| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,759 |
2,533 |
$187K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,920 |
2,672 |
$118K |
| 71046 |
Radiologic examination, chest; 2 views |
8,104 |
7,142 |
$69K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
454 |
422 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
4,748 |
3,794 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
524 |
488 |
$22K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
256 |
243 |
$13K |
| 74019 |
|
1,366 |
1,266 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
80 |
78 |
$11K |
| 74018 |
|
1,325 |
1,161 |
$11K |
| 73610 |
|
1,043 |
960 |
$9K |
| 73630 |
|
1,121 |
982 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
305 |
293 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
69 |
65 |
$6K |
| 73110 |
|
376 |
330 |
$3K |
| 73030 |
|
395 |
353 |
$3K |
| 73130 |
|
293 |
259 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$3K |
| 73562 |
|
265 |
245 |
$2K |
| 72100 |
|
230 |
222 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
48 |
48 |
$2K |
| 71250 |
|
15 |
13 |
$728.38 |
| 73502 |
|
63 |
63 |
$504.48 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$437.32 |
| 93971 |
|
12 |
12 |
$364.95 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$354.32 |
| 73090 |
|
29 |
27 |
$309.31 |
| 73560 |
|
33 |
26 |
$240.88 |
| 73590 |
|
17 |
13 |
$138.48 |
| 72170 |
|
16 |
15 |
$112.29 |
| 73140 |
|
12 |
12 |
$81.51 |