| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,852 |
1,713 |
$80K |
| 70450 |
Computed tomography, head or brain; without contrast material |
830 |
786 |
$53K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,024 |
916 |
$39K |
| 71045 |
Radiologic examination, chest; single view |
3,770 |
2,996 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
405 |
385 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,762 |
1,629 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
287 |
253 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
317 |
293 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
135 |
123 |
$4K |
| 71250 |
|
179 |
160 |
$3K |
| 76830 |
Ultrasound, transvaginal |
112 |
104 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
40 |
$1K |
| 73610 |
|
93 |
89 |
$1K |
| 73562 |
|
118 |
108 |
$1K |
| 74018 |
|
221 |
193 |
$1K |
| 76536 |
|
30 |
30 |
$865.60 |
| 72100 |
|
58 |
47 |
$719.98 |
| 73630 |
|
63 |
57 |
$628.71 |
| 73030 |
|
59 |
56 |
$546.55 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
18 |
14 |
$497.20 |
| 73130 |
|
47 |
40 |
$496.61 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$310.74 |
| 93971 |
|
13 |
13 |
$132.02 |
| 73502 |
|
12 |
12 |
$56.35 |