| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
266 |
260 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
157 |
153 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
275 |
269 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,000 |
917 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
653 |
637 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
122 |
122 |
$4K |
| 73564 |
|
381 |
314 |
$4K |
| 76536 |
|
85 |
82 |
$2K |
| 73110 |
|
228 |
175 |
$2K |
| 73030 |
|
193 |
171 |
$1K |
| 73610 |
|
175 |
153 |
$1K |
| 73630 |
|
96 |
87 |
$677.95 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$635.16 |
| 73130 |
|
55 |
50 |
$383.67 |
| 73562 |
|
42 |
40 |
$328.82 |
| 73080 |
|
42 |
28 |
$298.00 |
| 73560 |
|
41 |
38 |
$294.38 |