| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
867 |
810 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
564 |
533 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
1,509 |
1,405 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,754 |
1,470 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
93 |
80 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
54 |
53 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
40 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
33 |
24 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$757.17 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
25 |
$565.99 |
| 76801 |
|
15 |
12 |
$463.80 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$431.40 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$390.91 |
| 76818 |
|
12 |
12 |
$377.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$238.38 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
12 |
$233.69 |
| 73130 |
|
15 |
15 |
$148.95 |
| 74018 |
|
26 |
25 |
$76.11 |