| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
927 |
850 |
$106K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
650 |
626 |
$75K |
| 70450 |
Computed tomography, head or brain; without contrast material |
740 |
669 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
2,512 |
1,420 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,005 |
1,825 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
505 |
473 |
$21K |
| 76830 |
Ultrasound, transvaginal |
370 |
347 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
142 |
127 |
$10K |
| 93970 |
|
157 |
148 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
174 |
166 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
227 |
198 |
$9K |
| 74178 |
|
62 |
59 |
$7K |
| 76770 |
|
205 |
194 |
$7K |
| 71250 |
|
117 |
108 |
$7K |
| 74018 |
|
623 |
428 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
63 |
59 |
$6K |
| 93880 |
|
105 |
88 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
137 |
135 |
$5K |
| 93971 |
|
156 |
144 |
$5K |
| 76641 |
|
126 |
122 |
$4K |
| 77066 |
Tomosynthesis, mammo |
88 |
87 |
$3K |
| 72100 |
|
269 |
262 |
$3K |
| 73560 |
|
287 |
248 |
$3K |
| 70486 |
|
50 |
48 |
$3K |
| 74240 |
|
117 |
110 |
$3K |
| 73630 |
|
238 |
214 |
$3K |
| 93926 |
|
66 |
59 |
$3K |
| 72040 |
|
183 |
174 |
$2K |
| 73030 |
|
195 |
182 |
$2K |
| 73610 |
|
169 |
155 |
$2K |
| 73590 |
|
150 |
125 |
$2K |
| 73120 |
|
142 |
127 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
20 |
17 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
24 |
$2K |
| 76870 |
|
50 |
48 |
$1K |
| 93925 |
|
29 |
28 |
$1K |
| 73100 |
|
140 |
123 |
$1K |
| 74019 |
|
76 |
63 |
$965.59 |
| 73130 |
|
91 |
81 |
$922.06 |
| 72190 |
|
70 |
60 |
$911.70 |
| 73070 |
|
99 |
95 |
$902.02 |
| 93923 |
|
16 |
14 |
$804.60 |
| 73090 |
|
75 |
67 |
$775.49 |
| 73620 |
|
63 |
55 |
$571.26 |
| 76506 |
|
14 |
12 |
$514.98 |
| 73600 |
|
50 |
43 |
$505.12 |
| 72170 |
|
49 |
44 |
$438.75 |
| 73502 |
|
15 |
12 |
$200.64 |
| 73501 |
|
14 |
12 |
$156.36 |
| 73551 |
|
14 |
12 |
$118.46 |