| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
220 |
199 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
105 |
63 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
80 |
79 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
80 |
78 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
426 |
376 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
496 |
461 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
57 |
50 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 71250 |
|
34 |
34 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
57 |
57 |
$938.08 |
| 72100 |
|
67 |
66 |
$864.33 |
| 73562 |
|
69 |
62 |
$633.03 |
| 76770 |
|
20 |
20 |
$547.37 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
20 |
$533.79 |
| 73630 |
|
50 |
48 |
$519.13 |
| 73030 |
|
57 |
54 |
$475.80 |
| 72131 |
|
12 |
12 |
$418.76 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$318.72 |
| 73610 |
|
18 |
18 |
$214.60 |
| 74018 |
|
49 |
48 |
$191.76 |
| 72040 |
|
17 |
17 |
$185.59 |
| 72050 |
|
12 |
12 |
$167.56 |
| 73130 |
|
16 |
16 |
$152.51 |
| 73110 |
|
12 |
12 |
$123.88 |
| 93971 |
|
13 |
13 |
$113.72 |
| 73502 |
|
28 |
28 |
$108.96 |
| 73522 |
|
12 |
12 |
$107.04 |
| 73560 |
|
15 |
14 |
$104.76 |