| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,258 |
1,169 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,236 |
1,119 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,233 |
2,990 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
488 |
454 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,347 |
2,886 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
115 |
107 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
307 |
301 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
185 |
184 |
$4K |
| 73630 |
|
314 |
288 |
$2K |
| 71250 |
|
15 |
14 |
$774.85 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
37 |
$685.09 |
| 73610 |
|
109 |
103 |
$612.17 |
| 73562 |
|
109 |
95 |
$558.41 |
| 74018 |
|
35 |
28 |
$185.14 |
| 72100 |
|
13 |
13 |
$98.78 |
| 73110 |
|
13 |
12 |
$71.21 |