| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,380 |
2,199 |
$153K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
809 |
760 |
$38K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
961 |
839 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
3,421 |
3,187 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
4,035 |
3,191 |
$16K |
| 76377 |
|
605 |
546 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
494 |
473 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
271 |
255 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
81 |
75 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
150 |
142 |
$6K |
| 73562 |
|
164 |
145 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
64 |
58 |
$2K |
| 73610 |
|
127 |
118 |
$2K |
| 73630 |
|
155 |
136 |
$2K |
| 73130 |
|
126 |
105 |
$1K |
| 93976 |
|
47 |
31 |
$1K |
| 73030 |
|
102 |
91 |
$989.90 |
| 74018 |
|
220 |
190 |
$856.73 |
| 76818 |
|
16 |
12 |
$450.90 |
| 93970 |
|
28 |
27 |
$421.40 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$360.84 |
| 72100 |
|
13 |
13 |
$149.72 |
| 73502 |
|
13 |
13 |
$65.73 |