| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
972 |
930 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
941 |
858 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
268 |
264 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
256 |
246 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,531 |
1,984 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,897 |
1,795 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
528 |
495 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
523 |
492 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
260 |
254 |
$8K |
| 70496 |
|
130 |
130 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
85 |
84 |
$6K |
| 70498 |
|
110 |
110 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
313 |
302 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
139 |
138 |
$5K |
| 72131 |
|
98 |
97 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
115 |
110 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
141 |
140 |
$2K |
| 76830 |
Ultrasound, transvaginal |
100 |
99 |
$2K |
| 76801 |
|
69 |
67 |
$2K |
| 73630 |
|
356 |
325 |
$2K |
| 70486 |
|
62 |
62 |
$2K |
| 73130 |
|
267 |
250 |
$1K |
| 73610 |
|
256 |
237 |
$1K |
| 74018 |
|
249 |
213 |
$1K |
| 93970 |
|
66 |
66 |
$1K |
| 71250 |
|
42 |
41 |
$1K |
| 74174 |
|
19 |
19 |
$1K |
| 76642 |
|
59 |
49 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
29 |
29 |
$1K |
| 73030 |
|
199 |
187 |
$1K |
| 93971 |
|
87 |
86 |
$1K |
| 73564 |
|
144 |
133 |
$998.26 |
| 93976 |
|
38 |
37 |
$882.82 |
| 72128 |
|
29 |
29 |
$848.39 |
| 76376 |
|
157 |
156 |
$840.36 |
| 73110 |
|
159 |
150 |
$812.58 |
| 74022 |
|
81 |
81 |
$748.02 |
| 76870 |
|
39 |
38 |
$737.54 |
| 73502 |
|
98 |
90 |
$661.54 |
| 72100 |
|
89 |
88 |
$567.56 |
| 72170 |
|
95 |
94 |
$485.03 |
| 73590 |
|
98 |
86 |
$475.30 |
| 71271 |
|
14 |
14 |
$451.70 |
| 73562 |
|
79 |
73 |
$419.75 |
| 73560 |
|
81 |
70 |
$384.50 |
| 76770 |
|
17 |
17 |
$375.44 |
| 93975 |
|
13 |
13 |
$345.43 |
| 73080 |
|
65 |
63 |
$341.12 |
| 73700 |
|
12 |
12 |
$340.54 |
| 73090 |
|
69 |
65 |
$338.10 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$232.56 |
| 72110 |
|
19 |
19 |
$141.84 |
| 72050 |
|
14 |
14 |
$97.08 |
| 73552 |
|
14 |
12 |
$77.56 |
| 73140 |
|
13 |
13 |
$51.12 |
| 0042T |
|
31 |
31 |
$0.00 |