| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,431 |
2,406 |
$139K |
| 71045 |
Radiologic examination, chest; single view |
14,474 |
12,707 |
$75K |
| 71046 |
Radiologic examination, chest; 2 views |
8,912 |
8,819 |
$62K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,699 |
1,664 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,278 |
1,261 |
$24K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
905 |
905 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
740 |
726 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
639 |
639 |
$13K |
| 73630 |
|
1,324 |
1,242 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
255 |
254 |
$6K |
| 76830 |
Ultrasound, transvaginal |
241 |
240 |
$5K |
| 72100 |
|
651 |
647 |
$5K |
| 73562 |
|
735 |
672 |
$4K |
| 73610 |
|
649 |
627 |
$4K |
| 73030 |
|
574 |
530 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
65 |
65 |
$4K |
| 73130 |
|
328 |
307 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
36 |
36 |
$2K |
| 73110 |
|
115 |
109 |
$731.24 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$327.06 |
| 72050 |
|
24 |
24 |
$184.02 |
| 74018 |
|
29 |
29 |
$140.71 |
| 73502 |
|
25 |
25 |
$133.45 |