| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,057 |
977 |
$109K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,603 |
1,446 |
$104K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,314 |
2,179 |
$101K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
698 |
655 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
807 |
748 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
5,502 |
4,810 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
3,855 |
3,493 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
311 |
285 |
$9K |
| 71250 |
|
282 |
255 |
$8K |
| 93976 |
|
202 |
172 |
$5K |
| 93970 |
|
316 |
285 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
99 |
88 |
$3K |
| 93971 |
|
222 |
187 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
148 |
140 |
$3K |
| 74018 |
|
364 |
317 |
$1K |
| 76830 |
Ultrasound, transvaginal |
38 |
29 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
33 |
25 |
$887.81 |
| 73630 |
|
60 |
54 |
$650.63 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
15 |
$442.20 |
| 76818 |
|
15 |
13 |
$440.30 |
| 70486 |
|
13 |
12 |
$392.81 |
| 73610 |
|
26 |
24 |
$337.78 |
| 73562 |
|
32 |
30 |
$325.40 |
| 73590 |
|
35 |
27 |
$312.27 |
| 73030 |
|
13 |
12 |
$115.65 |
| 72170 |
|
13 |
12 |
$105.65 |