| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
11,118 |
9,290 |
$666K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,133 |
5,897 |
$220K |
| 71045 |
Radiologic examination, chest; single view |
16,355 |
13,101 |
$99K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,415 |
1,175 |
$92K |
| 71046 |
Radiologic examination, chest; 2 views |
9,542 |
8,309 |
$73K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,349 |
1,133 |
$36K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,338 |
965 |
$27K |
| 76830 |
Ultrasound, transvaginal |
1,057 |
941 |
$26K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
811 |
722 |
$20K |
| 76641 |
|
1,127 |
488 |
$17K |
| 71250 |
|
364 |
294 |
$13K |
| 72100 |
|
1,190 |
1,064 |
$9K |
| 77066 |
Tomosynthesis, mammo |
484 |
320 |
$8K |
| 74241 |
|
204 |
195 |
$4K |
| 72040 |
|
431 |
372 |
$3K |
| 73560 |
|
328 |
238 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
145 |
121 |
$3K |
| 93971 |
|
87 |
66 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
105 |
95 |
$2K |
| 73030 |
|
262 |
219 |
$2K |
| 76536 |
|
52 |
36 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
13 |
$1K |
| 76810 |
|
29 |
27 |
$929.71 |
| 74018 |
|
72 |
43 |
$466.93 |
| 70210 |
|
93 |
86 |
$416.02 |
| 73502 |
|
75 |
58 |
$314.47 |
| 73630 |
|
61 |
52 |
$239.78 |
| 73590 |
|
38 |
29 |
$165.01 |
| 73620 |
|
25 |
25 |
$147.75 |
| 70250 |
|
12 |
12 |
$93.03 |
| 76770 |
|
12 |
12 |
$75.12 |
| 73120 |
|
18 |
12 |
$51.21 |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$0.00 |