| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,318 |
3,040 |
$241K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,140 |
1,069 |
$54K |
| 71045 |
Radiologic examination, chest; single view |
11,275 |
7,731 |
$54K |
| 76801 |
|
1,530 |
1,393 |
$48K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,574 |
1,404 |
$47K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,209 |
1,060 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
4,981 |
4,563 |
$29K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
881 |
808 |
$27K |
| 76830 |
Ultrasound, transvaginal |
717 |
644 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,003 |
971 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
686 |
602 |
$22K |
| 93307 |
|
860 |
816 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
595 |
546 |
$17K |
| 73562 |
|
1,464 |
1,255 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
308 |
282 |
$13K |
| 72110 |
|
712 |
671 |
$13K |
| 73610 |
|
888 |
792 |
$12K |
| 73630 |
|
1,122 |
1,002 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
102 |
90 |
$11K |
| 73030 |
|
973 |
833 |
$11K |
| 73130 |
|
1,045 |
913 |
$10K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
693 |
531 |
$9K |
| 70486 |
|
264 |
242 |
$8K |
| 76770 |
|
208 |
190 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
164 |
155 |
$3K |
| 73110 |
|
169 |
159 |
$2K |
| 73590 |
|
173 |
149 |
$2K |
| 93970 |
|
123 |
114 |
$2K |
| 72100 |
|
97 |
93 |
$1K |
| 76000 |
|
29 |
27 |
$817.50 |
| 73620 |
|
65 |
46 |
$600.80 |
| 74018 |
|
128 |
102 |
$584.42 |
| 73560 |
|
49 |
41 |
$569.11 |
| 72072 |
|
48 |
48 |
$502.56 |
| 73502 |
|
101 |
95 |
$500.36 |
| 71250 |
|
12 |
12 |
$340.83 |
| 72170 |
|
18 |
15 |
$254.91 |
| 72070 |
|
23 |
22 |
$243.30 |
| 73090 |
|
29 |
24 |
$214.09 |
| 73565 |
|
13 |
12 |
$188.57 |
| 93880 |
|
14 |
13 |
$120.60 |
| 73120 |
|
13 |
13 |
$91.16 |
| 73552 |
|
16 |
16 |
$73.58 |
| 85027 |
|
13 |
12 |
$51.72 |
| 72220 |
|
14 |
13 |
$21.50 |