| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
507 |
499 |
$26K |
| 76377 |
|
707 |
501 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
540 |
524 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
505 |
505 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
505 |
505 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
236 |
218 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
708 |
682 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
195 |
194 |
$4K |
| 76830 |
Ultrasound, transvaginal |
174 |
173 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
84 |
79 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
286 |
271 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
67 |
67 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$769.59 |
| 76641 |
|
33 |
27 |
$618.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$577.53 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$564.41 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$544.00 |
| 73630 |
|
113 |
103 |
$536.75 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$420.72 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$339.96 |
| 73130 |
|
52 |
48 |
$257.40 |
| 73610 |
|
28 |
28 |
$133.65 |
| 74019 |
|
14 |
14 |
$91.56 |
| 73562 |
|
16 |
15 |
$74.90 |
| 74018 |
|
13 |
13 |
$66.95 |