| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,922 |
2,032 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,807 |
1,670 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
428 |
403 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
252 |
215 |
$3K |
| 74018 |
|
700 |
599 |
$2K |
| 76830 |
Ultrasound, transvaginal |
104 |
97 |
$2K |
| 72100 |
|
452 |
420 |
$2K |
| 73562 |
|
440 |
367 |
$2K |
| 72040 |
|
278 |
256 |
$1K |
| 73030 |
|
302 |
261 |
$1K |
| 73630 |
|
205 |
170 |
$866.87 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
58 |
56 |
$832.43 |
| 73610 |
|
179 |
152 |
$778.33 |
| 73130 |
|
152 |
120 |
$699.08 |
| 73502 |
|
214 |
195 |
$647.27 |
| 72110 |
|
84 |
83 |
$533.08 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
15 |
$459.28 |
| 76770 |
|
40 |
37 |
$419.58 |
| 73560 |
|
87 |
67 |
$237.77 |
| 74220 |
|
38 |
36 |
$230.40 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$193.25 |
| 73110 |
|
38 |
30 |
$158.10 |
| 77080 |
|
61 |
56 |
$114.10 |
| 72170 |
|
28 |
24 |
$72.57 |
| 74019 |
|
12 |
12 |
$62.34 |
| 73080 |
|
17 |
14 |
$52.03 |