| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
341 |
321 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
654 |
588 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
292 |
271 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,342 |
1,091 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
836 |
774 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
45 |
37 |
$1K |
| 76830 |
Ultrasound, transvaginal |
33 |
25 |
$971.79 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
34 |
31 |
$955.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
37 |
36 |
$679.03 |
| 93975 |
|
18 |
12 |
$358.47 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$279.40 |
| 74018 |
|
39 |
37 |
$186.68 |
| 73610 |
|
13 |
12 |
$185.77 |