| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76000 |
|
3,821 |
3,655 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
587 |
574 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
237 |
233 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,622 |
2,006 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,294 |
1,259 |
$7K |
| 72100 |
|
1,308 |
1,269 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
98 |
$3K |
| 72020 |
|
1,343 |
1,267 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
26 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
28 |
28 |
$2K |
| 73565 |
|
349 |
319 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
83 |
80 |
$1K |
| 73700 |
|
81 |
76 |
$1K |
| 73560 |
|
430 |
401 |
$907.63 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
58 |
54 |
$902.35 |
| 76641 |
|
12 |
12 |
$528.13 |
| 73564 |
|
70 |
62 |
$455.08 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$429.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
52 |
43 |
$415.41 |
| 72110 |
|
35 |
33 |
$209.72 |
| 72040 |
|
57 |
55 |
$184.06 |
| 73030 |
|
41 |
32 |
$171.64 |
| 73502 |
|
47 |
33 |
$131.53 |
| 73610 |
|
15 |
15 |
$89.10 |
| 73630 |
|
15 |
14 |
$87.86 |
| 73620 |
|
13 |
12 |
$42.80 |