| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,732 |
3,424 |
$88K |
| 70450 |
Computed tomography, head or brain; without contrast material |
918 |
819 |
$60K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,739 |
1,475 |
$37K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,128 |
1,009 |
$35K |
| 76830 |
Ultrasound, transvaginal |
646 |
510 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
709 |
574 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
371 |
366 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,202 |
2,620 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
417 |
404 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
505 |
496 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
117 |
97 |
$3K |
| 36573 |
|
82 |
54 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
167 |
109 |
$2K |
| 76770 |
|
67 |
64 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
301 |
282 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$1K |
| 76642 |
|
45 |
37 |
$946.86 |
| 71250 |
|
21 |
15 |
$687.17 |
| 36569 |
|
16 |
14 |
$459.02 |
| 93970 |
|
30 |
24 |
$452.16 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$431.40 |
| 76801 |
|
13 |
13 |
$401.96 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$292.16 |
| 93971 |
|
27 |
26 |
$265.58 |
| 76937 |
|
52 |
42 |
$243.20 |