| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,671 |
1,595 |
$99K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,060 |
1,018 |
$45K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
207 |
203 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,584 |
4,005 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
337 |
335 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
221 |
211 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
827 |
789 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
110 |
91 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
86 |
77 |
$2K |
| 74018 |
|
172 |
150 |
$730.50 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
29 |
$491.21 |
| 73630 |
|
41 |
40 |
$407.68 |
| 73030 |
|
46 |
44 |
$383.33 |
| 76642 |
|
15 |
13 |
$266.61 |
| 73130 |
|
28 |
28 |
$261.08 |
| 73610 |
|
17 |
16 |
$238.80 |