| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,068 |
1,000 |
$68K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
486 |
448 |
$61K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
470 |
445 |
$22K |
| 73221 |
|
63 |
51 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,358 |
1,997 |
$10K |
| 76376 |
|
1,156 |
1,079 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
159 |
141 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
686 |
663 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
104 |
88 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
66 |
53 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
41 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76642 |
|
18 |
14 |
$437.01 |
| 73630 |
|
34 |
29 |
$339.85 |
| 73610 |
|
18 |
12 |
$309.73 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$298.48 |
| 73030 |
|
13 |
12 |
$144.30 |
| 73130 |
|
13 |
13 |
$129.42 |