| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,115 |
1,004 |
$59K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
620 |
587 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
2,796 |
2,424 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
311 |
279 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
153 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
942 |
862 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
127 |
106 |
$4K |
| 73630 |
|
373 |
341 |
$3K |
| 76830 |
Ultrasound, transvaginal |
88 |
86 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
102 |
80 |
$2K |
| 73030 |
|
88 |
73 |
$701.23 |
| 73610 |
|
50 |
49 |
$670.57 |
| 74018 |
|
142 |
118 |
$664.51 |
| 73562 |
|
66 |
55 |
$604.22 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$373.06 |
| 73130 |
|
40 |
38 |
$313.82 |
| 72100 |
|
18 |
12 |
$207.78 |