| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
973 |
920 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
625 |
580 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
236 |
228 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
743 |
728 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
426 |
416 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
742 |
727 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,275 |
1,077 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
484 |
409 |
$3K |
| 76642 |
|
116 |
102 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
45 |
38 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
43 |
$1K |
| 71250 |
|
55 |
54 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
13 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$703.04 |
| 70486 |
|
17 |
12 |
$634.71 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
13 |
$471.68 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$405.01 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$330.74 |