| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,993 |
2,810 |
$208K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,419 |
1,308 |
$73K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,185 |
1,091 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
7,207 |
6,114 |
$35K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
295 |
283 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
2,621 |
2,464 |
$16K |
| 70486 |
|
369 |
333 |
$14K |
| 73562 |
|
1,101 |
984 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
222 |
214 |
$10K |
| 72100 |
|
724 |
693 |
$10K |
| 73030 |
|
853 |
743 |
$9K |
| 73560 |
|
577 |
399 |
$7K |
| 72170 |
|
533 |
450 |
$5K |
| 93971 |
|
272 |
256 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
208 |
201 |
$5K |
| 93970 |
|
207 |
201 |
$4K |
| 73130 |
|
421 |
360 |
$4K |
| 73630 |
|
298 |
237 |
$3K |
| 73565 |
|
297 |
248 |
$3K |
| 73610 |
|
136 |
125 |
$2K |
| 74174 |
|
27 |
26 |
$2K |
| 73590 |
|
159 |
128 |
$2K |
| 74018 |
|
209 |
189 |
$1K |
| 73502 |
|
161 |
154 |
$985.09 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
20 |
15 |
$813.22 |
| 73080 |
|
53 |
39 |
$458.47 |
| 76818 |
|
14 |
14 |
$420.58 |
| 73090 |
|
45 |
37 |
$372.19 |
| 72110 |
|
14 |
14 |
$200.89 |
| 72040 |
|
16 |
16 |
$174.12 |
| 73110 |
|
15 |
12 |
$157.72 |
| 72070 |
|
13 |
13 |
$130.19 |
| 77080 |
|
14 |
14 |
$119.68 |
| 73060 |
|
12 |
12 |
$97.16 |
| 73552 |
|
14 |
13 |
$78.54 |