| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,396 |
1,331 |
$94K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,854 |
1,724 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
3,804 |
3,579 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
4,966 |
4,018 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
323 |
313 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
312 |
312 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
326 |
320 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
146 |
134 |
$6K |
| 73630 |
|
660 |
547 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
131 |
129 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
173 |
173 |
$5K |
| 73130 |
|
376 |
336 |
$4K |
| 73610 |
|
391 |
356 |
$3K |
| 73030 |
|
398 |
366 |
$3K |
| 73110 |
|
343 |
303 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
62 |
57 |
$3K |
| 72100 |
|
257 |
256 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
40 |
$3K |
| 76830 |
Ultrasound, transvaginal |
40 |
40 |
$1K |
| 73562 |
|
157 |
141 |
$1K |
| 74018 |
|
97 |
89 |
$818.09 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$700.33 |
| 72040 |
|
47 |
47 |
$446.08 |
| 74022 |
|
29 |
28 |
$418.29 |
| 76770 |
|
12 |
12 |
$350.88 |
| 73502 |
|
41 |
37 |
$290.96 |
| 73140 |
|
42 |
39 |
$267.12 |
| 73080 |
|
22 |
19 |
$218.22 |
| 73560 |
|
16 |
13 |
$65.34 |