| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
908 |
897 |
$60K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,166 |
2,119 |
$58K |
| 71045 |
Radiologic examination, chest; single view |
7,675 |
7,081 |
$47K |
| 71046 |
Radiologic examination, chest; 2 views |
3,744 |
3,595 |
$30K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
343 |
343 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
293 |
293 |
$9K |
| 74178 |
|
95 |
95 |
$5K |
| 72100 |
|
476 |
469 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
86 |
84 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
60 |
60 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
80 |
80 |
$2K |
| 73030 |
|
204 |
195 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
62 |
62 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
26 |
$1K |
| 73562 |
|
237 |
219 |
$1K |
| 76641 |
|
29 |
28 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
30 |
$869.14 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$854.57 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$603.61 |
| 73610 |
|
59 |
57 |
$468.99 |
| 73630 |
|
52 |
52 |
$366.34 |
| 73502 |
|
41 |
41 |
$323.08 |
| 73110 |
|
25 |
24 |
$223.38 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$197.28 |
| 73130 |
|
26 |
25 |
$178.83 |