| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
12,823 |
10,655 |
$221K |
| 71045 |
Radiologic examination, chest; single view |
71,072 |
52,963 |
$195K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,535 |
1,963 |
$82K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,526 |
1,228 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
3,003 |
2,471 |
$14K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
97 |
79 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
68 |
56 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
62 |
55 |
$2K |
| 74018 |
|
500 |
400 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
73 |
43 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
65 |
58 |
$1K |
| 73630 |
|
30 |
26 |
$224.00 |
| 76770 |
|
15 |
12 |
$137.42 |
| 73564 |
|
19 |
13 |
$110.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,137 |
631 |
$93.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
239 |
135 |
$36.86 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
63 |
58 |
$0.00 |