| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,680 |
3,590 |
$164K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,906 |
1,888 |
$141K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,421 |
3,305 |
$66K |
| 71046 |
Radiologic examination, chest; 2 views |
9,531 |
9,345 |
$59K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,463 |
2,404 |
$46K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,286 |
1,274 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
6,349 |
5,541 |
$23K |
| 76830 |
Ultrasound, transvaginal |
736 |
729 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
350 |
336 |
$13K |
| 76642 |
|
374 |
335 |
$12K |
| 74018 |
|
1,323 |
1,207 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
83 |
78 |
$5K |
| 73562 |
|
379 |
331 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
83 |
78 |
$3K |
| 76770 |
|
104 |
101 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
104 |
102 |
$2K |
| 93971 |
|
178 |
170 |
$2K |
| 72100 |
|
212 |
207 |
$2K |
| 73630 |
|
277 |
259 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
55 |
52 |
$1K |
| 73610 |
|
167 |
163 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$930.40 |
| 76536 |
|
14 |
14 |
$907.53 |
| 73030 |
|
83 |
76 |
$576.98 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$299.59 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$251.46 |
| 73130 |
|
29 |
24 |
$136.29 |
| 73110 |
|
14 |
13 |
$99.99 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
546 |
540 |
$40.00 |