| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,529 |
3,426 |
$188K |
| 71045 |
Radiologic examination, chest; single view |
34,411 |
30,673 |
$132K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,386 |
6,094 |
$122K |
| 71046 |
Radiologic examination, chest; 2 views |
5,380 |
5,293 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,172 |
1,115 |
$25K |
| 93976 |
|
953 |
927 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
160 |
155 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
156 |
156 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
285 |
282 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
205 |
194 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
91 |
89 |
$4K |
| 73610 |
|
493 |
476 |
$3K |
| 73630 |
|
500 |
466 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
111 |
110 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
68 |
63 |
$2K |
| 74018 |
|
270 |
243 |
$1K |
| 73130 |
|
235 |
221 |
$1K |
| 73564 |
|
133 |
127 |
$907.93 |
| 73110 |
|
58 |
54 |
$349.17 |
| 73030 |
|
52 |
49 |
$338.41 |
| 73090 |
|
12 |
12 |
$77.59 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
38 |
38 |
$68.16 |
| 73140 |
|
13 |
12 |
$63.13 |