| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
9,607 |
8,392 |
$171K |
| 71045 |
Radiologic examination, chest; single view |
46,842 |
34,992 |
$121K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,485 |
2,903 |
$114K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,596 |
3,027 |
$102K |
| 71046 |
Radiologic examination, chest; 2 views |
13,004 |
11,632 |
$56K |
| 74018 |
|
1,683 |
1,353 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
370 |
260 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
110 |
84 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
41 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
275 |
209 |
$803.38 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
38 |
$751.03 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
28 |
$677.98 |
| 73610 |
|
133 |
107 |
$632.52 |
| 73630 |
|
124 |
109 |
$610.02 |
| 71250 |
|
52 |
50 |
$588.62 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
32 |
27 |
$408.21 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
16 |
$331.97 |
| 73562 |
|
45 |
37 |
$220.02 |
| 76642 |
|
15 |
12 |
$209.97 |
| 72100 |
|
16 |
12 |
$71.22 |
| 73130 |
|
12 |
12 |
$58.99 |
| 73030 |
|
14 |
12 |
$51.12 |