| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,579 |
1,529 |
$96K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,083 |
1,992 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
8,860 |
7,232 |
$44K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
507 |
492 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
635 |
633 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,979 |
1,901 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
114 |
80 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
137 |
130 |
$3K |
| 74018 |
|
298 |
282 |
$2K |
| 73630 |
|
300 |
280 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
24 |
$1K |
| 73610 |
|
177 |
172 |
$1K |
| 76536 |
|
38 |
37 |
$712.47 |
| 73562 |
|
106 |
102 |
$669.54 |
| 72100 |
|
88 |
85 |
$620.82 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$400.20 |
| 73030 |
|
65 |
62 |
$357.25 |
| 73130 |
|
59 |
56 |
$356.90 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$336.30 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$300.60 |
| 73502 |
|
12 |
12 |
$69.40 |