| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
7,170 |
6,563 |
$44K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
950 |
950 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
573 |
564 |
$24K |
| 76642 |
|
756 |
594 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
392 |
389 |
$7K |
| 93976 |
|
230 |
230 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
743 |
740 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
296 |
296 |
$6K |
| 76641 |
|
156 |
109 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
27 |
$799.01 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$552.58 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$540.41 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$536.36 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$429.83 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$418.44 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$381.53 |
| 73610 |
|
95 |
89 |
$344.18 |
| 76830 |
Ultrasound, transvaginal |
20 |
20 |
$295.75 |
| 73030 |
|
57 |
56 |
$244.61 |
| 72100 |
|
29 |
28 |
$137.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$134.50 |
| 73630 |
|
27 |
25 |
$95.78 |
| 74018 |
|
12 |
12 |
$72.87 |
| 73562 |
|
16 |
15 |
$68.47 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$0.00 |