| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,391 |
3,693 |
$346K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,835 |
2,595 |
$148K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,194 |
1,031 |
$139K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,759 |
1,619 |
$87K |
| 71045 |
Radiologic examination, chest; single view |
8,751 |
6,707 |
$46K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
835 |
704 |
$32K |
| 71250 |
|
495 |
410 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
650 |
605 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
303 |
267 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,026 |
1,879 |
$14K |
| 70498 |
|
129 |
100 |
$13K |
| 70496 |
|
121 |
99 |
$13K |
| 93970 |
|
573 |
502 |
$12K |
| 73610 |
|
544 |
504 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
237 |
214 |
$8K |
| 73562 |
|
619 |
511 |
$8K |
| 73630 |
|
640 |
578 |
$7K |
| 76830 |
Ultrasound, transvaginal |
191 |
171 |
$7K |
| 73030 |
|
589 |
529 |
$7K |
| 72100 |
|
458 |
419 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
70 |
67 |
$6K |
| 93971 |
|
437 |
399 |
$6K |
| 72110 |
|
323 |
277 |
$6K |
| 74018 |
|
893 |
684 |
$5K |
| 73130 |
|
435 |
354 |
$4K |
| 93976 |
|
125 |
112 |
$3K |
| 73110 |
|
233 |
199 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
31 |
26 |
$3K |
| 73564 |
|
113 |
99 |
$1K |
| 73502 |
|
196 |
176 |
$1K |
| 76801 |
|
44 |
39 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
40 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
38 |
$1K |
| 70491 |
|
21 |
13 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
29 |
$884.40 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$863.18 |
| 73590 |
|
79 |
50 |
$701.72 |
| 76870 |
|
21 |
12 |
$655.02 |
| 93975 |
|
18 |
12 |
$653.80 |
| 72040 |
|
57 |
46 |
$579.21 |
| 76775 |
|
16 |
13 |
$532.95 |
| 72072 |
|
41 |
30 |
$398.17 |
| 73140 |
|
38 |
31 |
$335.26 |
| 73090 |
|
32 |
26 |
$267.62 |
| 73560 |
|
25 |
25 |
$263.52 |
| 73080 |
|
15 |
14 |
$161.25 |