| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,411 |
1,375 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
800 |
782 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,186 |
3,106 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
460 |
447 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,865 |
2,548 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
311 |
305 |
$7K |
| 76830 |
Ultrasound, transvaginal |
260 |
257 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
222 |
222 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
202 |
199 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
141 |
139 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
258 |
253 |
$4K |
| 93970 |
|
202 |
192 |
$3K |
| 76770 |
|
145 |
144 |
$3K |
| 73630 |
|
433 |
388 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
48 |
46 |
$2K |
| 71250 |
|
102 |
100 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
76 |
74 |
$2K |
| 70486 |
|
61 |
60 |
$2K |
| 74022 |
|
185 |
172 |
$1K |
| 73564 |
|
176 |
159 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 73610 |
|
246 |
237 |
$1K |
| 73130 |
|
228 |
211 |
$1K |
| 93975 |
|
27 |
27 |
$951.80 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
28 |
$695.39 |
| 73030 |
|
144 |
130 |
$614.10 |
| 93971 |
|
68 |
68 |
$612.40 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
15 |
$576.70 |
| 76642 |
|
24 |
24 |
$458.81 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$455.40 |
| 76536 |
|
26 |
25 |
$342.09 |
| 72100 |
|
56 |
55 |
$331.90 |
| 73110 |
|
73 |
65 |
$328.86 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$298.29 |
| 99152 |
|
13 |
13 |
$279.45 |
| 72110 |
|
25 |
25 |
$221.40 |
| 73502 |
|
49 |
44 |
$199.75 |
| 74018 |
|
26 |
25 |
$101.48 |
| 73590 |
|
31 |
29 |
$93.60 |
| 73090 |
|
29 |
27 |
$81.36 |