| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
701 |
672 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,120 |
1,056 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,211 |
2,075 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
3,373 |
2,704 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
220 |
194 |
$4K |
| 72131 |
|
13 |
13 |
$489.44 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$311.84 |
| 93970 |
|
18 |
16 |
$308.63 |
| 74018 |
|
42 |
37 |
$180.16 |
| 73630 |
|
37 |
37 |
$174.68 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
17 |
$169.94 |
| 73130 |
|
14 |
12 |
$55.73 |