| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,546 |
1,391 |
$100K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
524 |
475 |
$52K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,056 |
966 |
$45K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
871 |
652 |
$24K |
| 76830 |
Ultrasound, transvaginal |
676 |
651 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
697 |
670 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
858 |
637 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,348 |
3,077 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
561 |
512 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,590 |
3,055 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
462 |
431 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
172 |
163 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
296 |
284 |
$6K |
| 73562 |
|
538 |
445 |
$6K |
| 73630 |
|
428 |
374 |
$4K |
| 76536 |
|
89 |
67 |
$2K |
| 76770 |
|
82 |
77 |
$2K |
| 93970 |
|
160 |
147 |
$2K |
| 76801 |
|
71 |
70 |
$2K |
| 73030 |
|
173 |
151 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
44 |
42 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
24 |
$780.17 |
| 73610 |
|
42 |
40 |
$534.34 |
| 71250 |
|
17 |
15 |
$519.68 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$368.12 |
| 72100 |
|
28 |
25 |
$353.22 |
| 93971 |
|
40 |
36 |
$315.71 |
| 76642 |
|
16 |
13 |
$293.99 |
| 73130 |
|
37 |
25 |
$293.24 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$272.57 |
| 76376 |
|
44 |
40 |
$177.86 |
| 73502 |
|
27 |
24 |
$156.63 |