| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,716 |
1,613 |
$114K |
| 71045 |
Radiologic examination, chest; single view |
6,465 |
5,660 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
588 |
570 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
568 |
543 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
3,134 |
2,980 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
472 |
414 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
358 |
312 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
290 |
280 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
185 |
174 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
211 |
200 |
$5K |
| 73564 |
|
437 |
377 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
122 |
112 |
$4K |
| 73630 |
|
328 |
296 |
$3K |
| 73610 |
|
214 |
197 |
$3K |
| 73030 |
|
248 |
229 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
95 |
95 |
$2K |
| 73130 |
|
199 |
179 |
$2K |
| 74018 |
|
312 |
289 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 73110 |
|
111 |
100 |
$1K |
| 70486 |
|
41 |
41 |
$1K |
| 76830 |
Ultrasound, transvaginal |
30 |
28 |
$1K |
| 72110 |
|
47 |
46 |
$721.86 |
| 76642 |
|
30 |
24 |
$674.99 |
| 72100 |
|
38 |
36 |
$509.06 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
14 |
12 |
$488.92 |
| 76801 |
|
14 |
14 |
$467.35 |
| 73502 |
|
68 |
66 |
$405.25 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
14 |
12 |
$194.37 |