| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
274 |
261 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
242 |
238 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
261 |
252 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
787 |
729 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
183 |
183 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
214 |
202 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
178 |
174 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
190 |
185 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
452 |
381 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
31 |
$1K |
| 73630 |
|
190 |
184 |
$951.77 |
| 73610 |
|
149 |
142 |
$730.53 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
16 |
$663.60 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$568.36 |
| 73130 |
|
102 |
96 |
$529.76 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$461.16 |
| 93971 |
|
30 |
27 |
$405.76 |
| 73030 |
|
58 |
57 |
$315.65 |
| 73560 |
|
42 |
41 |
$222.56 |
| 73110 |
|
33 |
33 |
$173.25 |
| 74018 |
|
28 |
26 |
$133.90 |
| 72110 |
|
12 |
12 |
$96.67 |
| 73080 |
|
15 |
15 |
$74.25 |