| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,275 |
1,196 |
$83K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
366 |
357 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,065 |
2,715 |
$15K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
297 |
278 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
469 |
458 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
144 |
138 |
$5K |
| 76801 |
|
124 |
112 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
100 |
91 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
489 |
468 |
$3K |
| 76830 |
Ultrasound, transvaginal |
75 |
74 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
76 |
74 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 93976 |
|
44 |
41 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
25 |
$809.64 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
16 |
$598.16 |
| 74018 |
|
62 |
54 |
$368.80 |
| 77080 |
|
49 |
49 |
$217.25 |
| 72110 |
|
12 |
12 |
$206.34 |