| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
982 |
731 |
$38K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,655 |
1,057 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
496 |
303 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
2,249 |
1,665 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
3,363 |
1,980 |
$9K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
307 |
199 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
143 |
103 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
83 |
48 |
$1K |
| 73562 |
|
284 |
191 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
41 |
$1K |
| 73630 |
|
281 |
182 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
88 |
60 |
$973.91 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
70 |
36 |
$878.15 |
| 73610 |
|
187 |
139 |
$823.69 |
| 72100 |
|
115 |
84 |
$550.69 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$393.25 |
| 73130 |
|
90 |
67 |
$387.41 |
| 73030 |
|
62 |
38 |
$178.32 |
| 93971 |
|
19 |
13 |
$120.64 |
| 73110 |
|
15 |
14 |
$98.14 |
| 73502 |
|
22 |
12 |
$51.23 |
| 3341F |
|
13 |
13 |
$0.00 |
| 7025F |
|
100 |
97 |
$0.00 |
| 3342F |
|
12 |
12 |
$0.00 |