| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,081 |
1,867 |
$131K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,077 |
1,001 |
$48K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
579 |
433 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,112 |
3,411 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,823 |
2,585 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
80 |
75 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
302 |
221 |
$8K |
| 93975 |
|
164 |
128 |
$6K |
| 76830 |
Ultrasound, transvaginal |
138 |
116 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
140 |
131 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
115 |
101 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
191 |
189 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
79 |
70 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
49 |
$2K |
| 73630 |
|
106 |
103 |
$985.75 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$902.62 |
| 73610 |
|
69 |
68 |
$892.12 |
| 74018 |
|
147 |
136 |
$620.17 |
| 73030 |
|
62 |
59 |
$597.84 |
| 73130 |
|
41 |
41 |
$412.48 |
| 73110 |
|
31 |
26 |
$327.40 |
| 73562 |
|
30 |
27 |
$283.27 |
| 73564 |
|
16 |
12 |
$258.68 |
| 71250 |
|
13 |
13 |
$155.18 |
| 73502 |
|
16 |
13 |
$97.09 |