| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,490 |
2,036 |
$78K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,997 |
2,424 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,201 |
1,008 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
8,875 |
6,043 |
$20K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
706 |
582 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
350 |
278 |
$7K |
| 72131 |
|
240 |
222 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
535 |
487 |
$3K |
| 73630 |
|
643 |
588 |
$3K |
| 73130 |
|
429 |
374 |
$2K |
| 73610 |
|
410 |
374 |
$2K |
| 73562 |
|
468 |
384 |
$2K |
| 76801 |
|
62 |
50 |
$1K |
| 71250 |
|
83 |
67 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
114 |
93 |
$943.21 |
| 73110 |
|
212 |
177 |
$914.87 |
| 73030 |
|
217 |
182 |
$888.96 |
| 70486 |
|
46 |
38 |
$867.27 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
15 |
$311.70 |
| 74018 |
|
91 |
71 |
$310.44 |
| 73080 |
|
13 |
12 |
$56.61 |