| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,664 |
2,419 |
$100K |
| 71046 |
Radiologic examination, chest; 2 views |
10,202 |
9,612 |
$79K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,937 |
2,711 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
10,067 |
8,818 |
$54K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
682 |
630 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
684 |
654 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
741 |
713 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
436 |
397 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
156 |
142 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
477 |
462 |
$7K |
| 74018 |
|
948 |
857 |
$6K |
| 73564 |
|
680 |
597 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
213 |
192 |
$5K |
| 73630 |
|
790 |
714 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
151 |
145 |
$4K |
| 73610 |
|
408 |
381 |
$3K |
| 74022 |
|
209 |
201 |
$2K |
| 93971 |
|
138 |
125 |
$2K |
| 72110 |
|
130 |
124 |
$1K |
| 73130 |
|
185 |
172 |
$1K |
| 73030 |
|
190 |
170 |
$1K |
| 72100 |
|
133 |
127 |
$995.79 |
| 76376 |
|
307 |
241 |
$994.51 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$627.32 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$600.58 |
| 76641 |
|
17 |
12 |
$449.39 |
| 76775 |
|
19 |
19 |
$445.72 |
| 73502 |
|
33 |
25 |
$255.12 |
| 73110 |
|
33 |
31 |
$215.90 |