| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,755 |
2,542 |
$169K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,887 |
1,835 |
$86K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
547 |
524 |
$49K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
601 |
583 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
588 |
543 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
1,150 |
1,052 |
$4K |
| 93976 |
|
140 |
126 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
310 |
276 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
79 |
78 |
$1K |
| 70486 |
|
33 |
24 |
$1K |
| 76801 |
|
13 |
12 |
$431.40 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$360.74 |
| 74018 |
|
29 |
25 |
$112.30 |
| 76376 |
|
16 |
16 |
$55.88 |