| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
356 |
340 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,311 |
1,230 |
$61K |
| 76770 |
|
795 |
764 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
260 |
238 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
4,911 |
3,290 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,886 |
2,650 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
947 |
914 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
475 |
444 |
$18K |
| 93975 |
|
589 |
495 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
390 |
357 |
$18K |
| 70450 |
Computed tomography, head or brain; without contrast material |
237 |
224 |
$17K |
| 71250 |
|
384 |
352 |
$13K |
| 74018 |
|
1,807 |
1,261 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
173 |
166 |
$7K |
| 76536 |
|
208 |
205 |
$7K |
| 73630 |
|
395 |
325 |
$5K |
| 73610 |
|
279 |
260 |
$4K |
| 73030 |
|
286 |
262 |
$3K |
| 76830 |
Ultrasound, transvaginal |
70 |
61 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
60 |
52 |
$2K |
| 76506 |
|
46 |
43 |
$2K |
| 73110 |
|
116 |
101 |
$1K |
| 76776 |
|
110 |
98 |
$1K |
| 74230 |
|
15 |
15 |
$596.35 |
| 73562 |
|
33 |
33 |
$596.08 |
| 76885 |
|
25 |
16 |
$534.47 |
| 74246 |
|
13 |
13 |
$451.96 |
| 73140 |
|
30 |
30 |
$423.06 |
| 77072 |
|
27 |
27 |
$400.36 |
| 74019 |
|
55 |
47 |
$396.15 |
| 73080 |
|
18 |
18 |
$256.22 |
| 73090 |
|
17 |
16 |
$197.32 |
| 73564 |
|
16 |
15 |
$173.83 |
| 70360 |
|
15 |
15 |
$149.91 |
| 73130 |
|
15 |
14 |
$148.95 |
| 73070 |
|
14 |
14 |
$146.19 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
15 |
13 |
$90.18 |