| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
517 |
490 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
847 |
834 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
943 |
648 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
947 |
892 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
251 |
246 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,988 |
1,901 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
521 |
516 |
$16K |
| 77085 |
|
262 |
262 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
334 |
330 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,729 |
1,348 |
$13K |
| 76801 |
|
461 |
441 |
$13K |
| 76830 |
Ultrasound, transvaginal |
405 |
402 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
296 |
296 |
$12K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
315 |
307 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
202 |
188 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
200 |
196 |
$6K |
| 74022 |
|
373 |
357 |
$5K |
| 73630 |
|
477 |
414 |
$5K |
| 73610 |
|
451 |
415 |
$4K |
| 72100 |
|
336 |
336 |
$4K |
| 73130 |
|
404 |
359 |
$4K |
| 76642 |
|
76 |
52 |
$3K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
44 |
22 |
$3K |
| 73562 |
|
291 |
263 |
$3K |
| 73110 |
|
237 |
207 |
$2K |
| 73030 |
|
194 |
184 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
48 |
42 |
$1K |
| 73080 |
|
85 |
73 |
$841.52 |
| 76536 |
|
25 |
25 |
$684.38 |
| 76641 |
|
18 |
13 |
$675.16 |
| 76770 |
|
12 |
12 |
$388.24 |
| 73140 |
|
58 |
55 |
$344.94 |
| 73090 |
|
39 |
38 |
$330.22 |
| 72040 |
|
30 |
30 |
$308.40 |
| 74018 |
|
32 |
24 |
$301.06 |
| 73502 |
|
15 |
15 |
$174.45 |