23,750 |
21,639 |
$122K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,153 |
3,106 |
$90K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,487 |
2,409 |
$74K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,005 |
2,952 |
$69K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,257 |
2,214 |
$67K |
| 76830 |
Ultrasound, transvaginal |
2,090 |
2,038 |
$60K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
784 |
768 |
$47K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,012 |
944 |
$33K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
491 |
473 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
3,329 |
3,244 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
438 |
424 |
$25K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
342 |
334 |
$21K |
| 72110 |
|
980 |
953 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
532 |
517 |
$12K |
| 76801 |
|
222 |
216 |
$11K |
| 73564 |
|
1,028 |
919 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
106 |
100 |
$8K |
| 76641 |
|
242 |
206 |
$7K |
| 70496 |
|
85 |
82 |
$5K |
| 76536 |
|
211 |
208 |
$5K |
| 71250 |
|
134 |
130 |
$5K |
| 73030 |
|
611 |
560 |
$4K |
| 70498 |
|
67 |
65 |
$4K |
| 73110 |
|
433 |
355 |
$3K |
| 71271 |
|
80 |
79 |
$3K |
| 72050 |
|
185 |
182 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
70 |
$2K |
| 72141 |
|
25 |
24 |
$2K |
| 73610 |
|
199 |
186 |
$1K |
| 73130 |
|
204 |
178 |
$1K |
| 73221 |
|
25 |
24 |
$1K |
| 73630 |
|
152 |
143 |
$1K |
| 70486 |
|
17 |
17 |
$701.90 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
15 |
$520.00 |
| 76770 |
|
14 |
14 |
$464.89 |
| 93971 |
|
24 |
24 |
$454.19 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$425.47 |
| 72040 |
|
41 |
38 |
$393.35 |
| 74018 |
|
56 |
52 |
$307.08 |
| 72100 |
|
13 |
13 |
$130.39 |
| 73140 |
|
18 |
14 |
$76.49 |
| 77080 |
|
12 |
12 |
$57.19 |