| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,816 |
1,697 |
$115K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
891 |
840 |
$39K |
| 71045 |
Radiologic examination, chest; single view |
3,762 |
3,179 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,534 |
2,394 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
224 |
153 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
56 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
297 |
290 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
57 |
55 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
52 |
49 |
$2K |
| 73562 |
|
106 |
97 |
$1K |
| 73630 |
|
89 |
75 |
$903.16 |
| 73610 |
|
55 |
51 |
$771.73 |
| 74018 |
|
187 |
172 |
$768.57 |
| 76377 |
|
46 |
44 |
$754.23 |
| 71250 |
|
25 |
25 |
$713.03 |
| 73130 |
|
43 |
38 |
$387.54 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$383.24 |
| 73030 |
|
29 |
28 |
$297.63 |
| 76376 |
|
30 |
26 |
$71.95 |