| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
851 |
822 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
6,274 |
5,095 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,183 |
1,137 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
929 |
894 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
2,660 |
2,554 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
165 |
162 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
233 |
232 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
122 |
119 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
88 |
82 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
55 |
53 |
$2K |
| 76642 |
|
54 |
45 |
$944.93 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
30 |
29 |
$883.75 |
| 72100 |
|
104 |
101 |
$844.79 |
| 73630 |
|
94 |
85 |
$553.56 |
| 74018 |
|
56 |
53 |
$389.49 |
| 71250 |
|
12 |
12 |
$386.99 |
| 73610 |
|
48 |
46 |
$335.32 |
| 73030 |
|
39 |
38 |
$271.25 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$233.65 |
| 73562 |
|
30 |
24 |
$190.97 |
| 73130 |
|
14 |
12 |
$94.05 |
| 73502 |
|
18 |
13 |
$65.26 |