| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,548 |
1,430 |
$258K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,319 |
2,142 |
$129K |
| 71046 |
Radiologic examination, chest; 2 views |
14,091 |
12,795 |
$97K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
680 |
650 |
$78K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,674 |
1,526 |
$57K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,444 |
1,349 |
$48K |
| 76830 |
Ultrasound, transvaginal |
955 |
899 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
4,321 |
3,226 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
111 |
103 |
$21K |
| 76770 |
|
582 |
540 |
$15K |
| 71047 |
|
1,098 |
761 |
$7K |
| 73560 |
|
924 |
851 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
92 |
87 |
$6K |
| 73630 |
|
475 |
434 |
$4K |
| 73610 |
|
417 |
383 |
$4K |
| 72170 |
|
99 |
92 |
$4K |
| 73030 |
|
359 |
314 |
$3K |
| 74018 |
|
523 |
453 |
$3K |
| 71250 |
|
29 |
26 |
$3K |
| 74019 |
|
266 |
242 |
$2K |
| 73120 |
|
280 |
259 |
$2K |
| 73100 |
|
231 |
199 |
$2K |
| 70482 |
|
17 |
16 |
$2K |
| 73130 |
|
163 |
150 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
41 |
$1K |
| 73620 |
|
197 |
183 |
$1K |
| 72100 |
|
118 |
107 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
13 |
$1K |
| 73590 |
|
126 |
115 |
$1K |
| 74240 |
|
34 |
29 |
$817.10 |
| 73502 |
|
87 |
74 |
$721.65 |
| 73070 |
|
64 |
58 |
$527.82 |
| 73090 |
|
50 |
47 |
$384.23 |
| 73600 |
|
46 |
42 |
$358.80 |
| 74220 |
|
13 |
13 |
$190.00 |
| 72040 |
|
12 |
12 |
$110.79 |
| 73552 |
|
13 |
13 |
$81.12 |