| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,223 |
2,936 |
$119K |
| 71045 |
Radiologic examination, chest; single view |
31,153 |
25,381 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,567 |
5,139 |
$80K |
| 71046 |
Radiologic examination, chest; 2 views |
6,971 |
6,475 |
$47K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,617 |
1,444 |
$42K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
782 |
698 |
$17K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
747 |
691 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
234 |
212 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
288 |
247 |
$6K |
| 74178 |
|
96 |
88 |
$4K |
| 71250 |
|
336 |
308 |
$3K |
| 73560 |
|
821 |
629 |
$3K |
| 74018 |
|
706 |
587 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
160 |
126 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
273 |
216 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
87 |
78 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
68 |
50 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
83 |
69 |
$2K |
| 73630 |
|
418 |
315 |
$2K |
| 72131 |
|
96 |
66 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
96 |
54 |
$1K |
| 76770 |
|
142 |
112 |
$998.88 |
| 93971 |
|
178 |
152 |
$796.46 |
| 76642 |
|
109 |
64 |
$764.01 |
| 73610 |
|
128 |
110 |
$580.00 |
| 73030 |
|
153 |
118 |
$475.48 |
| 73130 |
|
114 |
79 |
$457.95 |
| 93970 |
|
63 |
55 |
$416.12 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$414.48 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
57 |
41 |
$363.64 |
| 93976 |
|
13 |
12 |
$340.50 |
| 73502 |
|
158 |
115 |
$309.45 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$268.98 |
| 70486 |
|
16 |
12 |
$178.98 |
| 76882 |
|
18 |
13 |
$163.56 |
| 72100 |
|
85 |
42 |
$136.61 |
| 73590 |
|
26 |
24 |
$80.52 |
| 77065 |
Tomosynthesis, mammo |
16 |
15 |
$33.67 |
| 73552 |
|
34 |
15 |
$30.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
23 |
12 |
$0.00 |