| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
340 |
309 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
211 |
197 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
55 |
48 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
760 |
689 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
84 |
81 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
131 |
126 |
$3K |
| 70460 |
|
35 |
35 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
373 |
360 |
$2K |
| 70498 |
|
14 |
14 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
43 |
37 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
43 |
37 |
$1K |
| 70496 |
|
14 |
14 |
$1K |
| 72100 |
|
81 |
79 |
$1K |
| 73630 |
|
83 |
80 |
$892.77 |
| 93976 |
|
35 |
27 |
$832.63 |
| 73564 |
|
62 |
58 |
$773.24 |
| 74018 |
|
152 |
131 |
$763.42 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
20 |
20 |
$626.04 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$606.48 |
| 73610 |
|
30 |
28 |
$417.82 |
| 73030 |
|
34 |
31 |
$340.21 |
| 73130 |
|
17 |
16 |
$157.26 |