| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
76 |
74 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
518 |
501 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
133 |
133 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
481 |
407 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
97 |
92 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
68 |
68 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
42 |
$1K |
| 72100 |
|
70 |
70 |
$720.50 |
| 73562 |
|
109 |
98 |
$705.09 |
| 73030 |
|
95 |
85 |
$703.42 |
| 73630 |
|
77 |
70 |
$619.32 |
| 73130 |
|
71 |
59 |
$564.73 |
| 73610 |
|
56 |
53 |
$436.63 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$378.84 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$170.70 |
| 72040 |
|
21 |
21 |
$164.55 |
| 74018 |
|
16 |
16 |
$118.20 |