| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
528 |
485 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
586 |
559 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
1,737 |
1,473 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,016 |
970 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
105 |
104 |
$2K |
| 76830 |
Ultrasound, transvaginal |
65 |
64 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
104 |
103 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
64 |
64 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$511.68 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$428.80 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$353.76 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$335.81 |
| 73564 |
|
15 |
13 |
$176.64 |
| 73630 |
|
14 |
12 |
$132.22 |