| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,694 |
1,580 |
$83K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,655 |
1,472 |
$39K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
673 |
645 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,596 |
3,281 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,779 |
1,966 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
603 |
600 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
233 |
217 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
342 |
340 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
283 |
265 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
73 |
72 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
115 |
109 |
$3K |
| 73610 |
|
545 |
500 |
$3K |
| 73630 |
|
526 |
450 |
$2K |
| 71250 |
|
28 |
27 |
$1K |
| 73030 |
|
185 |
165 |
$845.71 |
| 73110 |
|
146 |
125 |
$757.25 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$622.57 |
| 73130 |
|
149 |
129 |
$578.51 |
| 72100 |
|
48 |
48 |
$393.13 |
| 73560 |
|
63 |
55 |
$301.28 |
| 93971 |
|
12 |
12 |
$228.24 |
| 74018 |
|
30 |
24 |
$202.96 |
| 73564 |
|
16 |
12 |
$56.56 |
| 73502 |
|
12 |
12 |
$0.00 |