| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,645 |
4,529 |
$214K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,667 |
7,335 |
$111K |
| 71046 |
Radiologic examination, chest; 2 views |
17,378 |
17,078 |
$103K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,721 |
2,667 |
$90K |
| 71045 |
Radiologic examination, chest; single view |
37,903 |
27,702 |
$87K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,089 |
2,962 |
$66K |
| 71250 |
|
1,698 |
1,655 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,970 |
2,944 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,498 |
1,470 |
$23K |
| 74018 |
|
3,761 |
3,546 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,015 |
2,992 |
$16K |
| 76770 |
|
514 |
498 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
401 |
390 |
$7K |
| 76641 |
|
444 |
355 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
245 |
239 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
210 |
196 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
181 |
160 |
$5K |
| 73630 |
|
564 |
511 |
$3K |
| 72081 |
|
263 |
263 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
197 |
193 |
$2K |
| 73562 |
|
433 |
343 |
$2K |
| 74246 |
|
65 |
64 |
$1K |
| 73610 |
|
272 |
248 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
27 |
$958.85 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$881.80 |
| 76536 |
|
53 |
52 |
$727.44 |
| 77080 |
|
955 |
952 |
$656.79 |
| 72100 |
|
119 |
114 |
$653.58 |
| 73130 |
|
154 |
138 |
$574.52 |
| 74230 |
|
102 |
97 |
$502.19 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$500.52 |
| 73030 |
|
86 |
75 |
$357.60 |
| 74022 |
|
28 |
28 |
$320.19 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$224.26 |
| 73590 |
|
27 |
24 |
$116.60 |
| 72020 |
|
12 |
12 |
$76.24 |
| 73090 |
|
15 |
13 |
$73.82 |