| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,443 |
1,381 |
$87K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
479 |
456 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
130 |
129 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,629 |
2,198 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,895 |
1,706 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
195 |
187 |
$4K |
| 73564 |
|
285 |
237 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
192 |
187 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$2K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$970.65 |
| 93970 |
|
57 |
53 |
$847.44 |
| 73630 |
|
53 |
45 |
$532.05 |
| 73610 |
|
39 |
31 |
$522.06 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
14 |
$508.65 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$473.94 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
24 |
$451.58 |
| 93971 |
|
37 |
26 |
$424.16 |
| 73030 |
|
35 |
32 |
$329.83 |