| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
966 |
912 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
772 |
716 |
$38K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
319 |
302 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
2,447 |
2,041 |
$11K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
284 |
265 |
$10K |
| 76536 |
|
101 |
100 |
$3K |
| 71250 |
|
85 |
67 |
$3K |
| 73700 |
|
59 |
55 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
46 |
40 |
$2K |
| 73630 |
|
152 |
124 |
$2K |
| 74174 |
|
27 |
25 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
69 |
68 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
237 |
228 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$1K |
| 93970 |
|
38 |
38 |
$925.10 |
| 70486 |
|
24 |
24 |
$923.95 |
| 73130 |
|
94 |
84 |
$882.80 |
| 73610 |
|
52 |
49 |
$760.55 |
| 73701 |
|
13 |
12 |
$718.77 |
| 76770 |
|
12 |
12 |
$392.00 |
| 74018 |
|
78 |
69 |
$363.99 |
| 72110 |
|
16 |
15 |
$284.27 |
| 73562 |
|
15 |
14 |
$178.08 |
| 73030 |
|
16 |
15 |
$159.24 |
| 99152 |
|
13 |
13 |
$89.55 |