| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
585 |
525 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
634 |
600 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
2,052 |
1,812 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
404 |
354 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
390 |
343 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,538 |
1,113 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
117 |
104 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
15 |
$3K |
| 76642 |
|
98 |
86 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
16 |
$530.64 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$383.24 |
| 73630 |
|
29 |
24 |
$293.71 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$249.37 |
| 72100 |
|
12 |
12 |
$160.09 |
| 74018 |
|
28 |
26 |
$120.34 |