| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,233 |
1,111 |
$84K |
| 71046 |
Radiologic examination, chest; 2 views |
3,283 |
3,001 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
358 |
324 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,013 |
2,489 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
91 |
85 |
$10K |
| 73562 |
|
794 |
617 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
279 |
256 |
$8K |
| 72100 |
|
267 |
260 |
$3K |
| 73030 |
|
291 |
261 |
$3K |
| 73630 |
|
290 |
247 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
48 |
39 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
54 |
52 |
$2K |
| 73610 |
|
108 |
103 |
$1K |
| 73130 |
|
138 |
115 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
39 |
38 |
$996.86 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
33 |
30 |
$908.90 |
| 73502 |
|
72 |
64 |
$435.00 |
| 74018 |
|
98 |
92 |
$415.85 |
| 72040 |
|
28 |
28 |
$288.44 |
| 72110 |
|
13 |
12 |
$203.95 |
| 73560 |
|
18 |
13 |
$185.12 |