| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
840 |
733 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
355 |
342 |
$16K |
| 93975 |
|
517 |
443 |
$12K |
| 76830 |
Ultrasound, transvaginal |
342 |
326 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
163 |
150 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,502 |
2,296 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,801 |
1,714 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
268 |
257 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
325 |
317 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
151 |
129 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
150 |
128 |
$3K |
| 76801 |
|
33 |
26 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
19 |
$856.65 |
| 74018 |
|
138 |
133 |
$683.89 |
| 76536 |
|
18 |
18 |
$521.48 |
| 73610 |
|
34 |
33 |
$463.46 |
| 76770 |
|
12 |
12 |
$363.60 |
| 73630 |
|
16 |
15 |
$155.90 |
| 72100 |
|
12 |
12 |
$146.53 |
| 73562 |
|
15 |
13 |
$143.51 |
| 73030 |
|
13 |
12 |
$119.11 |