| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,085 |
1,038 |
$66K |
| 70450 |
Computed tomography, head or brain; without contrast material |
956 |
915 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
374 |
364 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,279 |
1,940 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
432 |
431 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,451 |
1,425 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
360 |
359 |
$9K |
| 71250 |
|
53 |
52 |
$2K |
| 73630 |
|
231 |
221 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
37 |
37 |
$2K |
| 73564 |
|
131 |
130 |
$1K |
| 73610 |
|
135 |
130 |
$1K |
| 73130 |
|
128 |
120 |
$1K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$907.08 |
| 73030 |
|
87 |
87 |
$723.94 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$670.08 |
| 73502 |
|
25 |
24 |
$194.34 |
| 72100 |
|
15 |
13 |
$123.47 |
| 73110 |
|
12 |
12 |
$91.84 |
| 74018 |
|
13 |
12 |
$88.18 |