| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,537 |
1,430 |
$94K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
856 |
798 |
$35K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
461 |
435 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,266 |
2,143 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
356 |
344 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
88 |
83 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,944 |
1,713 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
215 |
189 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
294 |
270 |
$6K |
| 73630 |
|
483 |
441 |
$5K |
| 76801 |
|
140 |
129 |
$5K |
| 73610 |
|
275 |
255 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
125 |
115 |
$4K |
| 73130 |
|
399 |
363 |
$4K |
| 74018 |
|
406 |
355 |
$2K |
| 72110 |
|
109 |
103 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
39 |
38 |
$1K |
| 73030 |
|
98 |
83 |
$1K |
| 76376 |
|
246 |
235 |
$982.14 |
| 93970 |
|
79 |
78 |
$916.05 |
| 73564 |
|
88 |
79 |
$861.04 |
| 73562 |
|
63 |
52 |
$679.70 |
| 73110 |
|
46 |
41 |
$592.10 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
46 |
40 |
$496.71 |
| 71250 |
|
30 |
26 |
$377.56 |
| 76770 |
|
12 |
12 |
$347.54 |
| 70486 |
|
16 |
13 |
$311.93 |
| 93971 |
|
26 |
26 |
$283.55 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$234.52 |
| 73120 |
|
20 |
16 |
$212.50 |
| 72050 |
|
13 |
13 |
$186.56 |
| 73590 |
|
14 |
12 |
$107.16 |
| 73620 |
|
12 |
12 |
$94.94 |
| 73502 |
|
13 |
13 |
$74.25 |
| 99053 |
|
16 |
16 |
$0.00 |