| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,177 |
1,069 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,526 |
1,438 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
6,109 |
4,596 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,764 |
2,579 |
$12K |
| 74019 |
|
950 |
882 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
159 |
147 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
50 |
50 |
$2K |
| 73562 |
|
323 |
281 |
$1K |
| 73610 |
|
201 |
184 |
$989.62 |
| 73630 |
|
226 |
207 |
$983.22 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$737.87 |
| 74022 |
|
93 |
77 |
$652.97 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$487.03 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
13 |
$458.85 |
| 74018 |
|
55 |
38 |
$244.96 |
| 73030 |
|
49 |
43 |
$225.84 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$182.78 |
| 72100 |
|
29 |
29 |
$181.94 |
| 73130 |
|
30 |
28 |
$166.84 |
| 73110 |
|
12 |
12 |
$71.50 |
| 73502 |
|
14 |
14 |
$56.64 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$0.00 |