| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,003 |
2,767 |
$192K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
764 |
737 |
$58K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
627 |
602 |
$29K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
293 |
285 |
$22K |
| 72100 |
|
1,510 |
1,454 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
580 |
528 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
102 |
93 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,253 |
1,179 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,461 |
1,268 |
$6K |
| 76830 |
Ultrasound, transvaginal |
101 |
95 |
$3K |
| 70496 |
|
27 |
24 |
$2K |
| 72072 |
|
181 |
161 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
29 |
$1K |
| 72052 |
|
94 |
91 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
38 |
$1K |
| 76770 |
|
40 |
39 |
$1K |
| 93976 |
|
47 |
43 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
61 |
60 |
$1K |
| 72141 |
|
12 |
12 |
$840.28 |
| 70491 |
|
13 |
12 |
$622.93 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$570.45 |
| 70544 |
|
12 |
12 |
$366.39 |
| 70486 |
|
12 |
12 |
$341.71 |
| 73630 |
|
32 |
26 |
$327.75 |
| 72131 |
|
13 |
13 |
$308.79 |
| 74018 |
|
62 |
59 |
$246.40 |
| 72050 |
|
12 |
12 |
$211.56 |
| 72040 |
|
14 |
12 |
$117.71 |
| 73030 |
|
12 |
12 |
$84.89 |