| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,624 |
1,534 |
$101K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
483 |
469 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
2,586 |
2,322 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,100 |
1,053 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
43 |
41 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
109 |
107 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
39 |
$3K |
| 93971 |
|
141 |
138 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
29 |
$1K |
| 93976 |
|
58 |
57 |
$1K |
| 93970 |
|
67 |
66 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$707.52 |
| 76830 |
Ultrasound, transvaginal |
17 |
13 |
$546.23 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$533.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
13 |
$474.28 |