| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,979 |
1,853 |
$131K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
456 |
429 |
$23K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
603 |
552 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
605 |
553 |
$19K |
| 70486 |
|
329 |
296 |
$13K |
| 76801 |
|
325 |
313 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
108 |
108 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
278 |
270 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,726 |
1,610 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
113 |
112 |
$8K |
| 77066 |
Tomosynthesis, mammo |
191 |
172 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
51 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,139 |
1,094 |
$7K |
| 76642 |
|
253 |
219 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
182 |
179 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
156 |
150 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
116 |
114 |
$4K |
| 76818 |
|
107 |
81 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
115 |
112 |
$3K |
| 76830 |
Ultrasound, transvaginal |
98 |
91 |
$3K |
| 70498 |
|
25 |
25 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
71 |
61 |
$2K |
| 70496 |
|
14 |
13 |
$1K |
| 77065 |
Tomosynthesis, mammo |
34 |
31 |
$1K |
| 93970 |
|
40 |
39 |
$1K |
| 93975 |
|
24 |
20 |
$710.05 |
| 93971 |
|
64 |
59 |
$707.25 |
| 93976 |
|
16 |
16 |
$377.05 |
| 73130 |
|
37 |
36 |
$374.66 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
14 |
$323.65 |
| 73562 |
|
26 |
25 |
$283.56 |
| 76377 |
|
12 |
12 |
$220.15 |
| 73030 |
|
13 |
13 |
$142.90 |
| 73630 |
|
13 |
12 |
$130.61 |
| 76376 |
|
12 |
12 |
$74.78 |
| 74018 |
|
13 |
13 |
$66.48 |