| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,495 |
1,458 |
$122K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,896 |
1,821 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
718 |
692 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
5,624 |
5,151 |
$44K |
| 71046 |
Radiologic examination, chest; 2 views |
930 |
901 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
204 |
194 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
105 |
101 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
74 |
73 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
36 |
$2K |
| 74018 |
|
157 |
152 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
34 |
34 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
34 |
$987.66 |
| 70486 |
|
25 |
24 |
$950.65 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
34 |
34 |
$948.17 |
| 93971 |
|
47 |
40 |
$802.59 |
| 71250 |
|
15 |
13 |
$762.02 |
| 73562 |
|
77 |
74 |
$671.86 |
| 73030 |
|
58 |
53 |
$501.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$489.02 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$407.63 |
| 73630 |
|
32 |
29 |
$279.36 |
| 73610 |
|
20 |
20 |
$182.00 |
| 73130 |
|
16 |
15 |
$136.50 |
| 73110 |
|
17 |
15 |
$117.13 |