| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,753 |
1,628 |
$111K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,257 |
1,197 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
4,987 |
4,716 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
3,429 |
3,033 |
$14K |
| 73630 |
|
730 |
621 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
89 |
79 |
$8K |
| 73610 |
|
422 |
383 |
$7K |
| 73564 |
|
385 |
356 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
148 |
147 |
$3K |
| 73030 |
|
244 |
239 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
49 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
70 |
49 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
47 |
$1K |
| 76830 |
Ultrasound, transvaginal |
42 |
42 |
$1K |
| 72100 |
|
103 |
101 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
58 |
37 |
$1K |
| 73130 |
|
85 |
84 |
$863.51 |
| 76536 |
|
24 |
24 |
$656.88 |
| 73110 |
|
63 |
57 |
$604.06 |
| 72110 |
|
31 |
26 |
$481.32 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$456.78 |
| 76770 |
|
14 |
14 |
$400.41 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$375.70 |
| 73502 |
|
12 |
12 |
$81.72 |