| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
925 |
882 |
$56K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,131 |
1,077 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,536 |
1,470 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
4,693 |
3,398 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
2,642 |
2,497 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
719 |
700 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
85 |
81 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
84 |
80 |
$3K |
| 72100 |
|
252 |
245 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
66 |
64 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
68 |
68 |
$2K |
| 73562 |
|
218 |
170 |
$2K |
| 71250 |
|
80 |
79 |
$2K |
| 73030 |
|
170 |
152 |
$1K |
| 74018 |
|
171 |
157 |
$1K |
| 73630 |
|
179 |
159 |
$1K |
| 73610 |
|
92 |
74 |
$825.16 |
| 73110 |
|
76 |
66 |
$550.44 |
| 73130 |
|
54 |
41 |
$545.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
24 |
$530.04 |
| 74022 |
|
25 |
24 |
$402.31 |
| 78226 |
|
12 |
12 |
$271.26 |
| 74019 |
|
27 |
27 |
$249.30 |
| 93970 |
|
12 |
12 |
$228.42 |
| 76536 |
|
12 |
12 |
$144.01 |
| 72072 |
|
12 |
12 |
$86.03 |