| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
162 |
156 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
282 |
262 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
206 |
190 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
779 |
604 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
858 |
563 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
110 |
71 |
$1K |
| 74018 |
|
138 |
94 |
$581.30 |
| 74022 |
|
42 |
41 |
$503.82 |
| 73564 |
|
55 |
44 |
$381.73 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
13 |
$366.41 |
| 73630 |
|
47 |
43 |
$287.69 |
| 73610 |
|
33 |
29 |
$221.44 |
| 73130 |
|
18 |
15 |
$110.72 |
| 73030 |
|
16 |
12 |
$106.68 |