| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
494 |
489 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
518 |
512 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
180 |
178 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
797 |
764 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
164 |
164 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
146 |
146 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
377 |
374 |
$3K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$930.57 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
25 |
$742.50 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$727.99 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$636.99 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$288.18 |
| 73610 |
|
12 |
12 |
$98.90 |
| 73130 |
|
13 |
13 |
$93.69 |