| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
6,276 |
5,999 |
$127K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,415 |
2,314 |
$107K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,021 |
1,942 |
$75K |
| 71045 |
Radiologic examination, chest; single view |
17,097 |
14,145 |
$68K |
| 71046 |
Radiologic examination, chest; 2 views |
7,005 |
6,693 |
$47K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
768 |
745 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,243 |
1,222 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,413 |
1,243 |
$31K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
785 |
773 |
$13K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
190 |
150 |
$5K |
| 73630 |
|
647 |
584 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
128 |
127 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
93 |
92 |
$3K |
| 76642 |
|
90 |
89 |
$2K |
| 73130 |
|
188 |
178 |
$1K |
| 74018 |
|
189 |
181 |
$1K |
| 73564 |
|
135 |
125 |
$961.27 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
51 |
$941.57 |
| 73610 |
|
160 |
148 |
$884.28 |
| 71250 |
|
39 |
36 |
$674.17 |
| 93976 |
|
13 |
13 |
$561.60 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$558.14 |
| 73030 |
|
99 |
89 |
$555.67 |
| 72100 |
|
14 |
13 |
$95.15 |
| 73502 |
|
14 |
13 |
$59.72 |