| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
630 |
625 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
472 |
468 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
438 |
435 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,852 |
1,830 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
240 |
239 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,463 |
1,394 |
$9K |
| 76830 |
Ultrasound, transvaginal |
294 |
291 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
351 |
345 |
$8K |
| 76536 |
|
189 |
188 |
$4K |
| 74018 |
|
500 |
488 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
61 |
61 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
45 |
44 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
62 |
62 |
$2K |
| 72100 |
|
161 |
160 |
$2K |
| 73630 |
|
175 |
175 |
$1K |
| 73030 |
|
110 |
110 |
$866.59 |
| 71250 |
|
28 |
28 |
$818.14 |
| 72141 |
|
12 |
12 |
$735.72 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$724.47 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$716.03 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$693.00 |
| 72110 |
|
46 |
46 |
$604.78 |
| 73610 |
|
62 |
61 |
$544.48 |
| 76770 |
|
13 |
13 |
$371.30 |
| 73130 |
|
27 |
26 |
$220.93 |
| 73110 |
|
12 |
12 |
$91.54 |
| 73502 |
|
13 |
12 |
$62.72 |