| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,280 |
2,047 |
$144K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
940 |
880 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
5,053 |
4,356 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
2,301 |
2,154 |
$14K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
175 |
173 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
78 |
77 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
174 |
164 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
228 |
186 |
$6K |
| 73630 |
|
234 |
198 |
$2K |
| 74018 |
|
320 |
273 |
$2K |
| 73610 |
|
79 |
68 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$728.92 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
13 |
$501.16 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
12 |
$406.00 |
| 73130 |
|
27 |
26 |
$397.70 |
| 70486 |
|
13 |
13 |
$341.71 |
| 73110 |
|
26 |
25 |
$328.80 |
| 73030 |
|
26 |
24 |
$265.25 |
| 93970 |
|
12 |
12 |
$256.61 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$256.27 |
| 73564 |
|
18 |
12 |
$184.33 |
| 72100 |
|
13 |
12 |
$174.37 |