| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
666 |
591 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,278 |
1,077 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
2,610 |
2,345 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,994 |
2,450 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
351 |
301 |
$16K |
| 74022 |
|
708 |
639 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
228 |
202 |
$4K |
| 72110 |
|
271 |
248 |
$3K |
| 73630 |
|
359 |
282 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
83 |
$2K |
| 73562 |
|
204 |
167 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
37 |
$2K |
| 74018 |
|
100 |
78 |
$676.04 |
| 73610 |
|
76 |
64 |
$657.36 |
| 76536 |
|
29 |
28 |
$572.30 |
| 93970 |
|
30 |
30 |
$536.43 |
| 73120 |
|
46 |
37 |
$396.21 |
| 93971 |
|
12 |
12 |
$226.88 |
| 73030 |
|
32 |
26 |
$214.81 |
| 72050 |
|
12 |
12 |
$118.09 |
| 76775 |
|
12 |
12 |
$110.12 |
| 71101 |
|
13 |
12 |
$100.54 |