| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,693 |
1,615 |
$78K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,003 |
932 |
$65K |
| 71045 |
Radiologic examination, chest; single view |
2,739 |
2,367 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,304 |
1,246 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
135 |
127 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
169 |
150 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
168 |
149 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
64 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
53 |
$1K |
| 73630 |
|
34 |
25 |
$422.73 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$410.57 |
| 73610 |
|
14 |
14 |
$200.90 |
| 72100 |
|
12 |
12 |
$135.57 |