| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
453 |
415 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
369 |
342 |
$19K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
637 |
576 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
292 |
279 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,350 |
1,263 |
$9K |
| 73630 |
|
617 |
527 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,127 |
983 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
168 |
137 |
$5K |
| 72110 |
|
259 |
234 |
$4K |
| 73610 |
|
247 |
217 |
$4K |
| 76830 |
Ultrasound, transvaginal |
100 |
97 |
$3K |
| 73130 |
|
300 |
230 |
$3K |
| 73110 |
|
259 |
196 |
$3K |
| 73560 |
|
188 |
153 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
79 |
75 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
49 |
45 |
$2K |
| 73030 |
|
133 |
123 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
45 |
41 |
$1K |
| 76801 |
|
27 |
26 |
$916.80 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
12 |
$786.81 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
29 |
29 |
$772.27 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
16 |
14 |
$637.76 |
| 73564 |
|
37 |
37 |
$473.48 |
| 72050 |
|
17 |
12 |
$248.95 |