| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,832 |
3,573 |
$251K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,284 |
2,117 |
$102K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
391 |
375 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,025 |
915 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
7,713 |
6,728 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
656 |
619 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
4,074 |
3,753 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
341 |
322 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
391 |
343 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
303 |
268 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
451 |
434 |
$9K |
| 73610 |
|
571 |
503 |
$8K |
| 76830 |
Ultrasound, transvaginal |
230 |
207 |
$7K |
| 73630 |
|
571 |
484 |
$6K |
| 73030 |
|
605 |
493 |
$5K |
| 73562 |
|
483 |
401 |
$5K |
| 72100 |
|
378 |
362 |
$5K |
| 73130 |
|
423 |
322 |
$4K |
| 74018 |
|
894 |
783 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
114 |
103 |
$3K |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
606 |
409 |
$2K |
| 70486 |
|
84 |
62 |
$2K |
| 76801 |
|
72 |
61 |
$2K |
| 73110 |
|
165 |
145 |
$2K |
| 73590 |
|
163 |
124 |
$2K |
| 73560 |
|
245 |
193 |
$2K |
| 93976 |
|
98 |
89 |
$2K |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
327 |
211 |
$1K |
| 73502 |
|
249 |
225 |
$1K |
| 73080 |
|
66 |
58 |
$621.79 |
| 73140 |
|
73 |
55 |
$565.05 |
| 73090 |
|
77 |
66 |
$557.68 |
| 73620 |
|
101 |
85 |
$525.72 |
| 93971 |
|
57 |
52 |
$499.82 |
| 73552 |
|
69 |
49 |
$389.22 |
| 73600 |
|
51 |
42 |
$367.79 |
| 76882 |
|
31 |
29 |
$342.03 |
| 76376 |
|
57 |
56 |
$249.40 |
| 73060 |
|
33 |
27 |
$208.64 |
| 71250 |
|
14 |
13 |
$186.53 |
| 73070 |
|
17 |
14 |
$159.97 |
| 73120 |
|
29 |
27 |
$154.40 |
| 73660 |
|
20 |
12 |
$131.80 |
| 73521 |
|
16 |
13 |
$89.00 |
| 73100 |
|
14 |
13 |
$52.03 |