| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,070 |
6,220 |
$312K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,877 |
9,210 |
$175K |
| 71045 |
Radiologic examination, chest; single view |
38,775 |
29,414 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
22,992 |
20,646 |
$127K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,424 |
3,020 |
$122K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,195 |
2,052 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,606 |
1,528 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
457 |
369 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,340 |
1,170 |
$15K |
| 73630 |
|
2,270 |
1,955 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
530 |
461 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
864 |
532 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
523 |
454 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
381 |
289 |
$6K |
| 93975 |
|
139 |
121 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
368 |
316 |
$4K |
| 76830 |
Ultrasound, transvaginal |
507 |
450 |
$4K |
| 73130 |
|
986 |
827 |
$4K |
| 73610 |
|
1,012 |
866 |
$4K |
| 74018 |
|
1,137 |
971 |
$4K |
| 76820 |
|
502 |
297 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
152 |
118 |
$3K |
| 72100 |
|
633 |
574 |
$3K |
| 71250 |
|
175 |
153 |
$2K |
| 74022 |
|
144 |
140 |
$2K |
| 73030 |
|
535 |
463 |
$1K |
| 76536 |
|
188 |
179 |
$1K |
| 73562 |
|
238 |
179 |
$913.73 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
113 |
62 |
$765.42 |
| 93971 |
|
130 |
102 |
$505.79 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$481.65 |
| 73110 |
|
197 |
173 |
$474.01 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
29 |
28 |
$245.13 |
| 76770 |
|
133 |
119 |
$161.54 |
| 72110 |
|
13 |
12 |
$132.66 |
| 72040 |
|
13 |
13 |
$114.60 |
| 74019 |
|
15 |
15 |
$105.63 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
45 |
28 |
$58.39 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
87 |
76 |
$49.17 |
| 77001 |
|
123 |
68 |
$48.38 |
| 70486 |
|
27 |
12 |
$47.16 |
| 76642 |
|
25 |
24 |
$43.73 |
| 76937 |
|
84 |
48 |
$38.11 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
68 |
$28.92 |
| 73560 |
|
129 |
87 |
$26.36 |
| 93970 |
|
16 |
14 |
$20.53 |
| 73502 |
|
19 |
15 |
$6.65 |
| 93976 |
|
25 |
24 |
$0.00 |
| 73140 |
|
14 |
13 |
$0.00 |
| 72050 |
|
12 |
12 |
$0.00 |
| 72072 |
|
15 |
12 |
$0.00 |