| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
853 |
765 |
$56K |
| 70450 |
Computed tomography, head or brain; without contrast material |
679 |
604 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,946 |
1,580 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
561 |
506 |
$14K |
| 93975 |
|
156 |
123 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,500 |
1,314 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
143 |
123 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
101 |
81 |
$4K |
| 74018 |
|
476 |
422 |
$4K |
| 74019 |
|
226 |
187 |
$2K |
| 72132 |
|
28 |
27 |
$1K |
| 72129 |
|
28 |
27 |
$1K |
| 76140 |
|
22 |
18 |
$693.24 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
13 |
$580.36 |
| 73590 |
|
98 |
73 |
$571.27 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
14 |
$544.44 |
| 73630 |
|
96 |
67 |
$530.92 |
| 73090 |
|
83 |
67 |
$501.62 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
13 |
$462.78 |
| 72170 |
|
60 |
53 |
$434.12 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
12 |
$399.74 |
| 73610 |
|
63 |
44 |
$387.31 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$364.74 |
| 93971 |
|
15 |
14 |
$224.22 |
| 73560 |
|
33 |
26 |
$187.51 |
| 73552 |
|
16 |
13 |
$118.18 |
| 73130 |
|
19 |
15 |
$105.58 |
| 73060 |
|
21 |
13 |
$81.11 |