| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,204 |
1,121 |
$55K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,288 |
2,120 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
851 |
778 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
5,177 |
4,232 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,852 |
2,690 |
$20K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
116 |
106 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
104 |
97 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$960.66 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
27 |
$777.92 |
| 74018 |
|
117 |
107 |
$631.73 |
| 72110 |
|
84 |
78 |
$496.27 |
| 73564 |
|
66 |
65 |
$433.92 |
| 73610 |
|
40 |
40 |
$230.69 |
| 73630 |
|
41 |
41 |
$195.71 |
| 93971 |
|
15 |
14 |
$159.36 |
| 76770 |
|
12 |
12 |
$153.32 |
| 72050 |
|
15 |
12 |
$125.34 |
| 73030 |
|
12 |
12 |
$62.66 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
20 |
17 |
$0.00 |