| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,606 |
3,083 |
$145K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,562 |
3,695 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
10,923 |
8,987 |
$48K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
952 |
807 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
10,948 |
7,628 |
$31K |
| 72110 |
|
2,331 |
1,959 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,075 |
970 |
$14K |
| 73630 |
|
2,622 |
2,183 |
$11K |
| 73562 |
|
2,469 |
1,837 |
$9K |
| 73610 |
|
1,622 |
1,388 |
$7K |
| 73030 |
|
2,109 |
1,616 |
$7K |
| 73130 |
|
1,373 |
1,125 |
$6K |
| 74022 |
|
372 |
283 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
245 |
211 |
$2K |
| 72050 |
|
276 |
245 |
$2K |
| 73502 |
|
586 |
437 |
$2K |
| 74018 |
|
483 |
405 |
$2K |
| 72100 |
|
428 |
348 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
94 |
84 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
64 |
57 |
$1K |
| 73110 |
|
247 |
215 |
$1K |
| 72072 |
|
98 |
79 |
$429.60 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$312.28 |
| 71250 |
|
21 |
16 |
$304.29 |
| 71101 |
|
37 |
26 |
$212.95 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$178.48 |
| 73080 |
|
12 |
12 |
$54.51 |