| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
696 |
693 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
3,050 |
3,030 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
447 |
447 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
669 |
666 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
463 |
453 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,247 |
1,145 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
55 |
55 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
74 |
74 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
123 |
121 |
$2K |
| 76830 |
Ultrasound, transvaginal |
109 |
107 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
39 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$1K |
| 76642 |
|
43 |
40 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
26 |
$970.79 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$760.85 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$433.21 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$422.75 |
| 70486 |
|
15 |
15 |
$416.45 |
| 73630 |
|
74 |
74 |
$321.54 |