| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,267 |
3,134 |
$263K |
| 71045 |
Radiologic examination, chest; single view |
22,608 |
16,092 |
$173K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,273 |
3,089 |
$109K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,234 |
3,234 |
$103K |
| 71046 |
Radiologic examination, chest; 2 views |
9,846 |
9,562 |
$97K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,139 |
1,104 |
$91K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,205 |
3,205 |
$81K |
| 76641 |
|
1,768 |
1,448 |
$58K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
900 |
889 |
$54K |
| 76770 |
|
1,638 |
1,612 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
625 |
602 |
$47K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
963 |
916 |
$25K |
| 72082 |
|
1,074 |
1,065 |
$16K |
| 73562 |
|
1,548 |
1,320 |
$14K |
| 73564 |
|
1,161 |
844 |
$13K |
| 74018 |
|
1,741 |
868 |
$13K |
| 73630 |
|
1,292 |
1,153 |
$10K |
| 73030 |
|
856 |
777 |
$7K |
| 73610 |
|
820 |
725 |
$7K |
| 73130 |
|
792 |
669 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
119 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
169 |
167 |
$6K |
| 74022 |
|
332 |
79 |
$5K |
| 73110 |
|
375 |
324 |
$3K |
| 72100 |
|
326 |
323 |
$3K |
| 71250 |
|
68 |
67 |
$3K |
| 76506 |
|
94 |
69 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
38 |
$2K |
| 76642 |
|
100 |
64 |
$2K |
| 73590 |
|
267 |
236 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
56 |
56 |
$2K |
| 73620 |
|
129 |
113 |
$1K |
| 77080 |
|
192 |
192 |
$943.89 |
| 70544 |
|
19 |
15 |
$751.83 |
| 72170 |
|
79 |
77 |
$680.16 |
| 73600 |
|
56 |
51 |
$562.38 |
| 73521 |
|
51 |
51 |
$495.11 |
| 73560 |
|
77 |
52 |
$482.22 |
| 76536 |
|
13 |
13 |
$302.17 |
| 73090 |
|
35 |
30 |
$275.04 |
| 71271 |
|
13 |
13 |
$169.08 |
| 73080 |
|
17 |
13 |
$163.77 |
| 73522 |
|
18 |
18 |
$145.78 |
| 73502 |
|
14 |
14 |
$115.87 |
| 73552 |
|
13 |
12 |
$111.68 |
| 73140 |
|
14 |
12 |
$42.09 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
149 |
110 |
$0.00 |