| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
96 |
91 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
665 |
579 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
208 |
190 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
950 |
547 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
88 |
77 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
65 |
64 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
51 |
$2K |
| 76801 |
|
49 |
40 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
34 |
32 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
48 |
$1K |
| 76641 |
|
40 |
36 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
38 |
$1K |
| 71250 |
|
44 |
40 |
$954.55 |
| 74019 |
|
96 |
56 |
$620.38 |
| 74018 |
|
146 |
117 |
$536.65 |
| 70486 |
|
13 |
13 |
$446.93 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
19 |
19 |
$434.78 |
| 73560 |
|
88 |
76 |
$412.92 |
| 76770 |
|
29 |
27 |
$342.85 |
| 73030 |
|
61 |
58 |
$299.56 |
| 72110 |
|
43 |
41 |
$284.14 |
| 73502 |
|
48 |
44 |
$224.46 |
| 73130 |
|
32 |
30 |
$187.47 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$169.63 |
| 72100 |
|
21 |
15 |
$136.61 |
| 73630 |
|
29 |
27 |
$136.04 |
| 73590 |
|
14 |
14 |
$74.33 |
| 73110 |
|
15 |
14 |
$72.44 |
| 72170 |
|
15 |
15 |
$68.68 |
| 73610 |
|
14 |
13 |
$51.98 |