| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,295 |
1,199 |
$87K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,416 |
1,315 |
$64K |
| 71045 |
Radiologic examination, chest; single view |
3,759 |
3,324 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,302 |
1,253 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
140 |
137 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
58 |
50 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 73610 |
|
54 |
40 |
$978.62 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
32 |
27 |
$899.35 |
| 73630 |
|
86 |
79 |
$712.38 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$431.40 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$378.54 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$318.87 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$239.48 |
| 74018 |
|
26 |
24 |
$106.10 |