| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
714 |
679 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
351 |
338 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
386 |
379 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,080 |
1,984 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
126 |
119 |
$4K |
| 73630 |
|
410 |
387 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
609 |
597 |
$3K |
| 73610 |
|
250 |
241 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
123 |
121 |
$2K |
| 72100 |
|
170 |
169 |
$2K |
| 73030 |
|
156 |
148 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
19 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
24 |
24 |
$875.20 |
| 76770 |
|
25 |
25 |
$770.89 |
| 73130 |
|
75 |
70 |
$673.15 |
| 73562 |
|
62 |
58 |
$605.09 |
| 73110 |
|
58 |
54 |
$597.13 |
| 74018 |
|
120 |
118 |
$584.82 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
20 |
18 |
$478.08 |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$474.03 |
| 76870 |
|
17 |
12 |
$433.59 |
| 73560 |
|
44 |
40 |
$410.94 |
| 76536 |
|
17 |
16 |
$397.28 |
| 73502 |
|
66 |
66 |
$335.82 |
| 73590 |
|
31 |
28 |
$249.97 |
| 93971 |
|
27 |
27 |
$232.61 |
| 73080 |
|
13 |
13 |
$139.75 |
| 73140 |
|
13 |
13 |
$122.68 |
| 72040 |
|
14 |
14 |
$117.98 |