| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,733 |
3,290 |
$137K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,043 |
1,857 |
$134K |
| 71045 |
Radiologic examination, chest; single view |
16,362 |
11,604 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
3,912 |
3,333 |
$25K |
| 71020 |
|
715 |
666 |
$11K |
| 71010 |
|
712 |
545 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
103 |
84 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
85 |
77 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
27 |
24 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
62 |
55 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
32 |
26 |
$649.79 |
| 73610 |
|
46 |
38 |
$629.03 |
| 74018 |
|
100 |
72 |
$619.08 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
20 |
15 |
$595.83 |
| 72040 |
|
18 |
15 |
$339.89 |
| 73562 |
|
16 |
12 |
$195.80 |
| 73630 |
|
12 |
12 |
$168.51 |