| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,131 |
3,767 |
$833K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,175 |
978 |
$207K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,305 |
1,702 |
$180K |
| 76641 |
|
2,521 |
1,789 |
$160K |
| 71046 |
Radiologic examination, chest; 2 views |
12,239 |
9,054 |
$131K |
| 71045 |
Radiologic examination, chest; single view |
11,367 |
7,054 |
$94K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
771 |
545 |
$29K |
| 77066 |
Tomosynthesis, mammo |
881 |
639 |
$29K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
38 |
25 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
147 |
91 |
$4K |
| 76830 |
Ultrasound, transvaginal |
104 |
67 |
$4K |
| 93971 |
|
24 |
12 |
$885.65 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
13 |
$720.16 |
| 76770 |
|
22 |
12 |
$703.33 |
| 73560 |
|
13 |
12 |
$104.62 |