| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,291 |
10,180 |
$510K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14,118 |
12,254 |
$238K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,672 |
5,075 |
$215K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
4,625 |
4,216 |
$195K |
| 71046 |
Radiologic examination, chest; 2 views |
31,223 |
26,945 |
$151K |
| 71045 |
Radiologic examination, chest; single view |
30,655 |
24,518 |
$112K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,364 |
3,186 |
$50K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,786 |
2,534 |
$45K |
| 76830 |
Ultrasound, transvaginal |
1,770 |
1,605 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,714 |
1,559 |
$35K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,113 |
1,035 |
$28K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
947 |
883 |
$28K |
| 74018 |
|
5,367 |
4,450 |
$22K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
358 |
328 |
$16K |
| 73630 |
|
3,462 |
2,839 |
$15K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
467 |
352 |
$13K |
| 73560 |
|
2,659 |
2,223 |
$11K |
| 71250 |
|
584 |
535 |
$11K |
| 72100 |
|
1,818 |
1,671 |
$10K |
| 73130 |
|
2,152 |
1,587 |
$9K |
| 73610 |
|
1,570 |
1,378 |
$7K |
| 73030 |
|
1,563 |
1,337 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
300 |
269 |
$6K |
| 93971 |
|
698 |
633 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
182 |
163 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
128 |
110 |
$4K |
| 76775 |
|
354 |
324 |
$4K |
| 72020 |
|
934 |
874 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
146 |
121 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
322 |
309 |
$3K |
| 73502 |
|
642 |
568 |
$2K |
| 73221 |
|
44 |
40 |
$2K |
| 73110 |
|
323 |
272 |
$1K |
| 73700 |
|
56 |
49 |
$1K |
| 76536 |
|
86 |
84 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
57 |
51 |
$904.21 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$890.29 |
| 72040 |
|
172 |
163 |
$867.43 |
| 76770 |
|
75 |
67 |
$768.03 |
| 77080 |
|
255 |
251 |
$767.61 |
| 72110 |
|
199 |
189 |
$631.90 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
41 |
40 |
$405.00 |
| 74019 |
|
94 |
79 |
$346.20 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
30 |
25 |
$295.54 |
| 70498 |
|
13 |
12 |
$216.01 |
| 73590 |
|
38 |
37 |
$161.06 |
| 70486 |
|
27 |
25 |
$137.20 |
| 72170 |
|
12 |
12 |
$22.38 |
| 76642 |
|
14 |
13 |
$0.00 |
| 71101 |
|
13 |
13 |
$0.00 |
| 72072 |
|
14 |
14 |
$0.00 |