| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,184 |
2,094 |
$114K |
| 71045 |
Radiologic examination, chest; single view |
15,207 |
12,192 |
$64K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,480 |
2,036 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
7,144 |
6,684 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,038 |
975 |
$27K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
801 |
559 |
$20K |
| 73630 |
|
2,998 |
2,508 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
662 |
635 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
632 |
604 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
746 |
700 |
$14K |
| 73610 |
|
1,801 |
1,617 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
132 |
123 |
$10K |
| 74018 |
|
1,472 |
1,357 |
$8K |
| 73110 |
|
892 |
795 |
$6K |
| 73030 |
|
897 |
799 |
$5K |
| 73130 |
|
618 |
545 |
$4K |
| 76830 |
Ultrasound, transvaginal |
117 |
108 |
$4K |
| 72100 |
|
403 |
389 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
50 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
55 |
51 |
$2K |
| 73560 |
|
427 |
368 |
$2K |
| 73562 |
|
211 |
178 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
24 |
$1K |
| 76882 |
|
66 |
51 |
$964.22 |
| 71250 |
|
24 |
24 |
$791.00 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$790.12 |
| 76642 |
|
30 |
26 |
$613.80 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$441.45 |
| 74019 |
|
44 |
43 |
$323.50 |
| 73090 |
|
32 |
29 |
$227.46 |
| 73502 |
|
41 |
39 |
$222.43 |
| 73070 |
|
13 |
12 |
$83.76 |
| 72170 |
|
12 |
12 |
$52.77 |