| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,910 |
4,295 |
$190K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,378 |
5,536 |
$136K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,569 |
2,234 |
$84K |
| 71045 |
Radiologic examination, chest; single view |
21,621 |
16,417 |
$80K |
| 71046 |
Radiologic examination, chest; 2 views |
3,080 |
2,738 |
$16K |
| 73564 |
|
820 |
653 |
$5K |
| 73630 |
|
775 |
658 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
326 |
273 |
$4K |
| 73610 |
|
542 |
475 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
167 |
124 |
$3K |
| 76801 |
|
120 |
98 |
$2K |
| 72110 |
|
120 |
105 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
55 |
40 |
$1K |
| 73030 |
|
220 |
168 |
$982.82 |
| 73130 |
|
143 |
130 |
$924.54 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
24 |
$597.41 |
| 71250 |
|
47 |
38 |
$595.30 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
25 |
$507.61 |
| 74018 |
|
115 |
95 |
$349.41 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
27 |
25 |
$330.00 |
| 72050 |
|
15 |
12 |
$110.00 |
| 73110 |
|
16 |
13 |
$67.88 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$0.00 |