| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
6,577 |
5,885 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,545 |
1,367 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
7,975 |
5,963 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
467 |
430 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
408 |
347 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
38 |
$816.00 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
13 |
$646.74 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
25 |
25 |
$620.02 |
| 73562 |
|
101 |
84 |
$549.80 |
| 72100 |
|
49 |
48 |
$410.80 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$374.50 |
| 73630 |
|
24 |
24 |
$159.84 |
| 74018 |
|
13 |
12 |
$63.69 |