| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,415 |
2,136 |
$158K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,081 |
978 |
$48K |
| 71045 |
Radiologic examination, chest; single view |
6,014 |
5,153 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
649 |
574 |
$24K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
496 |
433 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
85 |
78 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,087 |
979 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
104 |
101 |
$3K |
| 73610 |
|
204 |
175 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
27 |
$2K |
| 73630 |
|
170 |
158 |
$2K |
| 73130 |
|
124 |
119 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
27 |
$641.74 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
33 |
25 |
$534.14 |
| 73030 |
|
42 |
37 |
$444.58 |
| 93971 |
|
13 |
13 |
$118.47 |