| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
495 |
427 |
$27K |
| 70496 |
|
140 |
113 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,519 |
1,597 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
351 |
297 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
458 |
416 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
256 |
213 |
$8K |
| 70498 |
|
145 |
113 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
319 |
304 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
128 |
122 |
$3K |
| 76830 |
Ultrasound, transvaginal |
121 |
115 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
46 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
341 |
317 |
$2K |
| 73560 |
|
340 |
258 |
$2K |
| 73552 |
|
237 |
184 |
$1K |
| 73590 |
|
264 |
202 |
$1K |
| 73610 |
|
221 |
174 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
46 |
45 |
$798.21 |
| 73630 |
|
139 |
118 |
$784.45 |
| 76642 |
|
26 |
18 |
$649.55 |
| 73130 |
|
112 |
94 |
$580.25 |
| 72170 |
|
101 |
90 |
$508.49 |
| 93976 |
|
15 |
14 |
$484.72 |
| 70486 |
|
20 |
16 |
$483.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
19 |
17 |
$354.94 |
| 71250 |
|
14 |
12 |
$252.44 |
| 76770 |
|
21 |
14 |
$227.90 |
| 93971 |
|
12 |
12 |
$186.88 |
| 73030 |
|
27 |
25 |
$153.06 |
| 73090 |
|
36 |
28 |
$139.84 |
| 73070 |
|
26 |
24 |
$127.96 |
| 72190 |
|
15 |
14 |
$123.02 |
| 73110 |
|
20 |
14 |
$105.57 |
| 74018 |
|
17 |
12 |
$65.58 |
| 73562 |
|
12 |
12 |
$53.75 |