| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
857 |
821 |
$44K |
| 71045 |
Radiologic examination, chest; single view |
7,608 |
6,706 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,528 |
1,452 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
4,273 |
4,119 |
$30K |
| 93976 |
|
152 |
148 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
100 |
96 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
101 |
97 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
77 |
64 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$590.75 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$526.02 |
| 73630 |
|
58 |
56 |
$329.97 |
| 73562 |
|
12 |
12 |
$80.63 |
| 73610 |
|
12 |
12 |
$74.03 |