| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
291 |
279 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
3,468 |
1,470 |
$15K |
| 93975 |
|
225 |
215 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
358 |
345 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,651 |
1,116 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
294 |
282 |
$11K |
| 76770 |
|
264 |
252 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
321 |
288 |
$9K |
| 74018 |
|
2,051 |
817 |
$8K |
| 76506 |
|
270 |
167 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
178 |
169 |
$5K |
| 76830 |
Ultrasound, transvaginal |
97 |
93 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
109 |
102 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
32 |
28 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
77 |
75 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
51 |
$3K |
| 74019 |
|
292 |
206 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$1K |
| 73610 |
|
113 |
108 |
$972.99 |
| 73130 |
|
102 |
97 |
$817.97 |
| 73630 |
|
81 |
69 |
$662.28 |
| 93976 |
|
13 |
12 |
$608.64 |
| 73090 |
|
80 |
69 |
$549.01 |
| 73590 |
|
62 |
54 |
$521.72 |
| 72100 |
|
45 |
45 |
$507.49 |
| 73564 |
|
42 |
34 |
$461.81 |
| 73080 |
|
40 |
38 |
$345.23 |