| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,940 |
5,474 |
$322K |
| 71046 |
Radiologic examination, chest; 2 views |
12,881 |
11,941 |
$143K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,326 |
3,021 |
$96K |
| 71045 |
Radiologic examination, chest; single view |
11,894 |
9,301 |
$82K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
987 |
897 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
588 |
543 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
45 |
41 |
$2K |
| 93976 |
|
53 |
49 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$1K |
| 74018 |
|
109 |
95 |
$909.56 |
| 73630 |
|
148 |
137 |
$617.07 |
| 73610 |
|
124 |
100 |
$573.27 |
| 73130 |
|
133 |
118 |
$550.54 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
502 |
484 |
$478.18 |
| 76830 |
Ultrasound, transvaginal |
17 |
13 |
$425.37 |
| 76642 |
|
16 |
12 |
$408.45 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$399.26 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$358.93 |
| 73030 |
|
33 |
29 |
$138.70 |
| 73562 |
|
14 |
12 |
$60.33 |