| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,166 |
1,098 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
715 |
669 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
3,231 |
2,689 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
121 |
116 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,416 |
1,319 |
$8K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
258 |
174 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
196 |
187 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
120 |
115 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
97 |
79 |
$3K |
| 93975 |
|
63 |
53 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
53 |
52 |
$977.56 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
24 |
$694.27 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$371.48 |
| 93971 |
|
33 |
33 |
$370.89 |
| 73630 |
|
30 |
27 |
$352.34 |
| 74018 |
|
15 |
13 |
$54.25 |