| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
36,197 |
32,734 |
$229K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,261 |
1,796 |
$147K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,918 |
4,182 |
$138K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,002 |
1,709 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
5,495 |
5,460 |
$45K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,020 |
2,010 |
$35K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
975 |
962 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
500 |
500 |
$13K |
| 76642 |
|
179 |
137 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
204 |
204 |
$6K |
| 76801 |
|
165 |
159 |
$4K |
| 76830 |
Ultrasound, transvaginal |
246 |
244 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
213 |
213 |
$4K |
| 74018 |
|
587 |
525 |
$4K |
| 73130 |
|
428 |
418 |
$4K |
| 73610 |
|
429 |
419 |
$3K |
| 93976 |
|
76 |
76 |
$3K |
| 71020 |
|
314 |
314 |
$2K |
| 77066 |
Tomosynthesis, mammo |
52 |
50 |
$2K |
| 71010 |
|
347 |
299 |
$2K |
| 73630 |
|
220 |
215 |
$1K |
| 76770 |
|
64 |
64 |
$1K |
| 71250 |
|
25 |
25 |
$881.91 |
| 73030 |
|
84 |
83 |
$725.15 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
24 |
$680.43 |
| 73110 |
|
85 |
83 |
$561.37 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$542.08 |
| 73562 |
|
62 |
62 |
$391.42 |
| 72100 |
|
26 |
26 |
$221.91 |
| 73590 |
|
15 |
14 |
$81.98 |
| 74000 |
|
13 |
13 |
$54.40 |
| 99152 |
|
17 |
15 |
$0.00 |