| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,197 |
1,079 |
$74K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
874 |
827 |
$39K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
137 |
133 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,774 |
2,385 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,183 |
1,128 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
144 |
139 |
$5K |
| 93976 |
|
54 |
48 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
14 |
$814.16 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
14 |
$605.58 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$553.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
25 |
$511.68 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$373.74 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$332.05 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
13 |
$292.16 |
| 73610 |
|
12 |
12 |
$159.61 |
| 73110 |
|
14 |
12 |
$155.40 |
| 73630 |
|
16 |
14 |
$144.48 |
| 93971 |
|
14 |
14 |
$133.30 |