| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,634 |
1,562 |
$77K |
| 71045 |
Radiologic examination, chest; single view |
7,365 |
4,781 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
6,053 |
5,670 |
$37K |
| 76770 |
|
879 |
847 |
$32K |
| 74018 |
|
4,383 |
3,510 |
$22K |
| 73610 |
|
1,294 |
1,176 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
269 |
269 |
$19K |
| 73630 |
|
1,414 |
1,290 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
511 |
472 |
$10K |
| 73564 |
|
762 |
629 |
$10K |
| 73110 |
|
769 |
692 |
$9K |
| 73130 |
|
769 |
650 |
$8K |
| 76506 |
|
150 |
100 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
80 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
92 |
70 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
69 |
$2K |
| 76830 |
Ultrasound, transvaginal |
52 |
42 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
18 |
18 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
57 |
45 |
$2K |
| 73080 |
|
134 |
121 |
$2K |
| 73140 |
|
142 |
113 |
$1K |
| 73030 |
|
104 |
92 |
$1K |
| 73590 |
|
105 |
97 |
$1K |
| 72100 |
|
91 |
89 |
$1K |
| 73090 |
|
101 |
93 |
$890.50 |
| 74019 |
|
92 |
87 |
$559.19 |
| 73100 |
|
36 |
32 |
$376.25 |
| 72170 |
|
48 |
45 |
$368.32 |
| 72081 |
|
46 |
42 |
$338.99 |
| 93976 |
|
20 |
15 |
$194.78 |
| 77072 |
|
16 |
16 |
$140.96 |
| 74230 |
|
12 |
12 |
$139.70 |
| 73552 |
|
13 |
12 |
$72.30 |