| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
480 |
436 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
166 |
155 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,766 |
1,600 |
$8K |
| 93975 |
|
201 |
176 |
$7K |
| 76830 |
Ultrasound, transvaginal |
188 |
166 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
791 |
749 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
115 |
103 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
86 |
83 |
$2K |
| 93976 |
|
53 |
51 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$639.09 |
| 73564 |
|
32 |
27 |
$406.96 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$343.93 |
| 93971 |
|
15 |
12 |
$184.70 |
| 73630 |
|
14 |
14 |
$152.24 |
| 73562 |
|
12 |
12 |
$115.10 |
| 74018 |
|
21 |
19 |
$105.26 |