| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,279 |
1,206 |
$47K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
459 |
434 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
610 |
587 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
184 |
166 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,431 |
2,079 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
167 |
157 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
958 |
910 |
$5K |
| 76830 |
Ultrasound, transvaginal |
110 |
101 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
40 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
142 |
141 |
$3K |
| 71250 |
|
135 |
128 |
$3K |
| 76536 |
|
94 |
83 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
142 |
141 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
86 |
78 |
$2K |
| 76376 |
|
625 |
593 |
$2K |
| 76770 |
|
27 |
24 |
$666.31 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
16 |
$468.37 |
| 74230 |
|
14 |
13 |
$294.85 |
| 93970 |
|
28 |
27 |
$263.82 |