| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
727 |
695 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
4,466 |
4,227 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
748 |
699 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,025 |
2,643 |
$15K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
108 |
105 |
$4K |
| 74019 |
|
279 |
262 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
93 |
93 |
$2K |
| 76801 |
|
26 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
38 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
64 |
63 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
65 |
65 |
$2K |
| 73630 |
|
139 |
131 |
$938.15 |
| 76830 |
Ultrasound, transvaginal |
25 |
25 |
$811.76 |
| 74018 |
|
76 |
66 |
$442.64 |
| 73610 |
|
52 |
50 |
$372.13 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$337.56 |
| 73562 |
|
18 |
15 |
$109.11 |
| 73502 |
|
13 |
13 |
$100.62 |
| 73030 |
|
14 |
14 |
$94.70 |