| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,040 |
963 |
$66K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
456 |
433 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,590 |
2,301 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
837 |
799 |
$5K |
| 93975 |
|
94 |
90 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
25 |
$3K |
| 76830 |
Ultrasound, transvaginal |
46 |
40 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
67 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$974.36 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$884.44 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
12 |
$539.26 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$412.72 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$306.43 |
| 93976 |
|
14 |
12 |
$207.20 |
| 73610 |
|
14 |
12 |
$200.90 |
| 73564 |
|
17 |
16 |
$184.38 |
| 73562 |
|
17 |
12 |
$179.01 |
| 74018 |
|
42 |
38 |
$133.30 |