| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,086 |
1,032 |
$69K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
605 |
575 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
359 |
316 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,728 |
2,293 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,421 |
1,332 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
280 |
248 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
208 |
183 |
$7K |
| 76830 |
Ultrasound, transvaginal |
180 |
151 |
$6K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
178 |
147 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
85 |
85 |
$2K |
| 73562 |
|
175 |
138 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
41 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
51 |
$2K |
| 73610 |
|
61 |
54 |
$870.50 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
25 |
$778.89 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
31 |
$721.05 |
| 73630 |
|
77 |
65 |
$698.22 |
| 72100 |
|
40 |
40 |
$497.80 |
| 73030 |
|
41 |
36 |
$439.33 |
| 74018 |
|
90 |
70 |
$395.04 |
| 73130 |
|
31 |
25 |
$336.12 |
| 93971 |
|
29 |
13 |
$317.35 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
13 |
$169.49 |