| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
773 |
711 |
$43K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
373 |
344 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,938 |
2,569 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
381 |
315 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
363 |
298 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
961 |
929 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
92 |
86 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
89 |
82 |
$2K |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$511.63 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$372.10 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$320.51 |