| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
678 |
662 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
988 |
955 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
3,438 |
2,434 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
396 |
387 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,205 |
1,195 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
161 |
160 |
$6K |
| 73562 |
|
313 |
260 |
$2K |
| 70486 |
|
68 |
68 |
$2K |
| 73610 |
|
248 |
225 |
$2K |
| 73630 |
|
254 |
216 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36 |
36 |
$1K |
| 73030 |
|
161 |
143 |
$1K |
| 72131 |
|
29 |
29 |
$998.02 |
| 73130 |
|
138 |
117 |
$940.10 |
| 73100 |
|
103 |
88 |
$684.51 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
16 |
$647.28 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
14 |
$646.43 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
36 |
36 |
$597.25 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$548.42 |
| 74018 |
|
75 |
69 |
$478.47 |
| 72170 |
|
66 |
65 |
$405.42 |
| 73590 |
|
59 |
55 |
$311.23 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$305.40 |
| 76770 |
|
14 |
14 |
$219.32 |
| 73502 |
|
14 |
14 |
$160.97 |