| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
915 |
807 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
970 |
863 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
541 |
473 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,389 |
2,008 |
$12K |
| 76830 |
Ultrasound, transvaginal |
313 |
258 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,881 |
1,613 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
107 |
99 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
320 |
272 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
179 |
169 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
253 |
227 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
119 |
112 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
213 |
199 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
147 |
122 |
$3K |
| 73562 |
|
224 |
169 |
$2K |
| 73030 |
|
149 |
128 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
124 |
113 |
$1K |
| 93976 |
|
54 |
34 |
$1K |
| 73610 |
|
118 |
87 |
$1K |
| 76770 |
|
55 |
51 |
$1K |
| 73630 |
|
158 |
132 |
$1K |
| 73130 |
|
146 |
105 |
$1K |
| 76801 |
|
54 |
42 |
$834.84 |
| 73110 |
|
82 |
69 |
$688.44 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
14 |
$643.52 |
| 72100 |
|
55 |
43 |
$636.22 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
32 |
$599.44 |
| 72170 |
|
98 |
74 |
$570.16 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$549.00 |
| 74018 |
|
145 |
96 |
$521.82 |
| 71250 |
|
17 |
12 |
$355.43 |