| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
146 |
87 |
$9K |
| 76376 |
|
334 |
321 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
275 |
132 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
100 |
62 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
55 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
41 |
29 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
34 |
34 |
$2K |
| 76801 |
|
43 |
41 |
$2K |
| 70486 |
|
35 |
17 |
$1K |
| 72131 |
|
39 |
30 |
$1K |
| 72128 |
|
36 |
29 |
$1K |
| 71010 |
|
158 |
92 |
$988.06 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$976.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$829.60 |
| 71046 |
Radiologic examination, chest; 2 views |
169 |
167 |
$755.92 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
34 |
33 |
$711.14 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$532.13 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
43 |
$521.67 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
19 |
19 |
$405.86 |
| 71045 |
Radiologic examination, chest; single view |
109 |
75 |
$387.02 |