| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,176 |
2,057 |
$147K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,160 |
2,021 |
$133K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,760 |
2,564 |
$78K |
| 71045 |
Radiologic examination, chest; single view |
6,765 |
5,831 |
$46K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,249 |
1,183 |
$34K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
419 |
398 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
3,055 |
2,884 |
$24K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
605 |
571 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
564 |
535 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
555 |
530 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
363 |
358 |
$8K |
| 73562 |
|
647 |
566 |
$5K |
| 73030 |
|
650 |
581 |
$5K |
| 74018 |
|
658 |
572 |
$5K |
| 76830 |
Ultrasound, transvaginal |
187 |
176 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
182 |
157 |
$4K |
| 93976 |
|
139 |
134 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
130 |
124 |
$3K |
| 93975 |
|
57 |
54 |
$2K |
| 73630 |
|
315 |
277 |
$2K |
| 73610 |
|
279 |
256 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
63 |
57 |
$2K |
| 71250 |
|
54 |
53 |
$2K |
| 73130 |
|
221 |
191 |
$2K |
| 76642 |
|
31 |
25 |
$668.42 |
| 73502 |
|
88 |
78 |
$655.80 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$654.33 |
| 93971 |
|
41 |
38 |
$599.24 |
| 73110 |
|
43 |
40 |
$335.87 |
| 77080 |
|
24 |
24 |
$201.48 |
| 72100 |
|
12 |
12 |
$131.56 |
| 76770 |
|
16 |
12 |
$104.18 |