| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,125 |
1,067 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
737 |
705 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
561 |
436 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
520 |
413 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,850 |
2,353 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,559 |
1,475 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
67 |
65 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
73 |
72 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
37 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
41 |
38 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
41 |
$1K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$895.04 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
35 |
32 |
$874.24 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
29 |
26 |
$809.64 |
| 76801 |
|
26 |
26 |
$649.32 |
| 76770 |
|
16 |
16 |
$443.13 |
| 71250 |
|
12 |
12 |
$330.29 |
| 74018 |
|
52 |
48 |
$220.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$190.81 |