| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
634 |
505 |
$40K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,352 |
1,197 |
$29K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
910 |
747 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
414 |
331 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
235 |
201 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,967 |
1,442 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
259 |
196 |
$7K |
| 76830 |
Ultrasound, transvaginal |
222 |
171 |
$7K |
| 76642 |
|
249 |
172 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
372 |
323 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
184 |
149 |
$5K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
279 |
182 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
622 |
544 |
$3K |
| 76770 |
|
120 |
105 |
$3K |
| 93970 |
|
166 |
130 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
60 |
55 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
89 |
84 |
$2K |
| 93971 |
|
164 |
125 |
$1K |
| 73610 |
|
13 |
12 |
$149.14 |
| 73630 |
|
13 |
13 |
$120.24 |
| 74018 |
|
23 |
13 |
$92.99 |