| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,558 |
1,374 |
$56K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,590 |
1,369 |
$32K |
| 71046 |
Radiologic examination, chest; 2 views |
5,207 |
4,137 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
5,215 |
3,634 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
102 |
89 |
$2K |
| 73630 |
|
437 |
381 |
$2K |
| 73610 |
|
331 |
277 |
$2K |
| 73130 |
|
254 |
209 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
61 |
55 |
$912.59 |
| 73030 |
|
137 |
120 |
$790.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
27 |
$440.97 |
| 74018 |
|
99 |
86 |
$414.50 |
| 72100 |
|
44 |
37 |
$219.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
30 |
$164.94 |
| 73560 |
|
33 |
27 |
$139.15 |
| 72110 |
|
12 |
12 |
$108.34 |
| 73562 |
|
16 |
14 |
$85.38 |
| 73110 |
|
13 |
12 |
$50.37 |
| 73502 |
|
16 |
13 |
$40.40 |