| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,186 |
1,119 |
$68K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,143 |
1,117 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
626 |
594 |
$26K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
266 |
232 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,570 |
2,148 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
87 |
77 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,373 |
1,279 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
167 |
162 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
113 |
111 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
93 |
84 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
53 |
37 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
53 |
37 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
37 |
36 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
27 |
$968.71 |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$882.91 |
| 73630 |
|
65 |
53 |
$711.26 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
25 |
$481.21 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$447.80 |
| 72100 |
|
15 |
14 |
$149.57 |
| 73130 |
|
12 |
12 |
$129.09 |