| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,143 |
2,024 |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
681 |
640 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
3,025 |
2,882 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,848 |
3,275 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
215 |
209 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
243 |
230 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
54 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
155 |
130 |
$4K |
| 73630 |
|
286 |
261 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
155 |
130 |
$3K |
| 73610 |
|
178 |
171 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
76 |
76 |
$1K |
| 73562 |
|
99 |
85 |
$1K |
| 72100 |
|
47 |
39 |
$613.83 |
| 74018 |
|
115 |
113 |
$559.85 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$443.38 |
| 73030 |
|
12 |
12 |
$124.00 |