| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
433 |
412 |
$57K |
| 70450 |
Computed tomography, head or brain; without contrast material |
296 |
280 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
1,908 |
1,746 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,263 |
1,136 |
$8K |
| 77066 |
Tomosynthesis, mammo |
124 |
100 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
37 |
25 |
$2K |
| 72100 |
|
159 |
141 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
40 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
52 |
38 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$972.50 |
| 73030 |
|
53 |
53 |
$437.07 |
| 73560 |
|
38 |
37 |
$279.20 |
| 72040 |
|
30 |
30 |
$219.53 |
| 76641 |
|
119 |
98 |
$107.28 |
| 74018 |
|
12 |
12 |
$74.64 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
38 |
17 |
$0.00 |