| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,160 |
3,114 |
$221K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,514 |
3,373 |
$101K |
| 71045 |
Radiologic examination, chest; single view |
10,179 |
9,271 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,104 |
1,084 |
$65K |
| 93975 |
|
601 |
593 |
$48K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
560 |
550 |
$34K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,448 |
1,418 |
$26K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
755 |
749 |
$20K |
| 70496 |
|
237 |
229 |
$13K |
| 76801 |
|
352 |
331 |
$11K |
| 70498 |
|
239 |
235 |
$11K |
| 72131 |
|
419 |
415 |
$10K |
| 93970 |
|
203 |
194 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
686 |
685 |
$6K |
| 93971 |
|
488 |
457 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
201 |
200 |
$6K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
174 |
167 |
$5K |
| 72128 |
|
206 |
204 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
108 |
107 |
$4K |
| 71250 |
|
184 |
178 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
170 |
164 |
$3K |
| 70486 |
|
105 |
105 |
$3K |
| 76775 |
|
160 |
154 |
$3K |
| 76830 |
Ultrasound, transvaginal |
152 |
149 |
$3K |
| 74018 |
|
418 |
341 |
$3K |
| 73630 |
|
405 |
396 |
$2K |
| 73030 |
|
313 |
307 |
$2K |
| 73130 |
|
302 |
296 |
$2K |
| 73610 |
|
305 |
299 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
49 |
48 |
$2K |
| 72100 |
|
139 |
139 |
$1K |
| 73110 |
|
200 |
197 |
$1K |
| 73564 |
|
164 |
162 |
$1K |
| 74174 |
|
13 |
13 |
$992.80 |
| 73590 |
|
187 |
183 |
$947.62 |
| 73090 |
|
156 |
152 |
$934.20 |
| 73080 |
|
147 |
144 |
$925.14 |
| 73562 |
|
160 |
159 |
$809.75 |
| 72170 |
|
155 |
154 |
$674.20 |
| 73502 |
|
90 |
88 |
$616.20 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$495.88 |
| 73552 |
|
52 |
52 |
$353.69 |
| 74022 |
|
24 |
24 |
$327.84 |
| 76870 |
|
13 |
13 |
$323.45 |
| 93880 |
|
14 |
14 |
$285.67 |
| 71101 |
|
14 |
14 |
$152.37 |
| 72040 |
|
12 |
12 |
$101.76 |
| 73140 |
|
27 |
26 |
$84.24 |