| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,589 |
9,466 |
$736K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,851 |
10,343 |
$350K |
| 71046 |
Radiologic examination, chest; 2 views |
26,320 |
26,115 |
$262K |
| 71045 |
Radiologic examination, chest; single view |
31,153 |
26,030 |
$230K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,278 |
4,199 |
$102K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,581 |
1,573 |
$52K |
| 76770 |
|
1,368 |
1,356 |
$43K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,129 |
1,128 |
$38K |
| 93975 |
|
621 |
614 |
$36K |
| 76641 |
|
878 |
726 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,013 |
1,012 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
819 |
815 |
$17K |
| 76885 |
|
385 |
378 |
$14K |
| 73564 |
|
955 |
730 |
$13K |
| 76830 |
Ultrasound, transvaginal |
412 |
411 |
$13K |
| 73130 |
|
1,138 |
1,019 |
$9K |
| 73110 |
|
1,164 |
1,023 |
$9K |
| 73610 |
|
1,203 |
1,109 |
$9K |
| 93970 |
|
329 |
320 |
$9K |
| 73562 |
|
778 |
703 |
$8K |
| 74018 |
|
971 |
840 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
106 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
121 |
121 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
104 |
102 |
$7K |
| 72020 |
|
909 |
903 |
$6K |
| 72081 |
|
508 |
507 |
$6K |
| 73030 |
|
632 |
603 |
$5K |
| 70496 |
|
81 |
79 |
$5K |
| 77072 |
|
519 |
519 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
128 |
127 |
$4K |
| 73630 |
|
573 |
528 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
40 |
$4K |
| 76642 |
|
98 |
96 |
$4K |
| 70498 |
|
56 |
54 |
$3K |
| 77065 |
Tomosynthesis, mammo |
85 |
83 |
$3K |
| 76857 |
|
124 |
118 |
$3K |
| 73080 |
|
274 |
226 |
$2K |
| 99152 |
|
129 |
123 |
$1K |
| 19281 |
|
12 |
12 |
$1K |
| 93976 |
|
25 |
25 |
$931.52 |
| 75571 |
|
84 |
84 |
$918.66 |
| 73560 |
|
96 |
72 |
$808.42 |
| 72170 |
|
90 |
90 |
$755.36 |
| 72100 |
|
68 |
68 |
$669.22 |
| 71250 |
|
14 |
14 |
$659.08 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$621.82 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$505.04 |
| 76536 |
|
16 |
16 |
$463.65 |
| 72082 |
|
28 |
28 |
$450.10 |
| 70486 |
|
12 |
12 |
$442.42 |
| 73590 |
|
42 |
37 |
$361.53 |
| 73090 |
|
22 |
17 |
$172.37 |
| 73502 |
|
12 |
12 |
$116.09 |
| 73140 |
|
15 |
13 |
$98.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
199 |
172 |
$0.00 |