| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,143 |
2,027 |
$133K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,229 |
1,158 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
2,602 |
2,435 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,357 |
2,820 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
263 |
253 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
181 |
164 |
$6K |
| 73630 |
|
485 |
438 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
123 |
$4K |
| 73130 |
|
389 |
311 |
$3K |
| 73610 |
|
246 |
224 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
137 |
105 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
24 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
58 |
52 |
$2K |
| 73030 |
|
153 |
139 |
$2K |
| 72110 |
|
68 |
63 |
$1K |
| 73564 |
|
92 |
79 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
35 |
31 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
14 |
$735.60 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
27 |
$683.00 |
| 76801 |
|
19 |
19 |
$525.64 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
17 |
$343.95 |
| 73110 |
|
27 |
26 |
$261.08 |
| 93971 |
|
12 |
12 |
$108.93 |
| 74018 |
|
12 |
12 |
$27.15 |