| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,315 |
1,120 |
$59K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,249 |
2,700 |
$55K |
| 71045 |
Radiologic examination, chest; single view |
12,343 |
9,066 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,039 |
920 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
5,003 |
4,294 |
$33K |
| 74018 |
|
1,043 |
867 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
200 |
171 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
160 |
141 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
126 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
127 |
112 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
73 |
51 |
$1K |
| 73630 |
|
180 |
157 |
$848.45 |
| 73610 |
|
120 |
89 |
$645.42 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$596.15 |
| 73560 |
|
112 |
90 |
$492.05 |
| 76770 |
|
28 |
24 |
$407.34 |
| 73030 |
|
39 |
36 |
$212.80 |
| 72110 |
|
26 |
25 |
$164.82 |
| 73130 |
|
24 |
24 |
$140.54 |
| 73562 |
|
13 |
13 |
$76.30 |