| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
165 |
160 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
260 |
242 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
318 |
307 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
147 |
145 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
57 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
48 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
44 |
37 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
259 |
223 |
$830.37 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
35 |
$616.14 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
24 |
15 |
$349.86 |
| 71250 |
|
15 |
15 |
$311.93 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$303.60 |
| 71046 |
Radiologic examination, chest; 2 views |
47 |
45 |
$245.28 |