| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
21,360 |
17,676 |
$65K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,046 |
2,232 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,085 |
1,625 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
5,783 |
5,201 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
410 |
311 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
195 |
146 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
316 |
255 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
411 |
262 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
39 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
38 |
$983.17 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
30 |
24 |
$840.01 |
| 72100 |
|
127 |
91 |
$591.82 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
13 |
$421.46 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
44 |
30 |
$397.40 |
| 71250 |
|
30 |
26 |
$378.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
21 |
13 |
$322.45 |
| 72110 |
|
26 |
25 |
$268.73 |
| 76801 |
|
20 |
18 |
$224.00 |
| 73564 |
|
38 |
25 |
$207.56 |
| 73562 |
|
22 |
14 |
$120.00 |
| 73030 |
|
24 |
12 |
$51.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
167 |
149 |
$11.62 |
| 3341F |
|
47 |
40 |
$0.00 |