| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,294 |
3,878 |
$985K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,593 |
3,177 |
$850K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,237 |
3,082 |
$407K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,202 |
2,323 |
$152K |
| 71046 |
Radiologic examination, chest; 2 views |
12,910 |
9,334 |
$148K |
| 71045 |
Radiologic examination, chest; single view |
17,171 |
8,984 |
$132K |
| 71250 |
|
1,096 |
716 |
$104K |
| 78454 |
|
132 |
116 |
$46K |
| 76641 |
|
645 |
375 |
$44K |
| 76830 |
Ultrasound, transvaginal |
714 |
545 |
$35K |
| 76770 |
|
730 |
508 |
$31K |
| 93971 |
|
727 |
483 |
$30K |
| 71270 |
|
300 |
266 |
$25K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
205 |
149 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
421 |
250 |
$16K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
109 |
91 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
91 |
57 |
$12K |
| 72100 |
|
640 |
475 |
$9K |
| 93880 |
|
163 |
96 |
$8K |
| 74018 |
|
686 |
426 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
264 |
209 |
$8K |
| 74021 |
|
508 |
277 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
99 |
93 |
$5K |
| 93970 |
|
38 |
24 |
$3K |
| 72040 |
|
180 |
120 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
97 |
$3K |
| 73560 |
|
166 |
136 |
$2K |
| 77066 |
Tomosynthesis, mammo |
82 |
39 |
$2K |
| 78315 |
|
17 |
13 |
$2K |
| 76536 |
|
42 |
24 |
$2K |
| 73030 |
|
81 |
65 |
$968.10 |
| 73620 |
|
69 |
53 |
$586.95 |
| 77001 |
|
20 |
12 |
$480.00 |
| 76937 |
|
22 |
13 |
$255.00 |
| 73590 |
|
13 |
12 |
$133.68 |