| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
2,124 |
1,992 |
$18K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
347 |
320 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
258 |
258 |
$15K |
| 76830 |
Ultrasound, transvaginal |
107 |
104 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
82 |
77 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
71 |
64 |
$5K |
| 73630 |
|
247 |
229 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
78 |
49 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$3K |
| 76801 |
|
69 |
66 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
42 |
41 |
$2K |
| 73030 |
|
142 |
139 |
$2K |
| 73564 |
|
108 |
96 |
$2K |
| 73610 |
|
74 |
68 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
462 |
409 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
24 |
24 |
$1K |
| 73110 |
|
56 |
53 |
$958.16 |
| 76770 |
|
13 |
13 |
$811.41 |
| 74018 |
|
64 |
62 |
$695.51 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$611.16 |
| 93971 |
|
12 |
12 |
$344.26 |
| 72100 |
|
13 |
13 |
$276.36 |
| 73502 |
|
12 |
12 |
$155.79 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
174 |
146 |
$123.50 |