| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,302 |
1,251 |
$63K |
| 71045 |
Radiologic examination, chest; single view |
11,740 |
9,094 |
$57K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
424 |
416 |
$47K |
| 70450 |
Computed tomography, head or brain; without contrast material |
551 |
523 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
2,084 |
1,825 |
$13K |
| 73562 |
|
1,124 |
935 |
$13K |
| 73130 |
|
1,237 |
984 |
$12K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
401 |
335 |
$12K |
| 73610 |
|
830 |
756 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
270 |
264 |
$11K |
| 73030 |
|
962 |
828 |
$10K |
| 73630 |
|
857 |
711 |
$9K |
| 76830 |
Ultrasound, transvaginal |
265 |
253 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
263 |
252 |
$8K |
| 72170 |
|
903 |
747 |
$8K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
262 |
259 |
$8K |
| 72100 |
|
515 |
485 |
$7K |
| 73590 |
|
740 |
560 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
144 |
121 |
$6K |
| 76536 |
|
122 |
118 |
$4K |
| 76801 |
|
123 |
122 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
96 |
86 |
$4K |
| 73110 |
|
284 |
228 |
$3K |
| 71250 |
|
83 |
73 |
$3K |
| 93970 |
|
108 |
94 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
126 |
124 |
$2K |
| 73090 |
|
259 |
198 |
$2K |
| 73502 |
|
314 |
268 |
$2K |
| 93975 |
|
55 |
51 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
78 |
62 |
$2K |
| 74174 |
|
28 |
28 |
$2K |
| 74018 |
|
301 |
253 |
$1K |
| 73560 |
|
127 |
98 |
$1K |
| 76770 |
|
25 |
25 |
$1K |
| 73565 |
|
76 |
76 |
$1K |
| 73060 |
|
125 |
87 |
$1K |
| 73080 |
|
87 |
67 |
$814.36 |
| 73552 |
|
150 |
129 |
$788.95 |
| 76000 |
|
39 |
37 |
$752.76 |
| 73120 |
|
72 |
57 |
$663.75 |
| 73070 |
|
49 |
41 |
$469.93 |
| 73620 |
|
48 |
42 |
$430.43 |
| 76937 |
|
39 |
32 |
$288.21 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$265.33 |
| 73140 |
|
17 |
13 |
$159.98 |