| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,661 |
1,545 |
$110K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
577 |
539 |
$27K |
| 76818 |
|
710 |
448 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,507 |
1,942 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
317 |
273 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,527 |
1,419 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
177 |
170 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
63 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
240 |
230 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
96 |
$3K |
| 76801 |
|
47 |
37 |
$1K |
| 93971 |
|
132 |
118 |
$1K |
| 74018 |
|
221 |
194 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
15 |
$363.52 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$360.84 |
| 93976 |
|
12 |
12 |
$238.28 |
| 93970 |
|
14 |
14 |
$195.41 |
| 73630 |
|
12 |
12 |
$112.81 |