| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
973 |
877 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
551 |
504 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
3,536 |
2,915 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,853 |
1,705 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
294 |
254 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
292 |
252 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
100 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
125 |
121 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
76 |
76 |
$3K |
| 76830 |
Ultrasound, transvaginal |
61 |
53 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
43 |
41 |
$2K |
| 71250 |
|
61 |
55 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
37 |
$1K |
| 73630 |
|
82 |
74 |
$828.69 |
| 74018 |
|
201 |
183 |
$714.98 |
| 76536 |
|
27 |
25 |
$607.81 |
| 73564 |
|
49 |
43 |
$570.85 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$529.43 |
| 73130 |
|
52 |
41 |
$475.71 |
| 76641 |
|
16 |
14 |
$445.40 |
| 76642 |
|
15 |
12 |
$364.19 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$360.84 |
| 73030 |
|
30 |
29 |
$290.48 |
| 76770 |
|
12 |
12 |
$262.29 |
| 72100 |
|
14 |
14 |
$148.40 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
26 |
25 |
$118.20 |
| 99152 |
|
24 |
24 |
$44.74 |