| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
269 |
237 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
321 |
302 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,932 |
1,480 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
225 |
172 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
225 |
172 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
107 |
104 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
26 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
341 |
303 |
$2K |
| 70496 |
|
14 |
12 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
36 |
31 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
21 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
51 |
$974.30 |
| 72131 |
|
22 |
18 |
$785.42 |
| 74018 |
|
126 |
67 |
$674.68 |
| 72128 |
|
15 |
13 |
$592.65 |
| 72170 |
|
13 |
12 |
$98.60 |