| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
475 |
444 |
$21K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
694 |
629 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,739 |
2,512 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
669 |
660 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
546 |
538 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
188 |
177 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
127 |
78 |
$3K |
| 76830 |
Ultrasound, transvaginal |
110 |
105 |
$2K |
| 76801 |
|
65 |
63 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
84 |
67 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
104 |
93 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$918.64 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
40 |
$756.13 |
| 71045 |
Radiologic examination, chest; single view |
220 |
187 |
$703.61 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$633.72 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$630.58 |
| 73630 |
|
137 |
121 |
$437.42 |
| 73562 |
|
73 |
65 |
$412.18 |
| 73610 |
|
52 |
46 |
$182.47 |
| 74019 |
|
80 |
75 |
$162.23 |
| 73502 |
|
15 |
13 |
$106.75 |
| 73110 |
|
17 |
15 |
$72.83 |
| 73130 |
|
13 |
12 |
$70.80 |
| 73030 |
|
14 |
14 |
$68.97 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$0.00 |