| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,792 |
4,088 |
$215K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,557 |
3,042 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
11,891 |
9,076 |
$48K |
| 71046 |
Radiologic examination, chest; 2 views |
5,302 |
4,817 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
622 |
562 |
$21K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
450 |
400 |
$10K |
| 74018 |
|
566 |
503 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
39 |
38 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
39 |
38 |
$903.24 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
25 |
$613.83 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
12 |
$245.70 |
| 73610 |
|
31 |
28 |
$169.13 |
| 73630 |
|
31 |
31 |
$165.03 |
| 72100 |
|
26 |
25 |
$141.80 |
| 73030 |
|
13 |
13 |
$62.56 |