| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,361 |
1,257 |
$96K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,083 |
1,040 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
511 |
485 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
610 |
510 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,430 |
2,683 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
107 |
104 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,584 |
1,460 |
$9K |
| 73630 |
|
746 |
630 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
376 |
294 |
$8K |
| 73130 |
|
433 |
350 |
$5K |
| 72110 |
|
258 |
250 |
$4K |
| 73562 |
|
360 |
307 |
$4K |
| 73610 |
|
241 |
229 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
114 |
107 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
119 |
117 |
$2K |
| 73030 |
|
210 |
197 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
32 |
29 |
$1K |
| 76830 |
Ultrasound, transvaginal |
27 |
26 |
$896.43 |
| 76642 |
|
34 |
34 |
$769.97 |
| 73110 |
|
59 |
54 |
$650.97 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$431.40 |
| 71250 |
|
12 |
12 |
$217.88 |
| 74018 |
|
33 |
25 |
$154.91 |
| 73590 |
|
14 |
13 |
$104.56 |