| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
545 |
444 |
$34K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
218 |
191 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
42 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
608 |
552 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
50 |
40 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
780 |
701 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
80 |
58 |
$3K |
| 73562 |
|
191 |
146 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
61 |
58 |
$2K |
| 73030 |
|
115 |
93 |
$1K |
| 72100 |
|
38 |
30 |
$505.48 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
14 |
$431.40 |
| 76801 |
|
13 |
13 |
$401.96 |
| 73610 |
|
30 |
30 |
$388.08 |
| 73630 |
|
29 |
25 |
$279.30 |
| 73130 |
|
23 |
14 |
$172.42 |