| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
870 |
802 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
1,479 |
1,310 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
420 |
406 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
376 |
350 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
978 |
786 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
84 |
80 |
$5K |
| 73564 |
|
710 |
585 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
165 |
156 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
40 |
36 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
35 |
35 |
$2K |
| 73030 |
|
283 |
244 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$688.88 |
| 73610 |
|
181 |
150 |
$636.94 |
| 73630 |
|
144 |
129 |
$464.71 |
| 73502 |
|
45 |
45 |
$246.11 |
| 73110 |
|
60 |
54 |
$229.60 |
| 73130 |
|
74 |
57 |
$218.44 |
| 72100 |
|
25 |
24 |
$186.45 |
| 73560 |
|
52 |
44 |
$147.62 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
256 |
244 |
$30.00 |
| 3341F |
|
26 |
26 |
$0.00 |