| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,777 |
6,582 |
$333K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,261 |
4,077 |
$150K |
| 71045 |
Radiologic examination, chest; single view |
39,070 |
25,833 |
$149K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,888 |
8,204 |
$148K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,961 |
1,936 |
$45K |
| 93970 |
|
2,176 |
2,082 |
$44K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,220 |
2,155 |
$35K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,378 |
1,350 |
$25K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
619 |
604 |
$22K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
777 |
776 |
$19K |
| 71250 |
|
1,835 |
1,777 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
836 |
830 |
$16K |
| 93971 |
|
1,330 |
1,270 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,022 |
1,016 |
$13K |
| 76770 |
|
1,184 |
1,163 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
387 |
377 |
$12K |
| 70496 |
|
400 |
391 |
$10K |
| 70498 |
|
413 |
406 |
$10K |
| 74178 |
|
379 |
364 |
$10K |
| 76830 |
Ultrasound, transvaginal |
535 |
528 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
385 |
379 |
$7K |
| 72131 |
|
392 |
387 |
$7K |
| 74018 |
|
2,535 |
1,793 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,456 |
1,399 |
$6K |
| 73630 |
|
915 |
837 |
$4K |
| 73030 |
|
829 |
787 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
212 |
210 |
$4K |
| 73610 |
|
604 |
558 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
140 |
140 |
$3K |
| 93880 |
|
194 |
194 |
$3K |
| 49083 |
|
66 |
39 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
97 |
60 |
$2K |
| 99152 |
|
160 |
149 |
$2K |
| 70486 |
|
74 |
73 |
$2K |
| 73130 |
|
273 |
254 |
$2K |
| 73502 |
|
359 |
355 |
$1K |
| 73110 |
|
265 |
251 |
$1K |
| 73564 |
|
302 |
242 |
$1K |
| 73562 |
|
302 |
257 |
$1K |
| 72100 |
|
188 |
188 |
$1K |
| 72141 |
|
80 |
80 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$815.54 |
| 32555 |
|
44 |
37 |
$813.05 |
| 77080 |
|
216 |
215 |
$572.10 |
| 76857 |
|
42 |
41 |
$502.30 |
| 70491 |
|
12 |
12 |
$299.94 |
| 99153 |
Mod sedat endo service >5yrs |
76 |
56 |
$180.93 |
| 73590 |
|
27 |
24 |
$132.95 |
| 76937 |
|
32 |
28 |
$102.83 |
| 76536 |
|
40 |
40 |
$78.56 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$61.12 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
27 |
26 |
$0.00 |
| 3100F |
|
12 |
12 |
$0.00 |
| 74240 |
|
14 |
14 |
$0.00 |