| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
823 |
733 |
$48K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
542 |
486 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,995 |
2,487 |
$21K |
| 70496 |
|
122 |
106 |
$14K |
| 70450 |
Computed tomography, head or brain; without contrast material |
444 |
392 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
254 |
217 |
$9K |
| 70498 |
|
122 |
105 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
251 |
234 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
449 |
413 |
$3K |
| 73590 |
|
423 |
350 |
$2K |
| 73560 |
|
335 |
283 |
$2K |
| 73610 |
|
319 |
254 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
70 |
66 |
$2K |
| 76830 |
Ultrasound, transvaginal |
69 |
65 |
$2K |
| 73552 |
|
266 |
218 |
$2K |
| 73130 |
|
285 |
225 |
$2K |
| 73630 |
|
209 |
154 |
$1K |
| 70486 |
|
30 |
29 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$852.44 |
| 73030 |
|
133 |
99 |
$759.71 |
| 71250 |
|
27 |
25 |
$759.41 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$588.45 |
| 93976 |
|
14 |
12 |
$541.54 |
| 72170 |
|
65 |
57 |
$443.29 |
| 74018 |
|
89 |
64 |
$412.19 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$404.69 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$267.30 |
| 76642 |
|
14 |
12 |
$210.88 |
| 73090 |
|
33 |
26 |
$204.79 |
| 73562 |
|
31 |
26 |
$192.09 |
| 73060 |
|
15 |
14 |
$101.43 |
| 73110 |
|
17 |
12 |
$62.53 |