| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,494 |
1,317 |
$93K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
648 |
578 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
823 |
754 |
$22K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
178 |
158 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,669 |
2,343 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,850 |
1,961 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
253 |
239 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
420 |
408 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
230 |
200 |
$7K |
| 76830 |
Ultrasound, transvaginal |
207 |
178 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
198 |
176 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
33 |
31 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
197 |
168 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
129 |
106 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
179 |
178 |
$3K |
| 76801 |
|
75 |
67 |
$2K |
| 73630 |
|
177 |
137 |
$2K |
| 93976 |
|
70 |
48 |
$1K |
| 76642 |
|
96 |
79 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
46 |
40 |
$1K |
| 73130 |
|
125 |
83 |
$1K |
| 73562 |
|
88 |
48 |
$785.35 |
| 73610 |
|
62 |
53 |
$639.85 |
| 76770 |
|
26 |
25 |
$638.49 |
| 77066 |
Tomosynthesis, mammo |
33 |
32 |
$632.52 |
| 73030 |
|
62 |
53 |
$529.92 |
| 73110 |
|
52 |
37 |
$521.70 |
| 72170 |
|
69 |
42 |
$480.00 |
| 74018 |
|
96 |
66 |
$408.07 |
| 72100 |
|
16 |
16 |
$229.60 |
| 72110 |
|
12 |
12 |
$227.40 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$195.52 |
| 73590 |
|
22 |
12 |
$177.25 |