| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,157 |
1,078 |
$50K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,149 |
1,095 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
5,758 |
4,912 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,124 |
2,048 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
359 |
350 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
177 |
174 |
$10K |
| 73630 |
|
888 |
713 |
$6K |
| 73562 |
|
803 |
666 |
$6K |
| 72100 |
|
465 |
447 |
$4K |
| 73610 |
|
403 |
369 |
$3K |
| 73130 |
|
381 |
347 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
77 |
72 |
$2K |
| 73030 |
|
298 |
258 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
66 |
65 |
$2K |
| 74018 |
|
186 |
182 |
$1K |
| 76830 |
Ultrasound, transvaginal |
45 |
41 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
36 |
34 |
$796.43 |
| 70486 |
|
13 |
12 |
$694.90 |
| 71250 |
|
12 |
12 |
$587.48 |
| 74019 |
|
73 |
68 |
$577.91 |
| 72040 |
|
41 |
40 |
$313.74 |