| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,227 |
1,172 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
5,826 |
5,762 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
7,439 |
5,436 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,196 |
1,195 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
426 |
424 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,027 |
1,027 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
118 |
117 |
$8K |
| 76641 |
|
177 |
177 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
79 |
78 |
$8K |
| 76770 |
|
269 |
268 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
201 |
199 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
24 |
24 |
$2K |
| 73562 |
|
238 |
236 |
$2K |
| 73610 |
|
220 |
218 |
$1K |
| 73221 |
|
15 |
15 |
$1K |
| 76642 |
|
55 |
55 |
$970.63 |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$850.20 |
| 73630 |
|
148 |
145 |
$813.17 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$736.04 |
| 73100 |
|
202 |
193 |
$720.60 |
| 72082 |
|
81 |
81 |
$690.21 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$624.16 |
| 77072 |
|
103 |
103 |
$497.28 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
13 |
$385.18 |
| 72081 |
|
52 |
52 |
$346.71 |
| 72170 |
|
65 |
64 |
$318.96 |
| 77080 |
|
40 |
40 |
$289.71 |
| 73070 |
|
81 |
75 |
$282.60 |
| 76506 |
|
14 |
12 |
$238.27 |
| 73130 |
|
39 |
39 |
$225.99 |
| 74018 |
|
53 |
51 |
$195.07 |
| 73590 |
|
41 |
39 |
$152.28 |
| 73030 |
|
26 |
26 |
$149.90 |
| 73560 |
|
37 |
36 |
$140.40 |
| 73140 |
|
34 |
28 |
$122.04 |
| 73110 |
|
13 |
12 |
$70.20 |
| 70250 |
|
12 |
12 |
$53.99 |
| 73090 |
|
13 |
12 |
$46.26 |