| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
507 |
494 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
369 |
363 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
372 |
363 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,527 |
1,506 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
174 |
148 |
$6K |
| 76830 |
Ultrasound, transvaginal |
397 |
392 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
122 |
122 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
751 |
709 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
297 |
292 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
107 |
104 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
134 |
106 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
234 |
232 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
321 |
316 |
$4K |
| 76801 |
|
95 |
83 |
$4K |
| 76641 |
|
141 |
140 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
58 |
51 |
$1K |
| 73610 |
|
177 |
164 |
$643.44 |
| 73630 |
|
132 |
130 |
$494.76 |
| 73030 |
|
86 |
81 |
$381.34 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$315.56 |
| 74018 |
|
43 |
43 |
$260.31 |
| 73564 |
|
45 |
44 |
$243.52 |
| 73110 |
|
59 |
51 |
$231.28 |
| 73130 |
|
56 |
56 |
$207.37 |
| 73140 |
|
13 |
12 |
$36.27 |