| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,643 |
1,509 |
$108K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,471 |
1,378 |
$64K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
530 |
501 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
4,627 |
4,059 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
508 |
476 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,583 |
1,471 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
194 |
157 |
$5K |
| 73630 |
|
264 |
220 |
$3K |
| 93976 |
|
124 |
113 |
$3K |
| 73130 |
|
175 |
129 |
$2K |
| 73610 |
|
104 |
90 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
37 |
37 |
$895.27 |
| 74018 |
|
185 |
168 |
$806.43 |
| 73030 |
|
56 |
51 |
$684.87 |
| 71250 |
|
22 |
18 |
$620.47 |
| 73080 |
|
39 |
26 |
$586.92 |
| 73110 |
|
36 |
26 |
$445.81 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$318.73 |
| 73562 |
|
29 |
25 |
$298.69 |
| 72100 |
|
15 |
12 |
$179.06 |
| 73502 |
|
12 |
12 |
$47.25 |