| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,586 |
2,368 |
$163K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,528 |
1,458 |
$72K |
| 71045 |
Radiologic examination, chest; single view |
4,711 |
3,875 |
$19K |
| 76376 |
|
3,801 |
3,557 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
411 |
386 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
313 |
304 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
94 |
92 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,340 |
1,254 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
119 |
106 |
$2K |
| 76830 |
Ultrasound, transvaginal |
58 |
55 |
$2K |
| 93975 |
|
55 |
39 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
39 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$940.43 |
| 73630 |
|
89 |
85 |
$864.94 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
35 |
35 |
$823.23 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
24 |
$677.51 |
| 71250 |
|
24 |
24 |
$667.97 |
| 73030 |
|
58 |
55 |
$634.02 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$547.70 |
| 93971 |
|
70 |
67 |
$535.47 |
| 74018 |
|
83 |
63 |
$333.21 |
| 73130 |
|
25 |
24 |
$252.55 |
| 73610 |
|
17 |
17 |
$234.63 |