| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,452 |
4,184 |
$301K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,128 |
2,967 |
$146K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
962 |
895 |
$101K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,140 |
988 |
$41K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
914 |
891 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
6,210 |
5,675 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
7,675 |
6,392 |
$35K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,654 |
1,610 |
$33K |
| 93975 |
|
752 |
612 |
$26K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
492 |
452 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
727 |
510 |
$21K |
| 73564 |
|
1,085 |
946 |
$14K |
| 73630 |
|
1,165 |
1,067 |
$12K |
| 73610 |
|
841 |
801 |
$12K |
| 72100 |
|
911 |
881 |
$12K |
| 93976 |
|
432 |
368 |
$9K |
| 74018 |
|
1,752 |
1,465 |
$9K |
| 76830 |
Ultrasound, transvaginal |
251 |
182 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
333 |
315 |
$8K |
| 73030 |
|
762 |
709 |
$8K |
| 76801 |
|
225 |
204 |
$7K |
| 93971 |
|
558 |
492 |
$6K |
| 73130 |
|
552 |
471 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
153 |
142 |
$5K |
| 70498 |
|
26 |
24 |
$3K |
| 71250 |
|
85 |
76 |
$3K |
| 73110 |
|
180 |
170 |
$2K |
| 73502 |
|
181 |
164 |
$1K |
| 72040 |
|
51 |
50 |
$562.45 |
| 76770 |
|
16 |
14 |
$545.48 |
| 70486 |
|
14 |
13 |
$508.32 |
| 76536 |
|
15 |
15 |
$464.62 |
| 73590 |
|
43 |
36 |
$384.71 |
| 76775 |
|
13 |
13 |
$382.03 |
| 72050 |
|
17 |
16 |
$284.66 |
| 73140 |
|
13 |
13 |
$157.07 |