| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
655 |
634 |
$49K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
273 |
267 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
110 |
108 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,605 |
1,332 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
155 |
149 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,032 |
990 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
137 |
131 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
139 |
135 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
72 |
70 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
18 |
$3K |
| 72100 |
|
172 |
170 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
102 |
97 |
$2K |
| 70486 |
|
46 |
45 |
$2K |
| 73630 |
|
155 |
145 |
$2K |
| 73562 |
|
145 |
141 |
$2K |
| 73030 |
|
131 |
126 |
$1K |
| 71250 |
|
30 |
28 |
$1K |
| 73130 |
|
108 |
107 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$1K |
| 76801 |
|
30 |
28 |
$958.52 |
| 73610 |
|
64 |
61 |
$805.57 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$751.75 |
| 74018 |
|
118 |
100 |
$581.70 |
| 73110 |
|
43 |
42 |
$480.94 |
| 76770 |
|
13 |
13 |
$459.22 |
| 73590 |
|
42 |
38 |
$444.08 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
15 |
$442.20 |
| 93971 |
|
32 |
32 |
$397.34 |
| 77080 |
|
41 |
41 |
$378.67 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$316.36 |
| 93970 |
|
14 |
14 |
$260.09 |
| 72040 |
|
17 |
16 |
$195.44 |
| 73090 |
|
16 |
14 |
$173.85 |
| 73060 |
|
14 |
12 |
$151.81 |
| 72070 |
|
12 |
12 |
$127.51 |
| 73552 |
|
15 |
14 |
$94.35 |
| 73502 |
|
12 |
12 |
$81.72 |