| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
590 |
561 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
632 |
600 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
478 |
474 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,628 |
1,308 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
630 |
609 |
$8K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
92 |
89 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
154 |
150 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
255 |
247 |
$6K |
| 76830 |
Ultrasound, transvaginal |
144 |
143 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
73 |
71 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
83 |
76 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
79 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
112 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
64 |
62 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
53 |
53 |
$2K |
| 71250 |
|
73 |
72 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
28 |
$1K |
| 93971 |
|
97 |
93 |
$1K |
| 73030 |
|
206 |
186 |
$1K |
| 73630 |
|
290 |
258 |
$999.80 |
| 76642 |
|
29 |
26 |
$704.37 |
| 73562 |
|
121 |
101 |
$619.62 |
| 72100 |
|
78 |
76 |
$551.29 |
| 70486 |
|
14 |
14 |
$432.44 |
| 73610 |
|
90 |
84 |
$421.53 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$340.56 |
| 73502 |
|
58 |
54 |
$322.48 |
| 73110 |
|
45 |
42 |
$201.16 |
| 73130 |
|
47 |
38 |
$169.72 |
| 74018 |
|
15 |
12 |
$108.80 |
| 73560 |
|
13 |
12 |
$43.83 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
41 |
40 |
$0.00 |