| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,399 |
4,119 |
$305K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,817 |
2,683 |
$127K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
816 |
790 |
$88K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,824 |
1,712 |
$65K |
| 71045 |
Radiologic examination, chest; single view |
7,734 |
6,376 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
823 |
795 |
$26K |
| 70486 |
|
667 |
621 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,978 |
3,723 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
440 |
407 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
405 |
392 |
$17K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
579 |
568 |
$17K |
| 76801 |
|
469 |
444 |
$14K |
| 73610 |
|
980 |
904 |
$13K |
| 76830 |
Ultrasound, transvaginal |
321 |
306 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
308 |
296 |
$10K |
| 73630 |
|
545 |
512 |
$6K |
| 71250 |
|
154 |
137 |
$5K |
| 73562 |
|
455 |
415 |
$5K |
| 73030 |
|
450 |
421 |
$5K |
| 73130 |
|
496 |
444 |
$5K |
| 93970 |
|
256 |
243 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
149 |
141 |
$4K |
| 76770 |
|
104 |
96 |
$3K |
| 76937 |
|
438 |
386 |
$2K |
| 72100 |
|
132 |
126 |
$2K |
| 76818 |
|
50 |
47 |
$2K |
| 73110 |
|
142 |
124 |
$1K |
| 73590 |
|
164 |
136 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
68 |
$1K |
| 93880 |
|
84 |
79 |
$1K |
| 72110 |
|
65 |
57 |
$1K |
| 36573 |
|
15 |
12 |
$636.72 |
| 74018 |
|
105 |
98 |
$533.73 |
| 93971 |
|
41 |
39 |
$474.72 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
16 |
$471.68 |
| 76775 |
|
13 |
13 |
$357.13 |
| 72170 |
|
51 |
38 |
$346.58 |
| 73502 |
|
48 |
43 |
$257.90 |
| 73090 |
|
28 |
26 |
$188.61 |
| 76376 |
|
27 |
27 |
$168.22 |
| 73080 |
|
12 |
12 |
$130.08 |
| 73552 |
|
30 |
27 |
$124.48 |