| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
35,706 |
27,565 |
$108K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,394 |
5,235 |
$80K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,143 |
862 |
$38K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
828 |
650 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,190 |
1,751 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
242 |
197 |
$5K |
| 76376 |
|
1,499 |
1,161 |
$4K |
| 74018 |
|
614 |
478 |
$2K |
| 73630 |
|
193 |
130 |
$592.05 |
| 73560 |
|
174 |
114 |
$551.76 |
| 71250 |
|
16 |
12 |
$479.19 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
29 |
24 |
$433.05 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
12 |
$326.90 |
| 73130 |
|
64 |
40 |
$222.76 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
24 |
24 |
$182.84 |
| 72100 |
|
34 |
26 |
$120.99 |
| 73030 |
|
32 |
26 |
$119.73 |
| 73610 |
|
38 |
25 |
$90.74 |