| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
642 |
618 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
654 |
590 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,999 |
1,863 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
547 |
543 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
215 |
212 |
$13K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
450 |
423 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
156 |
152 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
164 |
162 |
$11K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
367 |
367 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
430 |
426 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
436 |
427 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
174 |
174 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
224 |
222 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,054 |
690 |
$8K |
| 76830 |
Ultrasound, transvaginal |
355 |
349 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
383 |
370 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
155 |
149 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
157 |
150 |
$6K |
| 76770 |
|
255 |
250 |
$6K |
| 72141 |
|
104 |
103 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
188 |
115 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
82 |
81 |
$4K |
| 76801 |
|
140 |
134 |
$4K |
| 73221 |
|
93 |
90 |
$4K |
| 76642 |
|
135 |
124 |
$3K |
| 73630 |
|
503 |
460 |
$3K |
| 71250 |
|
75 |
75 |
$3K |
| 73130 |
|
372 |
326 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
135 |
126 |
$2K |
| 93971 |
|
164 |
158 |
$2K |
| 72110 |
|
220 |
220 |
$2K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
71 |
71 |
$2K |
| 73610 |
|
338 |
324 |
$2K |
| 73564 |
|
285 |
275 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
28 |
28 |
$2K |
| 76536 |
|
91 |
90 |
$2K |
| 73030 |
|
275 |
261 |
$2K |
| 77066 |
Tomosynthesis, mammo |
47 |
47 |
$2K |
| 70498 |
|
29 |
29 |
$1K |
| 73110 |
|
232 |
209 |
$1K |
| 74022 |
|
129 |
122 |
$1K |
| 74018 |
|
222 |
208 |
$1K |
| 73502 |
|
163 |
157 |
$1K |
| 70496 |
|
25 |
25 |
$1K |
| 73562 |
|
148 |
128 |
$1K |
| 70486 |
|
41 |
41 |
$992.15 |
| 70491 |
|
27 |
25 |
$982.67 |
| 93970 |
|
43 |
43 |
$935.58 |
| 72040 |
|
130 |
126 |
$912.25 |
| 72100 |
|
119 |
115 |
$834.36 |
| 74183 |
|
12 |
12 |
$753.62 |
| 77065 |
Tomosynthesis, mammo |
27 |
27 |
$714.14 |
| 73080 |
|
127 |
121 |
$713.03 |
| 73140 |
|
142 |
136 |
$645.04 |
| 76870 |
|
30 |
29 |
$586.92 |
| 93880 |
|
26 |
26 |
$535.38 |
| 73560 |
|
77 |
69 |
$466.23 |
| 73590 |
|
47 |
45 |
$270.93 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$236.63 |
| 73090 |
|
47 |
44 |
$230.11 |
| 77085 |
|
12 |
12 |
$119.28 |
| 99152 |
|
15 |
15 |
$100.98 |
| 72072 |
|
13 |
13 |
$98.89 |
| 73660 |
|
12 |
12 |
$45.27 |