| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
980 |
904 |
$51K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,643 |
1,484 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
535 |
500 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
3,548 |
3,037 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,467 |
2,255 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
503 |
493 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
424 |
416 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
220 |
196 |
$7K |
| 73630 |
|
563 |
466 |
$3K |
| 73610 |
|
367 |
322 |
$2K |
| 73030 |
|
254 |
219 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
55 |
54 |
$1K |
| 73110 |
|
134 |
111 |
$752.07 |
| 71250 |
|
27 |
24 |
$597.12 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
17 |
14 |
$425.68 |
| 76801 |
|
12 |
12 |
$401.52 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$385.61 |
| 72100 |
|
76 |
76 |
$364.57 |
| 73562 |
|
60 |
54 |
$298.07 |
| 73502 |
|
45 |
40 |
$226.53 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$215.73 |
| 74018 |
|
35 |
29 |
$193.90 |
| 73130 |
|
29 |
25 |
$156.21 |
| 74019 |
|
12 |
12 |
$108.08 |