| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,438 |
2,268 |
$147K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,942 |
1,856 |
$85K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
470 |
427 |
$47K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
484 |
460 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,744 |
2,545 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,229 |
2,756 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
449 |
384 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
213 |
183 |
$5K |
| 73630 |
|
385 |
325 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
186 |
156 |
$4K |
| 73610 |
|
254 |
227 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
173 |
167 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
48 |
42 |
$1K |
| 73130 |
|
70 |
54 |
$815.64 |
| 73562 |
|
69 |
52 |
$788.35 |
| 73030 |
|
65 |
54 |
$762.81 |
| 71250 |
|
28 |
28 |
$578.91 |
| 74018 |
|
82 |
58 |
$396.36 |
| 76642 |
|
18 |
12 |
$299.10 |
| 73110 |
|
12 |
12 |
$122.07 |
| 93971 |
|
12 |
12 |
$121.41 |