| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
947 |
745 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
574 |
453 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,153 |
938 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
4,179 |
3,483 |
$24K |
| 76641 |
|
1,475 |
680 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
837 |
505 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,947 |
1,445 |
$12K |
| 72100 |
|
1,853 |
1,491 |
$10K |
| 77066 |
Tomosynthesis, mammo |
218 |
86 |
$5K |
| 72040 |
|
806 |
640 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
281 |
162 |
$2K |
| 73560 |
|
309 |
240 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
116 |
111 |
$2K |
| 73030 |
|
262 |
215 |
$1K |
| 74018 |
|
177 |
164 |
$901.46 |
| 76810 |
|
42 |
42 |
$609.56 |
| 76536 |
|
107 |
77 |
$364.96 |
| 76770 |
|
25 |
25 |
$323.98 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
26 |
26 |
$246.00 |
| 77080 |
|
29 |
12 |
$191.90 |
| 76830 |
Ultrasound, transvaginal |
28 |
13 |
$126.20 |
| 72070 |
|
13 |
12 |
$95.71 |
| 73120 |
|
12 |
12 |
$45.52 |