| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13,184 |
13,027 |
$839K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,735 |
15,439 |
$452K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,941 |
5,893 |
$413K |
| 71045 |
Radiologic examination, chest; single view |
43,852 |
37,980 |
$286K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,962 |
2,365 |
$92K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,790 |
3,673 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
10,013 |
9,949 |
$80K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,282 |
1,264 |
$79K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,528 |
4,457 |
$76K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,116 |
2,116 |
$58K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,091 |
2,083 |
$54K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,227 |
2,216 |
$46K |
| 93970 |
|
859 |
842 |
$31K |
| 73630 |
|
4,512 |
4,048 |
$29K |
| 76801 |
|
795 |
776 |
$24K |
| 71250 |
|
996 |
985 |
$22K |
| 73030 |
|
2,995 |
2,808 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,188 |
1,188 |
$21K |
| 93975 |
|
262 |
260 |
$21K |
| 73130 |
|
3,163 |
2,912 |
$20K |
| 76830 |
Ultrasound, transvaginal |
1,025 |
1,023 |
$20K |
| 70486 |
|
625 |
620 |
$19K |
| 73610 |
|
2,861 |
2,748 |
$19K |
| 93971 |
|
1,283 |
1,257 |
$18K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
361 |
346 |
$18K |
| 76641 |
|
424 |
421 |
$16K |
| 74018 |
|
2,315 |
2,217 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
364 |
358 |
$15K |
| 73562 |
|
2,668 |
2,426 |
$15K |
| 76770 |
|
779 |
773 |
$14K |
| 72100 |
|
1,643 |
1,640 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
486 |
485 |
$11K |
| 73110 |
|
1,823 |
1,719 |
$11K |
| 72131 |
|
377 |
374 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
293 |
292 |
$8K |
| 77066 |
Tomosynthesis, mammo |
209 |
209 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
128 |
128 |
$7K |
| 93976 |
|
154 |
152 |
$6K |
| 73502 |
|
567 |
562 |
$4K |
| 76642 |
|
185 |
185 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
128 |
126 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
106 |
106 |
$3K |
| 73221 |
|
102 |
99 |
$3K |
| 77062 |
|
42 |
42 |
$3K |
| 93880 |
|
118 |
116 |
$3K |
| 73080 |
|
429 |
413 |
$3K |
| 76857 |
|
170 |
169 |
$3K |
| 73700 |
|
95 |
86 |
$3K |
| 72040 |
|
310 |
310 |
$2K |
| 76536 |
|
229 |
228 |
$2K |
| 73590 |
|
374 |
351 |
$2K |
| 73564 |
|
243 |
215 |
$2K |
| 72050 |
|
161 |
161 |
$2K |
| 77065 |
Tomosynthesis, mammo |
79 |
78 |
$2K |
| 70498 |
|
44 |
44 |
$2K |
| 99152 |
|
41 |
40 |
$1K |
| 72110 |
|
83 |
83 |
$1K |
| 74022 |
|
100 |
100 |
$1K |
| 73090 |
|
183 |
177 |
$1K |
| 76870 |
|
41 |
40 |
$1K |
| 70496 |
|
17 |
17 |
$935.71 |
| 71271 |
|
13 |
13 |
$928.23 |
| 72141 |
|
28 |
28 |
$913.52 |
| 72128 |
|
40 |
40 |
$886.93 |
| 73140 |
|
141 |
137 |
$640.00 |
| 99153 |
Mod sedat endo service >5yrs |
32 |
32 |
$638.43 |
| 73718 |
|
14 |
13 |
$473.69 |
| 73200 |
|
12 |
12 |
$399.75 |
| 72070 |
|
39 |
39 |
$326.04 |
| 73560 |
|
74 |
62 |
$285.71 |
| 72082 |
|
12 |
12 |
$279.19 |
| 71101 |
|
26 |
26 |
$275.21 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$209.07 |
| 72170 |
|
41 |
39 |
$190.20 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
30 |
30 |
$176.40 |
| 73552 |
|
16 |
14 |
$102.88 |