| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,884 |
1,857 |
$267K |
| 71045 |
Radiologic examination, chest; single view |
9,785 |
9,068 |
$136K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,911 |
1,880 |
$126K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
374 |
367 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
3,157 |
3,104 |
$50K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
258 |
246 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
286 |
281 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
189 |
189 |
$11K |
| 73630 |
|
748 |
698 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
176 |
176 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
53 |
51 |
$8K |
| 74018 |
|
502 |
476 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
49 |
49 |
$6K |
| 76801 |
|
80 |
77 |
$6K |
| 73610 |
|
304 |
296 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
66 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
38 |
$3K |
| 73130 |
|
196 |
190 |
$3K |
| 73030 |
|
102 |
98 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$1K |
| 73562 |
|
93 |
93 |
$1K |
| 78454 |
|
12 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$969.68 |
| 72100 |
|
39 |
39 |
$650.50 |
| 73110 |
|
42 |
41 |
$542.86 |
| 74022 |
|
13 |
13 |
$292.24 |