| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
634 |
574 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,514 |
1,366 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,677 |
1,583 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,185 |
1,064 |
$43K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
446 |
415 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
450 |
416 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,925 |
3,631 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
3,542 |
3,016 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
992 |
929 |
$11K |
| 73221 |
|
126 |
105 |
$9K |
| 73630 |
|
1,071 |
984 |
$7K |
| 71250 |
|
168 |
146 |
$6K |
| 73562 |
|
784 |
717 |
$6K |
| 73130 |
|
765 |
694 |
$5K |
| 73610 |
|
653 |
603 |
$4K |
| 73030 |
|
624 |
581 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
172 |
162 |
$4K |
| 72100 |
|
489 |
441 |
$3K |
| 74018 |
|
458 |
433 |
$3K |
| 72110 |
|
205 |
197 |
$2K |
| 72141 |
|
30 |
25 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
73 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
39 |
37 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
95 |
87 |
$2K |
| 76830 |
Ultrasound, transvaginal |
70 |
67 |
$2K |
| 73110 |
|
202 |
175 |
$1K |
| 73560 |
|
205 |
185 |
$1K |
| 76642 |
|
78 |
65 |
$1K |
| 73502 |
|
136 |
120 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
12 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
14 |
$858.26 |
| 93925 |
|
16 |
16 |
$775.61 |
| 72050 |
|
58 |
55 |
$619.69 |
| 76536 |
|
31 |
26 |
$479.88 |
| 72040 |
|
63 |
58 |
$440.72 |
| 72082 |
|
26 |
26 |
$421.96 |
| 73090 |
|
65 |
53 |
$380.17 |
| 73521 |
|
14 |
14 |
$137.47 |
| 73565 |
|
67 |
63 |
$115.68 |
| 77002 |
|
25 |
12 |
$93.69 |