| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,725 |
1,608 |
$113K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
711 |
669 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
355 |
318 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,192 |
2,787 |
$14K |
| 76830 |
Ultrasound, transvaginal |
399 |
365 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
419 |
387 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,712 |
1,631 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
478 |
462 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
53 |
51 |
$2K |
| 73610 |
|
110 |
103 |
$2K |
| 73562 |
|
114 |
104 |
$1K |
| 76536 |
|
42 |
39 |
$1K |
| 93975 |
|
31 |
27 |
$1K |
| 74018 |
|
191 |
187 |
$966.58 |
| 72100 |
|
60 |
58 |
$730.37 |
| 73630 |
|
70 |
63 |
$711.98 |
| 76770 |
|
13 |
13 |
$407.75 |
| 73110 |
|
31 |
30 |
$306.51 |
| 93970 |
|
16 |
16 |
$294.98 |
| 93971 |
|
27 |
25 |
$252.53 |
| 73130 |
|
15 |
14 |
$178.42 |
| 73030 |
|
16 |
15 |
$166.33 |
| 73140 |
|
19 |
15 |
$154.34 |