| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,611 |
2,416 |
$146K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,440 |
2,262 |
$101K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
999 |
940 |
$32K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
594 |
565 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
289 |
249 |
$25K |
| 71250 |
|
853 |
800 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,950 |
4,231 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,201 |
2,067 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
285 |
265 |
$9K |
| 73630 |
|
545 |
450 |
$6K |
| 73610 |
|
172 |
140 |
$3K |
| 76642 |
|
136 |
122 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
51 |
49 |
$2K |
| 73564 |
|
158 |
142 |
$2K |
| 73130 |
|
171 |
151 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
66 |
66 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
65 |
65 |
$1K |
| 74018 |
|
200 |
191 |
$805.71 |
| 70491 |
|
14 |
12 |
$709.44 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$477.08 |
| 72131 |
|
12 |
12 |
$462.83 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$440.23 |
| 73110 |
|
41 |
41 |
$408.17 |
| 73030 |
|
38 |
37 |
$350.19 |
| 72100 |
|
24 |
24 |
$285.17 |
| 93971 |
|
13 |
12 |
$123.77 |