| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,645 |
2,378 |
$135K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,634 |
2,405 |
$56K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
806 |
745 |
$47K |
| 71045 |
Radiologic examination, chest; single view |
5,685 |
4,792 |
$26K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
681 |
631 |
$22K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
593 |
513 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,359 |
3,098 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
742 |
697 |
$14K |
| 76000 |
|
3,619 |
3,159 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
495 |
478 |
$11K |
| 73630 |
|
1,987 |
1,538 |
$10K |
| 72100 |
|
1,449 |
1,237 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
298 |
281 |
$8K |
| 73610 |
|
963 |
809 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
200 |
191 |
$4K |
| 76830 |
Ultrasound, transvaginal |
136 |
132 |
$4K |
| 73030 |
|
526 |
466 |
$3K |
| 71250 |
|
115 |
104 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
76 |
72 |
$3K |
| 73562 |
|
368 |
309 |
$2K |
| 73130 |
|
371 |
317 |
$2K |
| 72020 |
|
429 |
416 |
$2K |
| 72040 |
|
174 |
156 |
$1K |
| 72110 |
|
149 |
145 |
$1K |
| 73110 |
|
157 |
133 |
$809.98 |
| 77002 |
|
134 |
114 |
$630.52 |
| 73560 |
|
103 |
70 |
$604.37 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$596.96 |
| 93971 |
|
51 |
51 |
$578.96 |
| 73502 |
|
55 |
50 |
$300.36 |
| 74018 |
|
65 |
54 |
$274.21 |
| 72202 |
|
13 |
13 |
$91.88 |
| 72200 |
|
12 |
12 |
$69.07 |