| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,637 |
2,093 |
$146K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
743 |
627 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
8,603 |
5,702 |
$51K |
| 76641 |
|
1,327 |
1,150 |
$39K |
| 76830 |
Ultrasound, transvaginal |
1,009 |
756 |
$28K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
647 |
494 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,138 |
2,883 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
890 |
814 |
$17K |
| 19083 |
|
26 |
26 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
67 |
51 |
$6K |
| 71250 |
|
63 |
29 |
$6K |
| 72100 |
|
563 |
377 |
$6K |
| 99241 |
|
164 |
161 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
134 |
120 |
$4K |
| 72040 |
|
300 |
167 |
$3K |
| 99243 |
|
70 |
65 |
$3K |
| 77080 |
|
51 |
13 |
$2K |
| 77066 |
Tomosynthesis, mammo |
50 |
50 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
22 |
13 |
$1K |
| 77065 |
Tomosynthesis, mammo |
32 |
24 |
$815.71 |
| 70210 |
|
58 |
54 |
$509.60 |
| 76770 |
|
12 |
12 |
$235.45 |
| 74018 |
|
59 |
56 |
$192.39 |
| 77001 |
|
12 |
12 |
$123.74 |
| 73030 |
|
16 |
14 |
$90.00 |