| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,723 |
2,616 |
$159K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,785 |
2,659 |
$70K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,244 |
1,182 |
$70K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,058 |
1,023 |
$60K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,119 |
2,119 |
$56K |
| 71046 |
Radiologic examination, chest; 2 views |
7,167 |
6,710 |
$55K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,970 |
1,970 |
$40K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
974 |
921 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
4,798 |
3,912 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,263 |
1,255 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
774 |
773 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,366 |
1,332 |
$26K |
| 71250 |
|
725 |
703 |
$25K |
| 76830 |
Ultrasound, transvaginal |
996 |
977 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
452 |
452 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
565 |
557 |
$18K |
| 76801 |
|
299 |
279 |
$10K |
| 93971 |
|
624 |
599 |
$9K |
| 73564 |
|
1,111 |
1,097 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
181 |
179 |
$8K |
| 76775 |
|
410 |
407 |
$8K |
| 73630 |
|
1,219 |
1,188 |
$7K |
| 76642 |
|
276 |
257 |
$6K |
| 71271 |
|
163 |
163 |
$6K |
| 73130 |
|
932 |
913 |
$6K |
| 74018 |
|
972 |
919 |
$6K |
| 73610 |
|
1,011 |
973 |
$6K |
| 70486 |
|
182 |
181 |
$5K |
| 73030 |
|
732 |
726 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
181 |
163 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
157 |
157 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
86 |
86 |
$3K |
| 73110 |
|
525 |
509 |
$3K |
| 72110 |
|
282 |
282 |
$3K |
| 93970 |
|
104 |
99 |
$2K |
| 72141 |
|
39 |
39 |
$2K |
| 76857 |
|
108 |
108 |
$2K |
| 74022 |
|
151 |
147 |
$2K |
| 72020 |
|
285 |
284 |
$1K |
| 77065 |
Tomosynthesis, mammo |
26 |
26 |
$771.18 |
| 73502 |
|
96 |
94 |
$751.75 |
| 76536 |
|
37 |
36 |
$684.21 |
| 77066 |
Tomosynthesis, mammo |
14 |
14 |
$475.78 |
| 70491 |
|
12 |
12 |
$460.45 |
| 72131 |
|
12 |
12 |
$354.86 |
| 93976 |
|
12 |
12 |
$329.27 |
| 76820 |
|
14 |
14 |
$229.84 |
| 73590 |
|
38 |
36 |
$217.81 |
| 73140 |
|
37 |
37 |
$178.95 |
| 73080 |
|
27 |
27 |
$164.40 |
| 72100 |
|
13 |
13 |
$102.05 |
| 77080 |
|
12 |
12 |
$44.64 |