| Code | Description | Claims | Beneficiaries | Total Paid |
| 76770 |
|
436 |
425 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,844 |
756 |
$14K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
143 |
135 |
$13K |
| 74018 |
|
1,319 |
936 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
767 |
739 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
80 |
79 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
248 |
233 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
58 |
54 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
28 |
$4K |
| 72082 |
|
218 |
211 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$3K |
| 73610 |
|
159 |
144 |
$3K |
| 73630 |
|
121 |
104 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
27 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
47 |
44 |
$2K |
| 73620 |
|
120 |
92 |
$2K |
| 73560 |
|
134 |
121 |
$1K |
| 99460 |
|
15 |
15 |
$1K |
| 73090 |
|
160 |
142 |
$1K |
| 73070 |
|
166 |
147 |
$1K |
| 73521 |
|
110 |
104 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
16 |
16 |
$1K |
| 73100 |
|
108 |
96 |
$971.24 |
| 73590 |
|
92 |
77 |
$968.94 |
| 73140 |
|
64 |
57 |
$807.35 |
| 76376 |
|
84 |
75 |
$760.44 |
| 76506 |
|
40 |
30 |
$745.48 |
| 73130 |
|
54 |
53 |
$737.79 |
| 73552 |
|
62 |
50 |
$665.15 |
| 51600 |
|
16 |
14 |
$641.32 |
| 76870 |
|
18 |
17 |
$603.20 |
| 73110 |
|
38 |
35 |
$596.45 |
| 93976 |
|
13 |
12 |
$590.50 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$574.66 |
| 70250 |
|
29 |
29 |
$462.91 |
| 76885 |
|
13 |
12 |
$446.28 |
| 74019 |
|
28 |
28 |
$394.08 |
| 77072 |
|
28 |
28 |
$267.36 |
| 73000 |
|
27 |
25 |
$245.53 |
| 74021 |
|
15 |
15 |
$234.37 |
| 74455 |
|
14 |
13 |
$206.45 |
| 77077 |
|
14 |
14 |
$196.89 |
| 73060 |
|
18 |
12 |
$160.14 |
| 73030 |
|
14 |
14 |
$144.39 |
| 72170 |
|
14 |
14 |
$120.10 |