| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,533 |
1,498 |
$73K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,503 |
1,502 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
7,167 |
6,459 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
4,710 |
4,658 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,355 |
1,332 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
403 |
393 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
535 |
535 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
75 |
75 |
$5K |
| 76641 |
|
103 |
102 |
$3K |
| 73030 |
|
440 |
427 |
$2K |
| 74018 |
|
296 |
292 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
125 |
124 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
38 |
$2K |
| 73630 |
|
342 |
328 |
$2K |
| 71271 |
|
24 |
24 |
$2K |
| 73610 |
|
253 |
242 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
55 |
54 |
$1K |
| 73564 |
|
153 |
149 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
30 |
$931.64 |
| 73562 |
|
160 |
144 |
$823.40 |
| 93971 |
|
53 |
52 |
$722.21 |
| 72110 |
|
85 |
85 |
$680.76 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$469.86 |
| 73130 |
|
87 |
82 |
$376.40 |
| 72114 |
|
29 |
29 |
$285.90 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$277.29 |
| 73110 |
|
49 |
44 |
$220.83 |
| 72100 |
|
27 |
27 |
$164.97 |
| 73502 |
|
13 |
12 |
$112.28 |
| 72040 |
|
13 |
13 |
$73.87 |