| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,067 |
1,933 |
$133K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
867 |
818 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,737 |
2,581 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
111 |
108 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,570 |
2,214 |
$10K |
| 76818 |
|
328 |
252 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
239 |
225 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
105 |
84 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
46 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$754.09 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$652.28 |
| 76377 |
|
22 |
15 |
$469.86 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$467.35 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
12 |
$363.52 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$344.35 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
12 |
$339.04 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$335.59 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$189.74 |
| 73030 |
|
12 |
12 |
$105.62 |
| 73130 |
|
12 |
12 |
$102.92 |