| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
273 |
267 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
267 |
263 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,437 |
1,321 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
128 |
126 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
778 |
768 |
$7K |
| 76830 |
Ultrasound, transvaginal |
224 |
222 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
27 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
51 |
$2K |
| 73630 |
|
251 |
246 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
54 |
54 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
19 |
19 |
$1K |
| 73610 |
|
99 |
97 |
$882.57 |
| 72141 |
|
12 |
12 |
$785.05 |
| 73564 |
|
67 |
66 |
$741.35 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$620.51 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
18 |
$587.70 |
| 71250 |
|
12 |
12 |
$575.52 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18 |
18 |
$474.84 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$463.56 |
| 76536 |
|
18 |
18 |
$457.86 |
| 72110 |
|
25 |
25 |
$388.25 |
| 93971 |
|
12 |
12 |
$241.03 |
| 73030 |
|
25 |
24 |
$209.09 |
| 73130 |
|
27 |
27 |
$206.82 |
| 73110 |
|
13 |
13 |
$100.75 |