| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
822 |
749 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,120 |
1,000 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,459 |
2,283 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,551 |
2,069 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
190 |
190 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
253 |
241 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
73 |
70 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
44 |
43 |
$2K |
| 93971 |
|
173 |
162 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
91 |
91 |
$2K |
| 93970 |
|
127 |
114 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
32 |
29 |
$1K |
| 76642 |
|
47 |
41 |
$1K |
| 76770 |
|
80 |
72 |
$1K |
| 73630 |
|
173 |
159 |
$1K |
| 72100 |
|
150 |
143 |
$989.99 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
45 |
41 |
$894.32 |
| 74022 |
|
82 |
72 |
$772.27 |
| 73610 |
|
140 |
125 |
$715.73 |
| 73130 |
|
119 |
110 |
$676.56 |
| 73560 |
|
124 |
105 |
$659.49 |
| 73030 |
|
93 |
86 |
$555.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$305.08 |
| 71250 |
|
15 |
14 |
$254.31 |
| 93880 |
|
13 |
13 |
$207.52 |
| 76536 |
|
12 |
12 |
$181.00 |
| 74018 |
|
28 |
27 |
$157.68 |
| 72050 |
|
12 |
12 |
$148.84 |
| 73502 |
|
14 |
13 |
$71.48 |