| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
286 |
276 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
371 |
292 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
371 |
292 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
161 |
159 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
539 |
511 |
$3K |
| 76830 |
Ultrasound, transvaginal |
74 |
73 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
17 |
15 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
271 |
262 |
$2K |
| 76801 |
|
54 |
54 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
29 |
26 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
41 |
41 |
$1K |
| 73610 |
|
81 |
77 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
25 |
$1K |
| 73110 |
|
83 |
78 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
48 |
48 |
$1K |
| 73630 |
|
82 |
76 |
$833.70 |
| 73562 |
|
67 |
56 |
$812.00 |
| 73130 |
|
75 |
69 |
$757.37 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
14 |
$475.35 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$412.72 |
| 72170 |
|
34 |
24 |
$361.83 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$353.76 |
| 73030 |
|
19 |
15 |
$225.84 |
| 72100 |
|
12 |
12 |
$160.12 |
| 72081 |
|
14 |
13 |
$124.02 |
| 73080 |
|
13 |
12 |
$123.07 |
| 74018 |
|
16 |
13 |
$99.94 |