| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,510 |
2,277 |
$103K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,275 |
1,172 |
$87K |
| 71045 |
Radiologic examination, chest; single view |
9,189 |
7,535 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
3,244 |
2,888 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
262 |
244 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
88 |
78 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
143 |
128 |
$9K |
| 71010 |
|
467 |
421 |
$6K |
| 71020 |
|
402 |
376 |
$6K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
63 |
53 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
36 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
78 |
74 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
14 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
72 |
71 |
$1K |
| 73630 |
|
73 |
64 |
$742.37 |
| 73610 |
|
54 |
52 |
$637.09 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$529.24 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$514.01 |
| 76642 |
|
14 |
12 |
$371.29 |
| 74018 |
|
31 |
28 |
$239.43 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
14 |
14 |
$219.37 |
| 73130 |
|
14 |
13 |
$169.98 |
| 74000 |
|
14 |
12 |
$155.00 |
| 73110 |
|
13 |
13 |
$123.71 |