| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
392 |
380 |
$19K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
617 |
612 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,601 |
2,330 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
3,868 |
2,919 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
585 |
555 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
590 |
585 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
232 |
228 |
$10K |
| 73564 |
|
189 |
175 |
$1K |
| 72110 |
|
85 |
84 |
$918.42 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
24 |
24 |
$915.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
56 |
$909.66 |
| 73630 |
|
155 |
149 |
$827.79 |
| 73610 |
|
107 |
101 |
$739.41 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$706.87 |
| 73030 |
|
100 |
97 |
$631.10 |
| 71250 |
|
17 |
17 |
$533.56 |
| 73130 |
|
61 |
53 |
$434.87 |
| 76536 |
|
14 |
14 |
$305.07 |
| 74018 |
|
54 |
48 |
$282.73 |
| 73502 |
|
26 |
25 |
$221.27 |
| 73110 |
|
23 |
16 |
$169.86 |
| 72050 |
|
12 |
12 |
$128.67 |