| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,980 |
1,817 |
$132K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,320 |
1,145 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,197 |
1,047 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
3,617 |
3,189 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
475 |
446 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,504 |
2,869 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
59 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
69 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
59 |
57 |
$2K |
| 73562 |
|
180 |
129 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
46 |
42 |
$2K |
| 93970 |
|
105 |
96 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
43 |
38 |
$1K |
| 73030 |
|
50 |
40 |
$595.61 |
| 73630 |
|
48 |
43 |
$533.89 |
| 76801 |
|
17 |
14 |
$508.09 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
12 |
$503.35 |
| 93971 |
|
16 |
13 |
$224.20 |
| 73610 |
|
15 |
13 |
$217.15 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$212.13 |
| 73130 |
|
14 |
12 |
$113.00 |