| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
374 |
344 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
317 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,205 |
1,793 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
107 |
87 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
514 |
492 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
71 |
68 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
107 |
87 |
$2K |
| 73630 |
|
218 |
201 |
$2K |
| 76830 |
Ultrasound, transvaginal |
68 |
67 |
$2K |
| 73610 |
|
119 |
113 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
43 |
$1K |
| 74018 |
|
251 |
217 |
$1K |
| 73562 |
|
89 |
80 |
$928.26 |
| 76536 |
|
30 |
30 |
$877.56 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
39 |
$703.56 |
| 72100 |
|
26 |
26 |
$324.30 |
| 73130 |
|
14 |
13 |
$177.25 |