| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,051 |
3,155 |
$93K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,185 |
1,677 |
$63K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,218 |
4,112 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
12,052 |
8,118 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,067 |
1,591 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
4,230 |
3,286 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
712 |
553 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
663 |
523 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
918 |
696 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,112 |
815 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
350 |
261 |
$7K |
| 76801 |
|
451 |
282 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
364 |
295 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
552 |
398 |
$5K |
| 76642 |
|
466 |
332 |
$5K |
| 73630 |
|
1,240 |
964 |
$3K |
| 74018 |
|
931 |
726 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
748 |
578 |
$3K |
| 71250 |
|
238 |
192 |
$3K |
| 73610 |
|
785 |
627 |
$3K |
| 93971 |
|
375 |
300 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
270 |
209 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
124 |
93 |
$2K |
| 73030 |
|
717 |
546 |
$2K |
| 73130 |
|
540 |
430 |
$2K |
| 77066 |
Tomosynthesis, mammo |
96 |
83 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
66 |
$2K |
| 76536 |
|
282 |
202 |
$2K |
| 72131 |
|
108 |
81 |
$1K |
| 73562 |
|
517 |
350 |
$1K |
| 76770 |
|
114 |
96 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
113 |
68 |
$1K |
| 76830 |
Ultrasound, transvaginal |
60 |
51 |
$882.29 |
| 62323 |
|
21 |
13 |
$755.51 |
| 73502 |
|
285 |
228 |
$691.17 |
| 72110 |
|
154 |
130 |
$627.91 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
12 |
$602.88 |
| 73110 |
|
179 |
141 |
$573.11 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
30 |
$533.04 |
| 73564 |
|
181 |
123 |
$516.06 |
| 77065 |
Tomosynthesis, mammo |
45 |
37 |
$491.89 |
| 72100 |
|
134 |
122 |
$444.96 |
| 70486 |
|
16 |
16 |
$333.39 |
| 73221 |
|
13 |
13 |
$223.25 |
| 73090 |
|
63 |
51 |
$179.34 |
| 73590 |
|
52 |
40 |
$169.25 |
| 74022 |
|
26 |
25 |
$115.42 |
| 71101 |
|
17 |
15 |
$85.63 |
| 93880 |
|
20 |
13 |
$20.97 |