| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
791 |
643 |
$53K |
| 70450 |
Computed tomography, head or brain; without contrast material |
904 |
725 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
3,301 |
2,674 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
191 |
175 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
133 |
102 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
605 |
473 |
$3K |
| 73630 |
|
306 |
238 |
$3K |
| 73610 |
|
323 |
256 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
61 |
$2K |
| 73030 |
|
193 |
144 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
59 |
51 |
$2K |
| 73564 |
|
135 |
119 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
56 |
50 |
$962.01 |
| 72190 |
|
53 |
28 |
$531.05 |
| 76830 |
Ultrasound, transvaginal |
29 |
27 |
$518.23 |
| 73130 |
|
38 |
25 |
$313.10 |
| 73590 |
|
41 |
28 |
$289.50 |
| 74019 |
|
12 |
12 |
$106.82 |
| 73560 |
|
16 |
13 |
$75.91 |
| 73100 |
|
17 |
14 |
$68.14 |