| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
448 |
429 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
473 |
447 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,862 |
2,321 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,991 |
1,841 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
231 |
186 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
227 |
185 |
$5K |
| 76830 |
Ultrasound, transvaginal |
79 |
76 |
$3K |
| 73630 |
|
187 |
169 |
$2K |
| 74018 |
|
398 |
354 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
48 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
72 |
72 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
43 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
26 |
$737.00 |
| 93975 |
|
25 |
25 |
$550.62 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$502.19 |
| 76536 |
|
14 |
14 |
$427.32 |
| 73610 |
|
17 |
12 |
$373.10 |
| 76770 |
|
12 |
12 |
$357.06 |