| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,412 |
5,930 |
$218K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,934 |
6,335 |
$99K |
| 71046 |
Radiologic examination, chest; 2 views |
14,057 |
12,950 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
20,928 |
16,019 |
$70K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
774 |
734 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
647 |
607 |
$14K |
| 74018 |
|
962 |
868 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
109 |
104 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
300 |
293 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
184 |
166 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
151 |
147 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
95 |
87 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
196 |
186 |
$3K |
| 71250 |
|
131 |
127 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
109 |
108 |
$1K |
| 73562 |
|
176 |
154 |
$766.54 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
14 |
$184.60 |
| 76830 |
Ultrasound, transvaginal |
17 |
13 |
$133.47 |
| 73630 |
|
37 |
28 |
$128.06 |
| 73030 |
|
32 |
25 |
$112.54 |
| 73502 |
|
17 |
14 |
$45.61 |
| 73610 |
|
14 |
12 |
$45.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
130 |
124 |
$0.00 |