| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,456 |
2,249 |
$164K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,070 |
994 |
$64K |
| 74183 |
|
359 |
347 |
$60K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,005 |
876 |
$51K |
| 71250 |
|
1,176 |
1,057 |
$49K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
456 |
421 |
$49K |
| 72197 |
|
149 |
133 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
617 |
553 |
$18K |
| 76770 |
|
262 |
246 |
$12K |
| 93975 |
|
179 |
158 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
39 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
852 |
799 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,026 |
871 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
59 |
56 |
$1K |
| 76776 |
|
36 |
27 |
$1K |
| 74178 |
|
16 |
16 |
$880.05 |
| 76536 |
|
27 |
26 |
$874.29 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$841.05 |
| 71271 |
|
13 |
13 |
$598.36 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$467.35 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
18 |
18 |
$451.52 |
| 73564 |
|
13 |
13 |
$252.12 |
| 73562 |
|
14 |
12 |
$208.23 |
| 73610 |
|
15 |
12 |
$205.39 |
| 73630 |
|
15 |
14 |
$149.20 |
| 74018 |
|
14 |
13 |
$82.05 |