| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,018 |
949 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,124 |
1,039 |
$49K |
| 71045 |
Radiologic examination, chest; single view |
10,324 |
6,899 |
$42K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,656 |
1,584 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
4,468 |
4,096 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
657 |
607 |
$18K |
| 76830 |
Ultrasound, transvaginal |
573 |
539 |
$18K |
| 93970 |
|
1,255 |
1,138 |
$17K |
| 76770 |
|
548 |
522 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
280 |
269 |
$10K |
| 93971 |
|
925 |
781 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
311 |
284 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
300 |
218 |
$9K |
| 73562 |
|
584 |
483 |
$7K |
| 72100 |
|
445 |
422 |
$5K |
| 73030 |
|
486 |
440 |
$5K |
| 74018 |
|
1,009 |
826 |
$4K |
| 93880 |
|
217 |
205 |
$4K |
| 71250 |
|
103 |
100 |
$2K |
| 76801 |
|
67 |
59 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$1K |
| 76536 |
|
39 |
39 |
$1K |
| 73610 |
|
57 |
49 |
$806.91 |
| 76818 |
|
17 |
12 |
$512.93 |
| 73560 |
|
46 |
38 |
$422.56 |
| 73502 |
|
53 |
51 |
$338.08 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15 |
14 |
$336.18 |
| 72040 |
|
24 |
24 |
$260.47 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
13 |
$233.61 |
| 72110 |
|
13 |
12 |
$230.82 |
| 77080 |
|
25 |
25 |
$212.01 |
| 73630 |
|
14 |
13 |
$132.64 |
| 72170 |
|
14 |
14 |
$107.56 |