| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,626 |
3,530 |
$146K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,459 |
3,421 |
$76K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,161 |
3,960 |
$70K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,662 |
2,593 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
21,990 |
16,034 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,864 |
2,816 |
$51K |
| 76830 |
Ultrasound, transvaginal |
2,564 |
2,525 |
$46K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,772 |
3,492 |
$46K |
| 93976 |
|
2,581 |
2,383 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,824 |
2,660 |
$44K |
| 71046 |
Radiologic examination, chest; 2 views |
7,675 |
7,454 |
$37K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,699 |
1,150 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
629 |
612 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,161 |
1,018 |
$16K |
| 76642 |
|
869 |
776 |
$14K |
| 74018 |
|
2,642 |
2,344 |
$11K |
| 73630 |
|
2,832 |
2,321 |
$10K |
| 76770 |
|
492 |
484 |
$7K |
| 73610 |
|
1,671 |
1,536 |
$7K |
| 73562 |
|
1,553 |
1,298 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
243 |
237 |
$6K |
| 73030 |
|
1,319 |
1,112 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
147 |
142 |
$5K |
| 76801 |
|
169 |
160 |
$5K |
| 76536 |
|
315 |
308 |
$4K |
| 73130 |
|
844 |
667 |
$4K |
| 71250 |
|
226 |
221 |
$3K |
| 72100 |
|
611 |
601 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
139 |
131 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,132 |
3,096 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
143 |
125 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
79 |
77 |
$2K |
| 72110 |
|
310 |
307 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
99 |
93 |
$2K |
| 74022 |
|
216 |
201 |
$1K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
26 |
26 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
28 |
$1K |
| 73110 |
|
311 |
274 |
$1K |
| 93971 |
|
132 |
129 |
$1K |
| 73560 |
|
221 |
162 |
$738.38 |
| 72040 |
|
118 |
115 |
$656.04 |
| 73502 |
|
121 |
117 |
$509.82 |
| 74019 |
|
72 |
66 |
$434.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$426.41 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$314.19 |
| 77072 |
|
39 |
38 |
$209.50 |
| 73564 |
|
32 |
26 |
$187.05 |
| 73140 |
|
25 |
24 |
$92.21 |
| 73120 |
|
19 |
12 |
$78.56 |
| 72072 |
|
12 |
12 |
$70.73 |
| 73080 |
|
15 |
12 |
$67.47 |
| 73590 |
|
13 |
12 |
$58.11 |