| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,765 |
1,692 |
$107K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,146 |
1,105 |
$51K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
269 |
257 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
543 |
531 |
$21K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
644 |
599 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,864 |
3,373 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,294 |
2,154 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
344 |
333 |
$11K |
| 73630 |
|
541 |
510 |
$5K |
| 71250 |
|
175 |
172 |
$5K |
| 73610 |
|
339 |
319 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
132 |
131 |
$4K |
| 76830 |
Ultrasound, transvaginal |
110 |
108 |
$4K |
| 73130 |
|
360 |
335 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
101 |
95 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
70 |
70 |
$2K |
| 74018 |
|
460 |
405 |
$2K |
| 73030 |
|
187 |
176 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
63 |
55 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
48 |
48 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
63 |
62 |
$1K |
| 76770 |
|
37 |
37 |
$1K |
| 72110 |
|
60 |
60 |
$942.40 |
| 73110 |
|
84 |
79 |
$894.93 |
| 73564 |
|
52 |
51 |
$621.41 |
| 73562 |
|
61 |
59 |
$601.25 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$576.35 |
| 70486 |
|
13 |
13 |
$444.24 |
| 72131 |
|
13 |
13 |
$420.24 |
| 71271 |
|
12 |
12 |
$372.47 |
| 76536 |
|
12 |
12 |
$332.35 |
| 76801 |
|
12 |
12 |
$330.85 |
| 93971 |
|
29 |
28 |
$245.92 |
| 76937 |
|
57 |
50 |
$193.27 |
| 93970 |
|
14 |
12 |
$178.03 |
| 73080 |
|
12 |
12 |
$103.89 |
| 73502 |
|
14 |
14 |
$37.01 |