| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
431 |
416 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
349 |
338 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
82 |
77 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,649 |
1,516 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
131 |
129 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
401 |
364 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
31 |
30 |
$810.32 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
49 |
49 |
$776.13 |
| 73630 |
|
61 |
58 |
$585.27 |
| 76830 |
Ultrasound, transvaginal |
16 |
13 |
$460.82 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
13 |
$439.65 |
| 73610 |
|
33 |
33 |
$431.60 |
| 73130 |
|
41 |
38 |
$355.79 |
| 74018 |
|
69 |
61 |
$271.89 |
| 93970 |
|
13 |
13 |
$181.25 |
| 73562 |
|
16 |
14 |
$147.78 |
| 73030 |
|
17 |
16 |
$133.44 |
| 93971 |
|
13 |
13 |
$113.45 |