| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,469 |
1,406 |
$108K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
663 |
648 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,412 |
1,367 |
$63K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
799 |
773 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
2,482 |
2,289 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,559 |
2,296 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
319 |
301 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
295 |
287 |
$8K |
| 73610 |
|
569 |
542 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
179 |
157 |
$7K |
| 73630 |
|
646 |
606 |
$6K |
| 73130 |
|
677 |
609 |
$6K |
| 73564 |
|
417 |
375 |
$5K |
| 72110 |
|
231 |
224 |
$4K |
| 71250 |
|
139 |
132 |
$4K |
| 73030 |
|
353 |
329 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
77 |
71 |
$2K |
| 73110 |
|
180 |
166 |
$2K |
| 93970 |
|
88 |
79 |
$1K |
| 76801 |
|
47 |
41 |
$1K |
| 74018 |
|
285 |
247 |
$1K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$877.21 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$792.51 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
27 |
$783.16 |
| 72050 |
|
35 |
35 |
$584.91 |
| 73590 |
|
28 |
26 |
$290.17 |
| 73090 |
|
27 |
25 |
$247.05 |
| 73502 |
|
28 |
24 |
$158.56 |
| 73080 |
|
14 |
14 |
$150.50 |