| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,429 |
3,975 |
$215K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
855 |
782 |
$154K |
| 71045 |
Radiologic examination, chest; single view |
14,901 |
12,332 |
$89K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,737 |
2,338 |
$58K |
| 70496 |
|
288 |
267 |
$43K |
| 70498 |
|
286 |
268 |
$42K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
446 |
413 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
641 |
579 |
$28K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
473 |
444 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
685 |
683 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
491 |
441 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,204 |
1,975 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
362 |
330 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
668 |
610 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
524 |
482 |
$12K |
| 72141 |
|
166 |
160 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
258 |
230 |
$8K |
| 76770 |
|
323 |
284 |
$7K |
| 71250 |
|
169 |
134 |
$5K |
| 74018 |
|
747 |
617 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
131 |
127 |
$4K |
| 73630 |
|
612 |
537 |
$4K |
| 72131 |
|
104 |
91 |
$3K |
| 73562 |
|
491 |
399 |
$3K |
| 73610 |
|
523 |
478 |
$3K |
| 72100 |
|
415 |
378 |
$3K |
| 76642 |
|
136 |
129 |
$3K |
| 70486 |
|
71 |
66 |
$2K |
| 73030 |
|
392 |
332 |
$2K |
| 73110 |
|
385 |
341 |
$2K |
| 73130 |
|
379 |
291 |
$2K |
| 76801 |
|
51 |
43 |
$2K |
| 76830 |
Ultrasound, transvaginal |
54 |
49 |
$1K |
| 93971 |
|
93 |
86 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$1K |
| 77066 |
Tomosynthesis, mammo |
27 |
25 |
$863.38 |
| 72110 |
|
85 |
79 |
$742.35 |
| 72040 |
|
75 |
69 |
$517.86 |
| 73080 |
|
87 |
79 |
$497.91 |
| 72170 |
|
81 |
75 |
$451.01 |
| 73140 |
|
101 |
92 |
$447.45 |
| 73502 |
|
70 |
57 |
$387.22 |
| 73590 |
|
72 |
65 |
$376.44 |