| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,446 |
2,356 |
$170K |
| 71045 |
Radiologic examination, chest; single view |
9,737 |
8,841 |
$67K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,515 |
1,427 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
5,518 |
5,367 |
$47K |
| 76830 |
Ultrasound, transvaginal |
126 |
124 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
112 |
111 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
26 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
37 |
$952.56 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
28 |
28 |
$729.72 |
| 73630 |
|
85 |
79 |
$595.22 |
| 74018 |
|
69 |
66 |
$530.08 |
| 73610 |
|
57 |
53 |
$427.22 |
| 73110 |
|
51 |
41 |
$358.86 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
28 |
$263.01 |
| 73030 |
|
12 |
12 |
$83.69 |
| 73130 |
|
12 |
12 |
$73.54 |