| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,767 |
2,287 |
$104K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,176 |
2,309 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,193 |
924 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,432 |
1,325 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
6,685 |
5,447 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
10,525 |
6,682 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,132 |
989 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
298 |
268 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
213 |
179 |
$8K |
| 76376 |
|
1,890 |
1,456 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
155 |
125 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
94 |
$4K |
| 72100 |
|
518 |
452 |
$3K |
| 93971 |
|
391 |
307 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
111 |
74 |
$3K |
| 76830 |
Ultrasound, transvaginal |
108 |
106 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
101 |
92 |
$3K |
| 73562 |
|
583 |
435 |
$3K |
| 73630 |
|
562 |
452 |
$3K |
| 73130 |
|
465 |
398 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
61 |
51 |
$2K |
| 74018 |
|
472 |
378 |
$2K |
| 73610 |
|
350 |
290 |
$2K |
| 73030 |
|
239 |
197 |
$1K |
| 36573 |
|
32 |
25 |
$1K |
| 73110 |
|
171 |
149 |
$1K |
| 72141 |
|
12 |
12 |
$764.58 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
32 |
28 |
$715.96 |
| 76801 |
|
14 |
12 |
$546.08 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$498.95 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$404.46 |
| 76775 |
|
32 |
25 |
$376.53 |
| 73502 |
|
94 |
75 |
$355.03 |
| 76642 |
|
13 |
12 |
$345.40 |
| 71250 |
|
31 |
25 |
$301.40 |
| 73080 |
|
13 |
13 |
$88.12 |
| 73090 |
|
16 |
12 |
$81.15 |
| 77080 |
|
12 |
12 |
$75.36 |