| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,423 |
3,382 |
$136K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,951 |
5,825 |
$86K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,414 |
3,409 |
$77K |
| 71046 |
Radiologic examination, chest; 2 views |
13,398 |
13,229 |
$72K |
| 71045 |
Radiologic examination, chest; single view |
17,166 |
14,915 |
$60K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,262 |
3,259 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
582 |
574 |
$9K |
| 76830 |
Ultrasound, transvaginal |
359 |
359 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
193 |
192 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
262 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
141 |
141 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
233 |
227 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
57 |
57 |
$1K |
| 73630 |
|
258 |
226 |
$1K |
| 76642 |
|
31 |
28 |
$722.28 |
| 73564 |
|
134 |
111 |
$706.14 |
| 93975 |
|
17 |
16 |
$546.96 |
| 93971 |
|
55 |
53 |
$518.84 |
| 73562 |
|
97 |
87 |
$480.52 |
| 73030 |
|
88 |
79 |
$430.12 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$347.56 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$319.76 |
| 73610 |
|
59 |
57 |
$256.87 |
| 76536 |
|
13 |
13 |
$233.57 |
| 71271 |
|
13 |
13 |
$206.15 |
| 72100 |
|
24 |
24 |
$195.84 |
| 73130 |
|
46 |
39 |
$194.19 |
| 74018 |
|
40 |
39 |
$133.20 |
| 73560 |
|
30 |
28 |
$122.55 |
| 73502 |
|
26 |
25 |
$99.67 |
| 71250 |
|
13 |
13 |
$97.61 |