| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,619 |
1,474 |
$108K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,564 |
1,442 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
7,396 |
6,186 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
651 |
637 |
$30K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
741 |
684 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
864 |
812 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
539 |
483 |
$14K |
| 76830 |
Ultrasound, transvaginal |
442 |
396 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,161 |
1,999 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
196 |
189 |
$8K |
| 93970 |
|
308 |
271 |
$4K |
| 73630 |
|
376 |
330 |
$4K |
| 73610 |
|
280 |
260 |
$4K |
| 73030 |
|
336 |
276 |
$4K |
| 36573 |
|
143 |
124 |
$4K |
| 73130 |
|
284 |
245 |
$3K |
| 76770 |
|
107 |
102 |
$3K |
| 73564 |
|
241 |
209 |
$3K |
| 93971 |
|
220 |
200 |
$2K |
| 36569 |
|
71 |
57 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
85 |
73 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$2K |
| 76818 |
|
42 |
39 |
$1K |
| 72100 |
|
57 |
55 |
$755.32 |
| 71250 |
|
34 |
32 |
$724.50 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
30 |
17 |
$580.43 |
| 76937 |
|
135 |
119 |
$548.05 |
| 76801 |
|
17 |
12 |
$525.64 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$467.35 |
| 73110 |
|
41 |
39 |
$418.48 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$310.35 |
| 74018 |
|
56 |
51 |
$287.03 |
| 93976 |
|
13 |
13 |
$276.24 |
| 73502 |
|
19 |
13 |
$246.59 |
| 76376 |
|
41 |
39 |
$39.06 |