| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
11,752 |
11,590 |
$132K |
| 71045 |
Radiologic examination, chest; single view |
11,307 |
7,946 |
$101K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,756 |
1,754 |
$70K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,813 |
1,677 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
612 |
591 |
$47K |
| 73564 |
|
1,547 |
1,500 |
$35K |
| 73630 |
|
1,210 |
1,087 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
245 |
244 |
$9K |
| 74022 |
|
427 |
414 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
194 |
194 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
184 |
178 |
$5K |
| 73610 |
|
330 |
302 |
$5K |
| 73030 |
|
166 |
159 |
$2K |
| 72100 |
|
152 |
151 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
55 |
$2K |
| 73130 |
|
146 |
131 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
25 |
$2K |
| 76830 |
Ultrasound, transvaginal |
63 |
62 |
$2K |
| 76770 |
|
57 |
56 |
$2K |
| 76536 |
|
47 |
47 |
$2K |
| 74018 |
|
173 |
150 |
$2K |
| 73502 |
|
101 |
96 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$2K |
| 72082 |
|
29 |
29 |
$2K |
| 72170 |
|
136 |
128 |
$1K |
| 77080 |
|
80 |
78 |
$660.04 |
| 76641 |
|
12 |
12 |
$615.99 |
| 73522 |
|
12 |
12 |
$572.72 |
| 70460 |
|
12 |
12 |
$443.20 |
| 76642 |
|
12 |
12 |
$421.02 |
| 73110 |
|
18 |
16 |
$409.52 |
| 73620 |
|
12 |
12 |
$107.28 |
| 99080 |
|
124 |
64 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
136 |
109 |
$0.00 |