| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
657 |
590 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
1,766 |
1,468 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
144 |
136 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
95 |
82 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
69 |
66 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
254 |
245 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
30 |
$1K |
| 73562 |
|
108 |
84 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$865.37 |
| 72131 |
|
29 |
27 |
$777.47 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$419.41 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$318.08 |
| 73130 |
|
34 |
26 |
$300.95 |
| 72110 |
|
12 |
12 |
$194.42 |
| 73030 |
|
14 |
13 |
$146.30 |
| 74018 |
|
20 |
13 |
$65.64 |