| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,307 |
1,201 |
$86K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
424 |
407 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
2,976 |
2,622 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,144 |
1,089 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
58 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
45 |
43 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
12 |
$345.91 |
| 73630 |
|
32 |
29 |
$312.10 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$294.80 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$272.64 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$215.64 |
| 73610 |
|
14 |
13 |
$189.66 |
| 74018 |
|
40 |
38 |
$175.04 |
| 73030 |
|
12 |
12 |
$96.20 |