| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,807 |
2,443 |
$181K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,485 |
1,379 |
$67K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
245 |
226 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
5,087 |
3,720 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,102 |
2,876 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
449 |
399 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
279 |
265 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
113 |
106 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
37 |
$3K |
| 76830 |
Ultrasound, transvaginal |
83 |
80 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
85 |
84 |
$3K |
| 73630 |
|
148 |
126 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
83 |
$2K |
| 74018 |
|
288 |
243 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$657.56 |
| 73030 |
|
58 |
51 |
$623.46 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
23 |
22 |
$557.68 |
| 70486 |
|
13 |
13 |
$483.88 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
23 |
22 |
$439.85 |
| 73610 |
|
26 |
25 |
$360.57 |
| 72110 |
|
13 |
13 |
$230.05 |
| 73562 |
|
26 |
12 |
$113.13 |
| 73130 |
|
13 |
12 |
$112.09 |
| 73564 |
|
12 |
12 |
$109.07 |