| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
290 |
285 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
208 |
207 |
$17K |
| 70450 |
Computed tomography, head or brain; without contrast material |
420 |
409 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
299 |
299 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
312 |
293 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
298 |
298 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,161 |
1,036 |
$9K |
| 76830 |
Ultrasound, transvaginal |
213 |
211 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
202 |
201 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
198 |
197 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
120 |
111 |
$5K |
| 76642 |
|
122 |
102 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
80 |
80 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
75 |
$3K |
| 74018 |
|
177 |
171 |
$2K |
| 73562 |
|
185 |
156 |
$2K |
| 76536 |
|
50 |
50 |
$1K |
| 93976 |
|
32 |
30 |
$1K |
| 73630 |
|
152 |
132 |
$1K |
| 73030 |
|
158 |
137 |
$1K |
| 73610 |
|
128 |
113 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
113 |
111 |
$979.90 |
| 76981 |
|
36 |
36 |
$964.03 |
| 76770 |
|
25 |
25 |
$877.67 |
| 73110 |
|
82 |
73 |
$704.58 |
| 73130 |
|
70 |
62 |
$577.94 |
| 76882 |
|
23 |
19 |
$556.38 |
| 71250 |
|
15 |
15 |
$482.38 |
| 73560 |
|
45 |
30 |
$370.66 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$344.42 |
| 73564 |
|
35 |
26 |
$312.48 |
| 76857 |
|
13 |
13 |
$310.88 |
| 73140 |
|
12 |
12 |
$93.72 |