| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,315 |
1,220 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,540 |
1,402 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,281 |
2,912 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
4,012 |
2,870 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
292 |
275 |
$7K |
| 74018 |
|
763 |
659 |
$3K |
| 73630 |
|
180 |
169 |
$868.80 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
24 |
$473.30 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$399.51 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
13 |
$316.54 |
| 73562 |
|
68 |
64 |
$298.08 |
| 73610 |
|
59 |
50 |
$291.52 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$238.87 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
26 |
26 |
$201.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
26 |
26 |
$86.40 |
| 73030 |
|
16 |
14 |
$76.23 |