| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,508 |
1,385 |
$101K |
| 71045 |
Radiologic examination, chest; single view |
10,884 |
6,186 |
$58K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
844 |
814 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
962 |
899 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
3,236 |
2,934 |
$20K |
| 73610 |
|
1,132 |
812 |
$18K |
| 73630 |
|
1,307 |
974 |
$16K |
| 73562 |
|
1,150 |
801 |
$14K |
| 73130 |
|
1,127 |
777 |
$13K |
| 74018 |
|
2,154 |
1,397 |
$12K |
| 73030 |
|
770 |
572 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
398 |
386 |
$9K |
| 72100 |
|
523 |
471 |
$7K |
| 73110 |
|
402 |
297 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
152 |
149 |
$5K |
| 72170 |
|
578 |
462 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
45 |
38 |
$5K |
| 73590 |
|
357 |
253 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
169 |
168 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
93 |
81 |
$3K |
| 72110 |
|
126 |
113 |
$2K |
| 72050 |
|
125 |
109 |
$2K |
| 73502 |
|
173 |
109 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
83 |
80 |
$2K |
| 76830 |
Ultrasound, transvaginal |
38 |
38 |
$1K |
| 73560 |
|
102 |
68 |
$1K |
| 76536 |
|
39 |
38 |
$1K |
| 73090 |
|
126 |
94 |
$1K |
| 73552 |
|
132 |
96 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$862.80 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$431.40 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
17 |
$419.19 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$255.92 |
| 71250 |
|
13 |
13 |
$230.68 |
| 72072 |
|
14 |
14 |
$162.65 |
| 73564 |
|
12 |
12 |
$133.37 |