| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,054 |
957 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
752 |
712 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
2,272 |
1,996 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,432 |
1,341 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
169 |
164 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
48 |
46 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
66 |
64 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
24 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$597.82 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
19 |
15 |
$424.26 |
| 76642 |
|
18 |
13 |
$374.17 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
12 |
$371.90 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
13 |
$356.59 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$287.31 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$190.81 |
| 73130 |
|
13 |
12 |
$120.22 |
| 73630 |
|
12 |
12 |
$111.23 |