| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
874 |
866 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
2,981 |
2,952 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
3,867 |
3,159 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,025 |
1,003 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
326 |
326 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
314 |
312 |
$5K |
| 76770 |
|
213 |
211 |
$3K |
| 76830 |
Ultrasound, transvaginal |
223 |
221 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
193 |
192 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
114 |
113 |
$2K |
| 73630 |
|
237 |
211 |
$795.48 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
29 |
$726.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$576.44 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$501.12 |
| 76536 |
|
28 |
28 |
$388.60 |
| 73030 |
|
58 |
55 |
$207.93 |
| 73610 |
|
59 |
56 |
$186.67 |
| 72100 |
|
12 |
12 |
$83.17 |
| 73564 |
|
17 |
15 |
$79.81 |
| 73560 |
|
15 |
13 |
$57.60 |
| 73590 |
|
18 |
16 |
$50.71 |