| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,026 |
988 |
$71K |
| 70450 |
Computed tomography, head or brain; without contrast material |
848 |
813 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,245 |
2,703 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
323 |
312 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,449 |
1,409 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
91 |
88 |
$4K |
| 73630 |
|
322 |
306 |
$2K |
| 73110 |
|
245 |
219 |
$2K |
| 73562 |
|
253 |
250 |
$2K |
| 73610 |
|
196 |
187 |
$1K |
| 73130 |
|
162 |
153 |
$1K |
| 74018 |
|
212 |
199 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18 |
18 |
$602.66 |
| 72100 |
|
77 |
77 |
$589.67 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$507.74 |
| 73030 |
|
76 |
73 |
$421.59 |
| 73502 |
|
91 |
85 |
$329.48 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$228.14 |
| 73080 |
|
17 |
12 |
$128.09 |
| 73560 |
|
14 |
13 |
$55.10 |