| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
291 |
284 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
404 |
383 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
268 |
259 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
278 |
272 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,615 |
1,481 |
$7K |
| 72197 |
|
32 |
31 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
604 |
600 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
31 |
$3K |
| 73630 |
|
237 |
226 |
$2K |
| 73610 |
|
150 |
147 |
$2K |
| 71250 |
|
59 |
58 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
89 |
$2K |
| 72100 |
|
125 |
123 |
$1K |
| 73562 |
|
99 |
98 |
$1K |
| 73030 |
|
102 |
99 |
$958.52 |
| 73130 |
|
74 |
70 |
$722.01 |
| 74178 |
|
15 |
15 |
$702.43 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
16 |
$637.05 |
| 74018 |
|
124 |
120 |
$572.89 |
| 76536 |
|
14 |
14 |
$463.26 |
| 72110 |
|
28 |
28 |
$438.47 |
| 73110 |
|
40 |
38 |
$392.61 |
| 93971 |
|
28 |
28 |
$283.27 |
| 72040 |
|
22 |
21 |
$222.52 |
| 73502 |
|
34 |
34 |
$180.60 |
| 73560 |
|
17 |
13 |
$166.60 |
| 91200 |
|
18 |
18 |
$144.33 |