| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,663 |
1,561 |
$106K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
999 |
950 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
3,718 |
3,343 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
86 |
70 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,412 |
1,359 |
$8K |
| 93975 |
|
139 |
123 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
83 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
38 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
12 |
$1K |
| 76830 |
Ultrasound, transvaginal |
30 |
27 |
$1K |
| 93970 |
|
43 |
37 |
$734.19 |
| 73630 |
|
69 |
67 |
$691.69 |
| 73610 |
|
46 |
41 |
$688.56 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
30 |
29 |
$607.78 |
| 73564 |
|
27 |
25 |
$363.64 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$353.76 |
| 73562 |
|
28 |
25 |
$306.21 |
| 74018 |
|
37 |
37 |
$156.01 |
| 73030 |
|
14 |
13 |
$155.40 |