| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,409 |
2,327 |
$217K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,208 |
3,865 |
$175K |
| 71045 |
Radiologic examination, chest; single view |
25,520 |
20,146 |
$152K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
321 |
308 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
226 |
224 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
54 |
52 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
52 |
52 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
150 |
139 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
146 |
137 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
26 |
$740.23 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
28 |
$686.70 |
| 74018 |
|
159 |
87 |
$630.09 |
| 76770 |
|
27 |
25 |
$353.52 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
13 |
$241.10 |