| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,463 |
1,389 |
$97K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
647 |
626 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
553 |
542 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
4,179 |
3,725 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,011 |
1,925 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
288 |
287 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
206 |
191 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
38 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
126 |
107 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
195 |
194 |
$4K |
| 73564 |
|
281 |
248 |
$3K |
| 73610 |
|
190 |
181 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
101 |
100 |
$3K |
| 73630 |
|
218 |
205 |
$2K |
| 73030 |
|
122 |
114 |
$1K |
| 73130 |
|
129 |
115 |
$1K |
| 70486 |
|
39 |
38 |
$965.49 |
| 74018 |
|
168 |
159 |
$957.19 |
| 73110 |
|
56 |
53 |
$613.62 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
15 |
$527.26 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
14 |
$485.34 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$431.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
21 |
21 |
$362.44 |
| 72110 |
|
16 |
16 |
$254.93 |
| 72131 |
|
12 |
12 |
$250.80 |
| 74019 |
|
13 |
12 |
$83.04 |
| 73502 |
|
13 |
13 |
$67.14 |