| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
866 |
789 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,478 |
1,264 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
4,335 |
3,205 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,512 |
1,398 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
98 |
91 |
$2K |
| 76376 |
|
764 |
688 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
62 |
59 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
25 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
59 |
56 |
$541.44 |
| 73130 |
|
71 |
68 |
$387.40 |
| 73630 |
|
70 |
64 |
$305.40 |
| 74018 |
|
46 |
38 |
$228.72 |
| 73610 |
|
29 |
29 |
$187.64 |
| 74022 |
|
14 |
13 |
$176.29 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
33 |
24 |
$161.23 |
| 73562 |
|
14 |
13 |
$96.09 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
15 |
$0.00 |