| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,593 |
3,205 |
$181K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,983 |
1,806 |
$156K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,240 |
1,119 |
$78K |
| 71045 |
Radiologic examination, chest; single view |
9,430 |
7,960 |
$72K |
| 71046 |
Radiologic examination, chest; 2 views |
3,867 |
3,529 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,184 |
1,107 |
$26K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
581 |
513 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
355 |
308 |
$23K |
| 73630 |
|
1,499 |
1,372 |
$17K |
| 73560 |
|
1,588 |
1,443 |
$15K |
| 74018 |
|
1,440 |
1,300 |
$12K |
| 73610 |
|
831 |
771 |
$11K |
| 72100 |
|
1,056 |
960 |
$10K |
| 73130 |
|
854 |
771 |
$10K |
| 73030 |
|
688 |
647 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
182 |
157 |
$7K |
| 71020 |
|
336 |
288 |
$4K |
| 71010 |
|
341 |
258 |
$4K |
| 71250 |
|
45 |
40 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
26 |
$3K |
| 72040 |
|
238 |
215 |
$3K |
| 73110 |
|
254 |
238 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
38 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
15 |
$905.82 |
| 70486 |
|
23 |
12 |
$835.57 |
| 72070 |
|
55 |
52 |
$711.95 |
| 74000 |
|
49 |
39 |
$495.00 |
| 73502 |
|
62 |
56 |
$419.79 |
| 73070 |
|
48 |
39 |
$396.21 |
| 73590 |
|
26 |
25 |
$247.26 |
| 73090 |
|
15 |
15 |
$144.00 |
| 73140 |
|
14 |
14 |
$111.96 |