| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,211 |
1,118 |
$80K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
485 |
465 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,999 |
3,485 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
640 |
532 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
322 |
313 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,349 |
1,272 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
301 |
201 |
$7K |
| 74018 |
|
805 |
694 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
89 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
32 |
28 |
$943.36 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$557.23 |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$455.36 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
15 |
$441.59 |
| 73630 |
|
27 |
26 |
$313.52 |
| 73562 |
|
29 |
27 |
$304.21 |
| 73610 |
|
12 |
12 |
$154.54 |
| 73130 |
|
12 |
12 |
$111.05 |