| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,350 |
1,276 |
$87K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
784 |
750 |
$37K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
271 |
255 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,688 |
1,605 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
277 |
263 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,763 |
1,515 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
289 |
286 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
113 |
109 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
60 |
56 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
53 |
50 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
43 |
42 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
54 |
$2K |
| 70498 |
|
13 |
13 |
$991.81 |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$855.18 |
| 70486 |
|
12 |
12 |
$507.72 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$383.24 |
| 73030 |
|
27 |
24 |
$302.10 |
| 73562 |
|
28 |
25 |
$284.63 |
| 73610 |
|
15 |
14 |
$217.03 |
| 74018 |
|
13 |
13 |
$60.94 |