| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
379 |
378 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
470 |
470 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,761 |
1,715 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
513 |
505 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
396 |
395 |
$6K |
| 71048 |
|
343 |
342 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
728 |
572 |
$2K |
| 93975 |
|
15 |
15 |
$623.39 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$577.12 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$558.72 |
| 73610 |
|
65 |
65 |
$348.81 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$336.42 |
| 73630 |
|
63 |
61 |
$302.36 |
| 73564 |
|
27 |
26 |
$209.81 |
| 73130 |
|
31 |
26 |
$203.48 |
| 73502 |
|
14 |
14 |
$73.53 |
| 7025F |
|
13 |
13 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
130 |
122 |
$0.00 |