| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,671 |
1,630 |
$117K |
| 70450 |
Computed tomography, head or brain; without contrast material |
778 |
753 |
$21K |
| 76830 |
Ultrasound, transvaginal |
440 |
434 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
401 |
395 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
194 |
189 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,748 |
1,706 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
414 |
407 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
257 |
247 |
$10K |
| 93975 |
|
108 |
106 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
211 |
202 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,508 |
1,335 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
94 |
91 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
107 |
106 |
$6K |
| 76536 |
|
81 |
79 |
$4K |
| 74183 |
|
13 |
13 |
$4K |
| 76857 |
|
83 |
79 |
$3K |
| 93971 |
|
88 |
86 |
$3K |
| 76775 |
|
39 |
39 |
$2K |
| 70496 |
|
26 |
25 |
$1K |
| 70498 |
|
13 |
13 |
$625.40 |
| 76770 |
|
12 |
12 |
$535.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
20 |
20 |
$343.50 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
17 |
$313.58 |
| 73130 |
|
32 |
30 |
$202.04 |
| 73610 |
|
29 |
28 |
$188.73 |
| 74018 |
|
15 |
15 |
$182.10 |
| 73630 |
|
25 |
24 |
$153.41 |
| 73560 |
|
14 |
12 |
$88.92 |