| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,293 |
1,253 |
$89K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,934 |
1,855 |
$60K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
785 |
767 |
$58K |
| 71045 |
Radiologic examination, chest; single view |
8,009 |
5,060 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
455 |
439 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
352 |
306 |
$8K |
| 73630 |
|
305 |
226 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
78 |
77 |
$2K |
| 74018 |
|
246 |
193 |
$1K |
| 93970 |
|
44 |
41 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
41 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$894.36 |
| 71046 |
Radiologic examination, chest; 2 views |
59 |
58 |
$585.98 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$549.55 |
| 71250 |
|
13 |
13 |
$298.72 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$255.32 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$215.58 |
| 73610 |
|
28 |
25 |
$181.73 |
| 73130 |
|
25 |
25 |
$148.02 |
| 73030 |
|
12 |
12 |
$77.00 |