| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,636 |
2,431 |
$128K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,828 |
3,586 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
10,416 |
8,241 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
4,223 |
3,902 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
758 |
703 |
$25K |
| 70486 |
|
280 |
259 |
$8K |
| 71250 |
|
191 |
175 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
77 |
70 |
$2K |
| 73560 |
|
354 |
301 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
57 |
52 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
25 |
$929.51 |
| 74018 |
|
176 |
144 |
$825.68 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$542.24 |
| 73630 |
|
116 |
109 |
$486.17 |
| 73610 |
|
87 |
80 |
$483.59 |
| 72100 |
|
64 |
62 |
$359.41 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$296.93 |
| 73030 |
|
30 |
28 |
$113.65 |
| 73502 |
|
30 |
26 |
$108.66 |
| 72040 |
|
12 |
12 |
$105.31 |
| 93925 |
|
12 |
12 |
$83.34 |
| 73070 |
|
12 |
12 |
$38.29 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
50 |
42 |
$0.00 |