| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,280 |
1,192 |
$75K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
903 |
854 |
$39K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
529 |
515 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,572 |
2,922 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,858 |
1,748 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
151 |
148 |
$5K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
112 |
89 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
40 |
$1K |
| 73630 |
|
60 |
53 |
$663.20 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
25 |
$424.26 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$287.60 |
| 73030 |
|
18 |
13 |
$207.44 |
| 74018 |
|
27 |
25 |
$111.73 |