| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
233 |
230 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,660 |
1,569 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
463 |
463 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
217 |
213 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
84 |
80 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
196 |
195 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
62 |
61 |
$3K |
| 76830 |
Ultrasound, transvaginal |
135 |
133 |
$3K |
| 73630 |
|
215 |
205 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$840.30 |
| 71045 |
Radiologic examination, chest; single view |
147 |
134 |
$721.00 |
| 73130 |
|
120 |
107 |
$603.90 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$562.21 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$404.16 |
| 73030 |
|
67 |
66 |
$374.50 |
| 72100 |
|
56 |
54 |
$329.68 |
| 73610 |
|
61 |
58 |
$297.00 |
| 73110 |
|
28 |
27 |
$158.40 |
| 74019 |
|
13 |
12 |
$85.02 |
| 74018 |
|
12 |
12 |
$56.65 |