| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,196 |
2,147 |
$165K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,689 |
3,595 |
$147K |
| 71045 |
Radiologic examination, chest; single view |
6,453 |
5,231 |
$47K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
708 |
686 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
280 |
278 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,044 |
2,017 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
707 |
685 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
273 |
266 |
$13K |
| 93970 |
|
184 |
174 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
59 |
57 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
81 |
81 |
$5K |
| 71271 |
|
97 |
91 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
66 |
66 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
75 |
71 |
$2K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$2K |
| 76770 |
|
25 |
25 |
$934.20 |
| 76801 |
|
16 |
16 |
$884.45 |
| 73630 |
|
105 |
99 |
$784.33 |
| 77080 |
|
107 |
103 |
$760.84 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$683.47 |
| 93971 |
|
26 |
26 |
$523.79 |
| 73130 |
|
29 |
29 |
$210.00 |
| 73030 |
|
29 |
29 |
$199.46 |
| 73610 |
|
24 |
19 |
$163.00 |