| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,547 |
1,438 |
$70K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
335 |
301 |
$32K |
| 76830 |
Ultrasound, transvaginal |
883 |
844 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
6,588 |
4,778 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
827 |
796 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
626 |
591 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
757 |
690 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
884 |
732 |
$19K |
| 71250 |
|
592 |
557 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,424 |
2,298 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
463 |
445 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
305 |
298 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
236 |
231 |
$7K |
| 93970 |
|
322 |
301 |
$5K |
| 76801 |
|
115 |
107 |
$3K |
| 76536 |
|
100 |
94 |
$3K |
| 74018 |
|
650 |
571 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
54 |
52 |
$2K |
| 93971 |
|
98 |
93 |
$986.57 |
| 76770 |
|
17 |
17 |
$388.66 |
| 72100 |
|
15 |
14 |
$214.48 |
| 73562 |
|
13 |
13 |
$129.91 |