| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,576 |
1,128 |
$259K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,302 |
1,677 |
$186K |
| 74178 |
|
684 |
496 |
$106K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
685 |
504 |
$103K |
| 71046 |
Radiologic examination, chest; 2 views |
5,409 |
3,971 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
7,344 |
5,005 |
$45K |
| 76641 |
|
2,015 |
1,566 |
$43K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,178 |
925 |
$32K |
| 77066 |
Tomosynthesis, mammo |
1,678 |
1,264 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
622 |
478 |
$14K |
| 76830 |
Ultrasound, transvaginal |
494 |
400 |
$12K |
| 72100 |
|
1,021 |
852 |
$9K |
| 72040 |
|
643 |
531 |
$5K |
| 70210 |
|
455 |
330 |
$5K |
| 74018 |
|
437 |
309 |
$4K |
| 70220 |
|
159 |
121 |
$2K |
| 73560 |
|
265 |
189 |
$2K |
| 77080 |
|
196 |
131 |
$2K |
| 76770 |
|
66 |
50 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
95 |
79 |
$906.46 |
| 76536 |
|
65 |
54 |
$737.17 |
| 73030 |
|
77 |
50 |
$551.87 |
| 73620 |
|
75 |
63 |
$525.50 |
| 73610 |
|
21 |
12 |
$167.08 |
| 73120 |
|
27 |
15 |
$156.88 |
| 72070 |
|
12 |
12 |
$121.86 |
| 71010 |
|
19 |
14 |
$6.83 |
| 71020 |
|
13 |
13 |
$0.00 |