| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,399 |
4,763 |
$218K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,259 |
4,938 |
$141K |
| 71046 |
Radiologic examination, chest; 2 views |
10,726 |
9,216 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
16,967 |
11,899 |
$59K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,033 |
1,339 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,143 |
860 |
$35K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
803 |
652 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,116 |
838 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,233 |
926 |
$23K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
597 |
413 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
289 |
263 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
563 |
392 |
$10K |
| 76830 |
Ultrasound, transvaginal |
325 |
286 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
310 |
281 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
304 |
206 |
$7K |
| 73630 |
|
881 |
722 |
$6K |
| 76801 |
|
149 |
126 |
$6K |
| 73610 |
|
554 |
459 |
$4K |
| 73564 |
|
527 |
374 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
385 |
246 |
$4K |
| 71270 |
|
51 |
46 |
$3K |
| 73130 |
|
345 |
260 |
$2K |
| 73030 |
|
286 |
210 |
$1K |
| 74018 |
|
195 |
161 |
$1K |
| 76775 |
|
56 |
51 |
$992.30 |
| 73110 |
|
105 |
91 |
$656.36 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$533.40 |
| 76642 |
|
14 |
12 |
$298.21 |
| 73562 |
|
44 |
25 |
$220.47 |
| 73140 |
|
30 |
27 |
$211.69 |
| 72110 |
|
23 |
12 |
$110.19 |
| 73080 |
|
13 |
12 |
$98.27 |
| 72100 |
|
13 |
12 |
$88.23 |