| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,798 |
1,726 |
$135K |
| 70450 |
Computed tomography, head or brain; without contrast material |
926 |
884 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
2,131 |
2,038 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
229 |
217 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
202 |
185 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,354 |
1,181 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
194 |
189 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
61 |
57 |
$5K |
| 74183 |
|
14 |
13 |
$4K |
| 93975 |
|
38 |
37 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
24 |
$2K |
| 76857 |
|
28 |
25 |
$948.90 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19 |
19 |
$787.77 |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$739.01 |
| 70496 |
|
14 |
14 |
$700.06 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
25 |
12 |
$522.78 |
| 70498 |
|
14 |
14 |
$518.63 |
| 76536 |
|
12 |
12 |
$290.16 |
| 73030 |
|
14 |
13 |
$89.92 |
| 73610 |
|
13 |
12 |
$76.29 |