| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,708 |
1,632 |
$118K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,083 |
1,063 |
$49K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
302 |
292 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
2,914 |
2,593 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,092 |
2,564 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
242 |
235 |
$10K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
106 |
106 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
240 |
235 |
$5K |
| 73564 |
|
342 |
311 |
$4K |
| 73630 |
|
389 |
356 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
130 |
112 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
179 |
177 |
$4K |
| 73610 |
|
279 |
254 |
$4K |
| 72100 |
|
268 |
255 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
171 |
170 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
71 |
70 |
$2K |
| 74018 |
|
446 |
365 |
$2K |
| 73030 |
|
197 |
184 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
63 |
52 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
62 |
61 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$2K |
| 73130 |
|
160 |
143 |
$2K |
| 93971 |
|
134 |
123 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$918.24 |
| 71250 |
|
20 |
13 |
$809.26 |
| 93976 |
|
55 |
51 |
$808.03 |
| 73110 |
|
61 |
59 |
$746.75 |
| 73502 |
|
27 |
25 |
$170.19 |
| 73590 |
|
15 |
13 |
$164.39 |
| 72040 |
|
14 |
13 |
$160.29 |