| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,718 |
1,656 |
$124K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,299 |
1,225 |
$43K |
| 71046 |
Radiologic examination, chest; 2 views |
2,854 |
2,727 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,858 |
2,350 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
203 |
197 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
69 |
66 |
$5K |
| 71250 |
|
62 |
53 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
40 |
$2K |
| 71271 |
|
13 |
12 |
$1K |
| 73130 |
|
134 |
116 |
$1K |
| 76830 |
Ultrasound, transvaginal |
18 |
17 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
15 |
$889.31 |
| 72100 |
|
45 |
44 |
$681.42 |
| 73030 |
|
67 |
66 |
$584.63 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$568.32 |
| 73630 |
|
60 |
52 |
$428.34 |
| 73562 |
|
19 |
14 |
$222.51 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$195.87 |
| 73560 |
|
27 |
27 |
$183.35 |
| 73610 |
|
15 |
12 |
$87.02 |
| 74019 |
|
14 |
12 |
$80.73 |