| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
860 |
850 |
$57K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
630 |
629 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,122 |
1,088 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
4,166 |
3,655 |
$22K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
309 |
309 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,223 |
1,205 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
322 |
319 |
$7K |
| 73562 |
|
868 |
849 |
$6K |
| 73630 |
|
826 |
806 |
$6K |
| 73610 |
|
784 |
764 |
$5K |
| 73130 |
|
717 |
694 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
165 |
165 |
$5K |
| 73110 |
|
643 |
609 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
165 |
165 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
110 |
107 |
$4K |
| 73030 |
|
576 |
567 |
$4K |
| 72100 |
|
242 |
242 |
$2K |
| 73080 |
|
103 |
101 |
$716.50 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$646.02 |
| 74018 |
|
65 |
64 |
$449.70 |
| 72040 |
|
29 |
29 |
$237.46 |
| 76536 |
|
12 |
12 |
$234.68 |
| 73090 |
|
14 |
13 |
$100.53 |
| 73502 |
|
13 |
13 |
$90.80 |