| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,384 |
3,805 |
$148K |
| 71045 |
Radiologic examination, chest; single view |
25,795 |
17,998 |
$84K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,139 |
1,031 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
6,859 |
6,446 |
$44K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,322 |
1,172 |
$39K |
| 93976 |
|
805 |
609 |
$25K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,131 |
837 |
$20K |
| 76377 |
|
526 |
461 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
141 |
120 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
545 |
422 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
163 |
125 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
204 |
174 |
$7K |
| 74018 |
|
1,164 |
850 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
40 |
40 |
$3K |
| 73630 |
|
401 |
338 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
121 |
77 |
$2K |
| 93971 |
|
53 |
50 |
$1K |
| 93880 |
|
41 |
38 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
24 |
$719.41 |
| 72100 |
|
85 |
84 |
$597.02 |
| 93970 |
|
12 |
12 |
$467.66 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
12 |
$406.80 |
| 76770 |
|
14 |
14 |
$338.86 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
23 |
13 |
$322.66 |
| 73562 |
|
50 |
38 |
$302.43 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
24 |
$300.20 |
| 73130 |
|
41 |
38 |
$282.24 |
| 72170 |
|
53 |
49 |
$265.74 |
| 73610 |
|
47 |
38 |
$244.94 |
| 76376 |
|
12 |
12 |
$165.49 |
| 73030 |
|
13 |
12 |
$72.64 |