| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
620 |
579 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
539 |
523 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
2,288 |
1,865 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
54 |
$6K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
207 |
192 |
$6K |
| 76830 |
Ultrasound, transvaginal |
141 |
135 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
133 |
124 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
74 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
128 |
78 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
386 |
352 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
36 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
26 |
$650.03 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
32 |
28 |
$596.96 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14 |
14 |
$355.90 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
14 |
$280.64 |