| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,807 |
1,782 |
$79K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,554 |
3,471 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
7,097 |
6,968 |
$37K |
| 71045 |
Radiologic examination, chest; single view |
4,327 |
3,632 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
820 |
813 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
813 |
805 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
211 |
209 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
80 |
79 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
107 |
107 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
38 |
38 |
$866.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$275.35 |
| 73630 |
|
52 |
49 |
$219.05 |
| 71250 |
|
14 |
14 |
$186.21 |
| 77080 |
|
14 |
12 |
$70.58 |
| 74018 |
|
13 |
13 |
$58.24 |