| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,153 |
1,038 |
$52K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
517 |
470 |
$36K |
| 71110 |
|
1,373 |
1,188 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
399 |
354 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,260 |
1,724 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,708 |
1,400 |
$12K |
| 74178 |
|
144 |
134 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
175 |
148 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
147 |
122 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$2K |
| 74022 |
|
85 |
74 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$1K |
| 71250 |
|
12 |
12 |
$872.29 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
35 |
$819.97 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$482.75 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$433.20 |
| 73630 |
|
29 |
24 |
$312.67 |
| 74018 |
|
38 |
27 |
$241.10 |
| 73610 |
|
20 |
13 |
$160.00 |
| 73030 |
|
16 |
12 |
$111.76 |
| 73562 |
|
14 |
13 |
$99.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
12 |
$0.00 |