| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
920 |
776 |
$86K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
316 |
254 |
$29K |
| 71250 |
|
383 |
319 |
$21K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
303 |
252 |
$19K |
| 74183 |
|
92 |
66 |
$17K |
| 76770 |
|
285 |
253 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
221 |
204 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
399 |
331 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,196 |
1,013 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
789 |
704 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
28 |
$3K |
| 93975 |
|
50 |
38 |
$3K |
| 73630 |
|
94 |
73 |
$1K |
| 76536 |
|
29 |
29 |
$1K |
| 73030 |
|
40 |
28 |
$483.04 |
| 73610 |
|
34 |
32 |
$448.42 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
15 |
$340.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$269.55 |
| 93971 |
|
16 |
12 |
$144.71 |