| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
660 |
621 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,002 |
901 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,548 |
3,043 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,414 |
1,339 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
278 |
265 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
184 |
165 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
189 |
178 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
84 |
81 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
65 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
129 |
124 |
$1K |
| 76801 |
|
39 |
36 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
29 |
$750.13 |
| 74018 |
|
179 |
145 |
$410.19 |
| 72100 |
|
67 |
63 |
$333.44 |
| 72110 |
|
40 |
38 |
$280.76 |
| 73030 |
|
55 |
53 |
$250.37 |
| 73630 |
|
51 |
50 |
$229.19 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$201.40 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$154.03 |
| 73502 |
|
44 |
37 |
$141.71 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
18 |
15 |
$51.49 |
| 73610 |
|
14 |
12 |
$41.16 |