| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
922 |
868 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,087 |
1,057 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
1,823 |
1,600 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
924 |
916 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
38 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
77 |
75 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
90 |
70 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
76 |
74 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
78 |
58 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
40 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
38 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
29 |
$925.03 |
| 76536 |
|
27 |
26 |
$849.79 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$735.47 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$568.49 |
| 74018 |
|
71 |
65 |
$367.03 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$255.84 |
| 93971 |
|
12 |
12 |
$96.18 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
13 |
12 |
$0.00 |