| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,630 |
2,435 |
$160K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,712 |
1,597 |
$94K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,961 |
2,734 |
$75K |
| 71046 |
Radiologic examination, chest; 2 views |
6,791 |
6,206 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,498 |
1,447 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
6,973 |
5,685 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,199 |
1,137 |
$25K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
633 |
588 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,153 |
1,110 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
804 |
714 |
$20K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
697 |
457 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
453 |
408 |
$15K |
| 71250 |
|
428 |
410 |
$13K |
| 76770 |
|
466 |
446 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
231 |
218 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
132 |
125 |
$11K |
| 73630 |
|
1,079 |
999 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
185 |
169 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
95 |
91 |
$5K |
| 74018 |
|
831 |
682 |
$5K |
| 74022 |
|
412 |
383 |
$5K |
| 72100 |
|
616 |
592 |
$5K |
| 93971 |
|
275 |
256 |
$4K |
| 76820 |
|
240 |
163 |
$4K |
| 73030 |
|
721 |
655 |
$4K |
| 76536 |
|
207 |
200 |
$4K |
| 73610 |
|
628 |
578 |
$4K |
| 70486 |
|
97 |
91 |
$4K |
| 72110 |
|
344 |
337 |
$4K |
| 76642 |
|
138 |
133 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
130 |
115 |
$3K |
| 73130 |
|
477 |
454 |
$3K |
| 73560 |
|
479 |
449 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
45 |
45 |
$2K |
| 73110 |
|
250 |
237 |
$1K |
| 73562 |
|
182 |
180 |
$1K |
| 72131 |
|
36 |
32 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
31 |
29 |
$1K |
| 72141 |
|
13 |
13 |
$789.27 |
| 73090 |
|
127 |
119 |
$768.24 |
| 74019 |
|
106 |
96 |
$764.07 |
| 74178 |
|
13 |
13 |
$682.02 |
| 73502 |
|
100 |
91 |
$558.24 |
| 73590 |
|
84 |
80 |
$538.52 |
| 72040 |
|
71 |
68 |
$537.74 |
| 76801 |
|
16 |
15 |
$500.58 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$464.60 |
| 72072 |
|
52 |
49 |
$329.99 |
| 71101 |
|
41 |
39 |
$305.08 |
| 93970 |
|
14 |
14 |
$246.61 |
| 73070 |
|
41 |
39 |
$222.44 |
| 93925 |
|
14 |
13 |
$217.37 |
| 77080 |
|
25 |
24 |
$147.61 |
| 73060 |
|
14 |
13 |
$87.25 |