| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,949 |
4,539 |
$366K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,522 |
5,941 |
$290K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,988 |
1,811 |
$134K |
| 71045 |
Radiologic examination, chest; single view |
20,583 |
16,776 |
$114K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,009 |
912 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
6,907 |
5,942 |
$49K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
648 |
601 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
730 |
671 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
367 |
324 |
$10K |
| 71010 |
|
786 |
676 |
$10K |
| 71020 |
|
717 |
647 |
$10K |
| 74018 |
|
1,033 |
915 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
67 |
64 |
$7K |
| 73610 |
|
468 |
412 |
$5K |
| 73630 |
|
409 |
347 |
$4K |
| 74022 |
|
239 |
212 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
142 |
129 |
$3K |
| 73130 |
|
196 |
181 |
$2K |
| 73030 |
|
223 |
193 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$2K |
| 73560 |
|
162 |
132 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
24 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
14 |
$933.17 |
| 72100 |
|
80 |
74 |
$665.73 |
| 73110 |
|
59 |
53 |
$561.00 |
| 74000 |
|
25 |
24 |
$320.00 |
| 93971 |
|
15 |
12 |
$256.73 |
| 73090 |
|
14 |
13 |
$110.00 |
| 73502 |
|
25 |
14 |
$56.70 |