| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,404 |
1,250 |
$75K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,962 |
1,819 |
$40K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,947 |
1,591 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
5,574 |
4,968 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
888 |
820 |
$23K |
| 76830 |
Ultrasound, transvaginal |
712 |
657 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
618 |
566 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,866 |
1,286 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
147 |
135 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
62 |
59 |
$3K |
| 73610 |
|
473 |
411 |
$3K |
| 73630 |
|
497 |
427 |
$3K |
| 73130 |
|
358 |
283 |
$2K |
| 76642 |
|
61 |
46 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
25 |
$1K |
| 73562 |
|
161 |
120 |
$931.19 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$873.04 |
| 72100 |
|
82 |
76 |
$598.02 |
| 73030 |
|
107 |
94 |
$585.26 |
| 73564 |
|
65 |
55 |
$443.70 |
| 73110 |
|
82 |
66 |
$406.92 |
| 77080 |
|
46 |
42 |
$171.26 |
| 73140 |
|
32 |
28 |
$137.63 |
| 72040 |
|
13 |
12 |
$136.26 |
| 74018 |
|
18 |
12 |
$64.71 |