| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
544 |
536 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,551 |
1,524 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,191 |
886 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
219 |
216 |
$8K |
| 73630 |
|
684 |
671 |
$6K |
| 73130 |
|
520 |
505 |
$5K |
| 73564 |
|
372 |
366 |
$4K |
| 73610 |
|
457 |
450 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
38 |
$4K |
| 73030 |
|
403 |
393 |
$4K |
| 74018 |
|
383 |
370 |
$3K |
| 72100 |
|
239 |
234 |
$3K |
| 73110 |
|
290 |
279 |
$2K |
| 72110 |
|
163 |
160 |
$2K |
| 76536 |
|
56 |
54 |
$1K |
| 73502 |
|
144 |
142 |
$1K |
| 73590 |
|
124 |
117 |
$1K |
| 72050 |
|
55 |
53 |
$812.36 |
| 71250 |
|
12 |
12 |
$650.95 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$567.99 |
| 72040 |
|
47 |
46 |
$511.22 |
| 73562 |
|
43 |
43 |
$404.38 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$343.75 |
| 73080 |
|
45 |
43 |
$339.82 |
| 73090 |
|
15 |
14 |
$146.40 |