| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,579 |
1,391 |
$174K |
| 73221 |
|
710 |
663 |
$90K |
| 73564 |
|
3,682 |
3,144 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
491 |
448 |
$34K |
| 73630 |
|
2,815 |
2,505 |
$28K |
| 73030 |
|
2,658 |
2,408 |
$26K |
| 73610 |
|
1,875 |
1,691 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
528 |
505 |
$24K |
| 73130 |
|
2,002 |
1,712 |
$19K |
| 73110 |
|
1,237 |
1,113 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,050 |
1,708 |
$10K |
| 73502 |
|
1,362 |
1,243 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,436 |
1,373 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
107 |
95 |
$4K |
| 73080 |
|
363 |
332 |
$3K |
| 72170 |
|
460 |
423 |
$3K |
| 73700 |
|
74 |
65 |
$3K |
| 73590 |
|
244 |
214 |
$2K |
| 72100 |
|
126 |
117 |
$2K |
| 76770 |
|
28 |
27 |
$909.59 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
36 |
34 |
$652.22 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$606.48 |
| 73140 |
|
53 |
51 |
$518.02 |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$481.43 |
| 73090 |
|
61 |
58 |
$479.15 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$409.39 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$370.00 |
| 74018 |
|
77 |
69 |
$342.64 |
| 93976 |
|
18 |
13 |
$300.98 |
| 74230 |
|
26 |
25 |
$165.10 |
| 73552 |
|
29 |
26 |
$141.56 |
| 74420 |
|
14 |
13 |
$114.80 |
| 73560 |
|
17 |
12 |
$89.96 |