| Code | Description | Claims | Beneficiaries | Total Paid |
| 99070 |
|
3,339 |
3,153 |
$86K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
479 |
369 |
$71K |
| 59515 |
|
259 |
228 |
$69K |
| 76641 |
|
1,736 |
840 |
$61K |
| 93000 |
|
2,497 |
2,251 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
7,313 |
3,851 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
689 |
521 |
$41K |
| 99221 |
|
527 |
509 |
$40K |
| 99245 |
|
917 |
882 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
2,920 |
2,376 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
568 |
438 |
$26K |
| 99255 |
|
735 |
694 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
120 |
87 |
$20K |
| 77065 |
Tomosynthesis, mammo |
655 |
460 |
$19K |
| 76830 |
Ultrasound, transvaginal |
593 |
456 |
$19K |
| 99223 |
Prolong inpt eval add15 m |
88 |
73 |
$11K |
| 77066 |
Tomosynthesis, mammo |
332 |
224 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
284 |
221 |
$10K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,429 |
1,378 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
165 |
100 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
67 |
67 |
$4K |
| 71250 |
|
80 |
51 |
$4K |
| 76942 |
|
201 |
196 |
$3K |
| 99215 |
Prolong outpt/office vis |
29 |
24 |
$2K |
| 77080 |
|
45 |
25 |
$681.55 |
| 72100 |
|
25 |
25 |
$288.98 |