| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
705 |
546 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,022 |
711 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,900 |
1,821 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,348 |
1,946 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
236 |
166 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
225 |
225 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
206 |
197 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
158 |
149 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
56 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
97 |
95 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
49 |
26 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
75 |
74 |
$2K |
| 76830 |
Ultrasound, transvaginal |
63 |
62 |
$1K |
| 73630 |
|
163 |
156 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
39 |
$1K |
| 73130 |
|
132 |
124 |
$976.22 |
| 73562 |
|
121 |
113 |
$838.68 |
| 73030 |
|
142 |
100 |
$770.35 |
| 72100 |
|
84 |
78 |
$660.93 |
| 73610 |
|
85 |
83 |
$591.52 |
| 71020 |
|
94 |
66 |
$502.71 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$407.55 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$383.88 |
| 73110 |
|
43 |
43 |
$314.45 |
| 74018 |
|
85 |
75 |
$296.66 |
| 72050 |
|
26 |
24 |
$283.23 |
| 71250 |
|
16 |
14 |
$254.71 |
| 71010 |
|
49 |
46 |
$228.37 |
| 74022 |
|
17 |
13 |
$197.41 |
| 76770 |
|
15 |
15 |
$183.39 |
| 73564 |
|
13 |
12 |
$132.25 |
| 73080 |
|
14 |
12 |
$88.62 |
| 73502 |
|
13 |
12 |
$57.05 |