| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
238 |
206 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,118 |
1,511 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
373 |
324 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
961 |
891 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
68 |
64 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
33 |
27 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
30 |
26 |
$842.72 |
| 70496 |
|
15 |
15 |
$776.52 |
| 74018 |
|
222 |
188 |
$755.31 |
| 73562 |
|
121 |
102 |
$574.78 |
| 72100 |
|
121 |
113 |
$570.46 |
| 93976 |
|
15 |
12 |
$407.14 |
| 70498 |
|
14 |
14 |
$376.65 |
| 71250 |
|
15 |
14 |
$326.17 |
| 72110 |
|
59 |
55 |
$319.09 |
| 73630 |
|
79 |
69 |
$307.50 |
| 73610 |
|
63 |
53 |
$298.61 |
| 76830 |
Ultrasound, transvaginal |
16 |
14 |
$296.76 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$247.39 |
| 73030 |
|
60 |
46 |
$199.49 |
| 73502 |
|
42 |
41 |
$189.30 |
| 73130 |
|
21 |
20 |
$114.94 |
| 74019 |
|
15 |
14 |
$88.04 |
| 72040 |
|
15 |
15 |
$71.47 |
| 73560 |
|
20 |
14 |
$66.74 |
| 72170 |
|
17 |
13 |
$47.69 |
| 77080 |
|
15 |
14 |
$22.56 |