| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
486 |
466 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
516 |
501 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
322 |
322 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,325 |
1,287 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,721 |
1,478 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
67 |
66 |
$4K |
| 73030 |
|
289 |
259 |
$2K |
| 73610 |
|
276 |
244 |
$2K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
32 |
16 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
40 |
$1K |
| 73630 |
|
181 |
164 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
54 |
$1K |
| 73562 |
|
150 |
135 |
$1K |
| 76830 |
Ultrasound, transvaginal |
40 |
37 |
$745.28 |
| 73110 |
|
77 |
63 |
$695.88 |
| 73502 |
|
30 |
25 |
$259.35 |
| 73130 |
|
27 |
24 |
$228.09 |
| 93971 |
|
12 |
12 |
$133.89 |
| 72100 |
|
13 |
13 |
$131.48 |
| 73080 |
|
12 |
12 |
$121.65 |