| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,003 |
940 |
$66K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,337 |
1,260 |
$62K |
| 71045 |
Radiologic examination, chest; single view |
2,498 |
2,187 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,329 |
1,238 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
228 |
203 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
310 |
270 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
294 |
254 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
44 |
$2K |
| 73610 |
|
56 |
50 |
$787.49 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
25 |
$605.97 |
| 73630 |
|
51 |
41 |
$574.78 |
| 93976 |
|
28 |
26 |
$476.56 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$395.45 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$384.63 |
| 74018 |
|
75 |
63 |
$369.68 |
| 72100 |
|
28 |
25 |
$363.57 |
| 73130 |
|
20 |
14 |
$197.90 |
| 73140 |
|
13 |
13 |
$141.40 |