| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,887 |
1,784 |
$77K |
| 70450 |
Computed tomography, head or brain; without contrast material |
888 |
826 |
$53K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
188 |
177 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
444 |
394 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,915 |
3,289 |
$15K |
| 93976 |
|
464 |
402 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,276 |
1,230 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
164 |
160 |
$6K |
| 76376 |
|
712 |
651 |
$3K |
| 73630 |
|
274 |
257 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
119 |
114 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
75 |
75 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
37 |
27 |
$802.93 |
| 76770 |
|
29 |
29 |
$785.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
39 |
$735.69 |
| 73610 |
|
41 |
40 |
$603.25 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
25 |
25 |
$491.41 |
| 73130 |
|
50 |
49 |
$450.55 |
| 76536 |
|
13 |
13 |
$413.69 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$347.67 |
| 73030 |
|
24 |
24 |
$208.64 |
| 73564 |
|
14 |
12 |
$172.62 |
| 93971 |
|
25 |
24 |
$128.66 |