| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
5,867 |
5,428 |
$127K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,319 |
2,997 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
23,033 |
17,685 |
$76K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,204 |
2,057 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
7,008 |
6,419 |
$36K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
669 |
628 |
$18K |
| 74018 |
|
1,818 |
1,680 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
254 |
236 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
48 |
42 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
56 |
56 |
$1K |
| 73560 |
|
127 |
112 |
$609.89 |
| 73620 |
|
115 |
101 |
$511.44 |
| 73600 |
|
94 |
81 |
$462.50 |
| 74019 |
|
40 |
39 |
$220.98 |
| 73630 |
|
50 |
28 |
$217.52 |
| 93971 |
|
14 |
14 |
$119.00 |
| 73610 |
|
13 |
12 |
$96.00 |
| 72100 |
|
16 |
13 |
$94.80 |
| 73020 |
|
12 |
12 |
$70.73 |
| 73502 |
|
12 |
12 |
$61.36 |