| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,755 |
1,573 |
$132K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,725 |
1,627 |
$83K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
564 |
520 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
554 |
530 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,125 |
3,577 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
1,913 |
1,782 |
$12K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
284 |
232 |
$10K |
| 93976 |
|
179 |
158 |
$4K |
| 73130 |
|
343 |
276 |
$4K |
| 73610 |
|
187 |
156 |
$3K |
| 73630 |
|
215 |
183 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
37 |
$703.56 |
| 73030 |
|
58 |
53 |
$687.30 |
| 73110 |
|
37 |
30 |
$484.78 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$431.40 |
| 74018 |
|
77 |
76 |
$411.69 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$383.24 |
| 72100 |
|
21 |
20 |
$300.41 |