| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
673 |
630 |
$46K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
662 |
644 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,441 |
3,624 |
$17K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
394 |
330 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
277 |
260 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,491 |
1,416 |
$8K |
| 73610 |
|
563 |
492 |
$8K |
| 76801 |
|
186 |
177 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
176 |
166 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
123 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
102 |
93 |
$4K |
| 76830 |
Ultrasound, transvaginal |
120 |
107 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
224 |
214 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$3K |
| 73630 |
|
239 |
204 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
135 |
98 |
$2K |
| 93970 |
|
141 |
123 |
$2K |
| 74018 |
|
380 |
335 |
$2K |
| 36573 |
|
29 |
24 |
$1K |
| 73130 |
|
123 |
107 |
$1K |
| 76937 |
|
245 |
198 |
$1K |
| 72100 |
|
71 |
67 |
$834.62 |
| 73562 |
|
78 |
66 |
$792.09 |
| 76770 |
|
25 |
25 |
$767.43 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
26 |
26 |
$764.69 |
| 71250 |
|
38 |
36 |
$714.25 |
| 76775 |
|
30 |
29 |
$701.61 |
| 73030 |
|
55 |
50 |
$598.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$436.62 |
| 93971 |
|
54 |
54 |
$433.29 |
| 74230 |
|
18 |
12 |
$412.50 |
| 93922 |
|
14 |
13 |
$258.77 |
| 93923 |
|
13 |
13 |
$229.69 |
| 73590 |
|
14 |
12 |
$147.61 |
| 93880 |
|
12 |
12 |
$136.68 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16 |
14 |
$16.61 |