| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,566 |
1,454 |
$89K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
744 |
697 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
2,338 |
2,162 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
280 |
261 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,549 |
2,153 |
$9K |
| 73630 |
|
457 |
401 |
$4K |
| 73610 |
|
310 |
287 |
$4K |
| 73562 |
|
352 |
294 |
$3K |
| 73130 |
|
233 |
204 |
$2K |
| 73030 |
|
190 |
166 |
$2K |
| 72110 |
|
86 |
85 |
$1K |
| 93976 |
|
70 |
68 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
37 |
$840.64 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
26 |
$703.10 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
37 |
$664.89 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$149.24 |