| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,171 |
2,036 |
$136K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,275 |
1,229 |
$57K |
| 71045 |
Radiologic examination, chest; single view |
6,252 |
5,359 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
417 |
412 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
165 |
153 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,631 |
2,488 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
203 |
190 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
86 |
$3K |
| 73630 |
|
201 |
183 |
$2K |
| 73562 |
|
158 |
141 |
$2K |
| 73130 |
|
159 |
122 |
$2K |
| 73030 |
|
126 |
117 |
$1K |
| 73610 |
|
83 |
69 |
$1K |
| 76642 |
|
51 |
41 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
49 |
48 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$934.70 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
24 |
24 |
$862.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
47 |
46 |
$826.62 |
| 74018 |
|
150 |
144 |
$664.90 |
| 72100 |
|
41 |
39 |
$552.05 |
| 76770 |
|
13 |
13 |
$450.30 |
| 93976 |
|
14 |
14 |
$314.21 |
| 73110 |
|
15 |
15 |
$209.68 |
| 73080 |
|
15 |
15 |
$152.17 |
| 73502 |
|
12 |
12 |
$40.86 |