| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
755 |
736 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
4,929 |
4,707 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,052 |
1,036 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
4,815 |
3,517 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
699 |
691 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
275 |
262 |
$8K |
| 76642 |
|
107 |
104 |
$3K |
| 73630 |
|
353 |
323 |
$3K |
| 73130 |
|
163 |
150 |
$1K |
| 73030 |
|
146 |
134 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$1K |
| 73610 |
|
129 |
119 |
$1K |
| 73564 |
|
103 |
95 |
$959.03 |
| 74018 |
|
90 |
80 |
$468.49 |
| 72100 |
|
56 |
50 |
$411.27 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
16 |
$341.39 |
| 73110 |
|
12 |
12 |
$92.67 |
| 99053 |
|
562 |
407 |
$0.00 |