| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
212 |
205 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
339 |
328 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
321 |
312 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,182 |
1,074 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
143 |
134 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
52 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
97 |
96 |
$624.37 |
| 93976 |
|
13 |
12 |
$433.67 |
| 73630 |
|
54 |
50 |
$300.93 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$265.98 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$246.47 |
| 73562 |
|
20 |
18 |
$158.08 |
| 73502 |
|
15 |
13 |
$103.52 |