| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
889 |
825 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
426 |
400 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,204 |
1,872 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,493 |
1,393 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
37 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
38 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$498.45 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$460.82 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$438.40 |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
52 |
45 |
$368.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$276.09 |
| 73130 |
|
12 |
12 |
$139.02 |
| 99152 |
|
52 |
45 |
$134.93 |
| 74018 |
|
45 |
45 |
$122.18 |
| 99153 |
Mod sedat endo service >5yrs |
14 |
12 |
$84.98 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
15 |
$13.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
43 |
36 |
$10.60 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
32 |
27 |
$1.08 |