| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
955 |
886 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
768 |
735 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
2,875 |
2,539 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
169 |
163 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
895 |
856 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
26 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
62 |
58 |
$2K |
| 73630 |
|
184 |
170 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
20 |
20 |
$1K |
| 73610 |
|
51 |
49 |
$752.96 |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$708.89 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
20 |
20 |
$613.38 |
| 93975 |
|
12 |
12 |
$367.26 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$324.28 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$191.88 |
| 74018 |
|
14 |
13 |
$77.56 |