| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,964 |
1,738 |
$158K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,180 |
1,045 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
2,450 |
2,149 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
335 |
300 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,560 |
2,147 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
73 |
63 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
53 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
59 |
50 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
69 |
69 |
$2K |
| 71250 |
|
38 |
38 |
$2K |
| 76641 |
|
52 |
44 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
57 |
55 |
$2K |
| 76830 |
Ultrasound, transvaginal |
35 |
27 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
29 |
$992.35 |
| 72100 |
|
54 |
38 |
$521.87 |
| 76770 |
|
13 |
13 |
$381.23 |
| 72040 |
|
28 |
12 |
$314.48 |
| 76536 |
|
12 |
12 |
$304.45 |
| 93971 |
|
13 |
13 |
$291.95 |
| 73560 |
|
12 |
12 |
$106.83 |