| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
809 |
714 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
628 |
579 |
$31K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
164 |
135 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
197 |
183 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,617 |
1,415 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
265 |
259 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
211 |
189 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
991 |
936 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
194 |
189 |
$6K |
| 76830 |
Ultrasound, transvaginal |
129 |
128 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
125 |
121 |
$4K |
| 73610 |
|
238 |
222 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
123 |
119 |
$3K |
| 73630 |
|
268 |
240 |
$3K |
| 73562 |
|
218 |
202 |
$2K |
| 73030 |
|
154 |
144 |
$2K |
| 73130 |
|
151 |
132 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
30 |
28 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
40 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
32 |
32 |
$1K |
| 72100 |
|
70 |
68 |
$966.75 |
| 73110 |
|
79 |
76 |
$957.58 |
| 76642 |
|
43 |
33 |
$927.17 |
| 74018 |
|
117 |
111 |
$637.22 |
| 77066 |
Tomosynthesis, mammo |
17 |
14 |
$580.44 |
| 76801 |
|
14 |
13 |
$432.88 |
| 76536 |
|
15 |
15 |
$429.71 |
| 73564 |
|
19 |
13 |
$236.74 |
| 72170 |
|
18 |
14 |
$218.71 |
| 93971 |
|
16 |
15 |
$201.46 |
| 73080 |
|
16 |
15 |
$172.00 |
| 73140 |
|
12 |
12 |
$121.20 |