| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,696 |
2,043 |
$385K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,795 |
1,404 |
$235K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,008 |
1,520 |
$148K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,215 |
1,664 |
$59K |
| 76641 |
|
1,736 |
1,311 |
$51K |
| 71045 |
Radiologic examination, chest; single view |
6,014 |
3,812 |
$44K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,164 |
921 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
3,633 |
2,829 |
$32K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
121 |
111 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
90 |
56 |
$8K |
| 77066 |
Tomosynthesis, mammo |
195 |
178 |
$4K |
| 74018 |
|
414 |
296 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
66 |
50 |
$3K |
| 76536 |
|
98 |
63 |
$2K |
| 72100 |
|
170 |
143 |
$1K |
| 76830 |
Ultrasound, transvaginal |
46 |
38 |
$1K |
| 77080 |
|
108 |
52 |
$985.00 |
| 76770 |
|
14 |
13 |
$544.32 |
| 73030 |
|
21 |
12 |
$267.91 |
| 73560 |
|
21 |
13 |
$251.94 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
65 |
12 |
$248.52 |