| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,021 |
2,535 |
$90K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,996 |
2,588 |
$79K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,099 |
1,966 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
7,200 |
6,098 |
$40K |
| 71045 |
Radiologic examination, chest; single view |
11,593 |
8,355 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,647 |
1,516 |
$17K |
| 71250 |
|
301 |
231 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
231 |
210 |
$6K |
| 73630 |
|
954 |
775 |
$5K |
| 73562 |
|
901 |
657 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
85 |
73 |
$4K |
| 72100 |
|
668 |
559 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
56 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
196 |
170 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
80 |
73 |
$3K |
| 74018 |
|
790 |
636 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
137 |
119 |
$3K |
| 73030 |
|
628 |
501 |
$3K |
| 73610 |
|
486 |
417 |
$3K |
| 74019 |
|
383 |
352 |
$3K |
| 73130 |
|
441 |
370 |
$3K |
| 93925 |
|
50 |
43 |
$2K |
| 73110 |
|
194 |
160 |
$1K |
| 73502 |
|
202 |
156 |
$1K |
| 93970 |
|
44 |
32 |
$979.94 |
| 72040 |
|
141 |
135 |
$945.37 |
| 76536 |
|
42 |
39 |
$883.06 |
| 76830 |
Ultrasound, transvaginal |
20 |
20 |
$583.00 |
| 76642 |
|
32 |
26 |
$531.25 |
| 93971 |
|
35 |
24 |
$511.72 |
| 73590 |
|
59 |
51 |
$335.85 |
| 73090 |
|
32 |
24 |
$157.45 |
| 73080 |
|
13 |
12 |
$87.75 |
| 77080 |
|
13 |
12 |
$52.00 |