| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,576 |
1,443 |
$92K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,438 |
1,362 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
3,273 |
3,011 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
394 |
355 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
124 |
120 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,717 |
1,927 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
108 |
92 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
63 |
58 |
$2K |
| 73630 |
|
121 |
114 |
$1K |
| 73610 |
|
79 |
78 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
50 |
$865.27 |
| 73130 |
|
69 |
66 |
$728.36 |
| 73564 |
|
26 |
25 |
$455.10 |
| 73030 |
|
38 |
37 |
$394.86 |
| 74018 |
|
52 |
44 |
$196.26 |
| 73562 |
|
13 |
12 |
$145.54 |