| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,182 |
1,951 |
$145K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,684 |
1,560 |
$77K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
612 |
556 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
8,504 |
6,571 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
550 |
525 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
516 |
433 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,959 |
1,793 |
$11K |
| 73630 |
|
418 |
365 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
256 |
217 |
$4K |
| 73130 |
|
287 |
237 |
$3K |
| 93976 |
|
112 |
95 |
$2K |
| 74018 |
|
403 |
322 |
$2K |
| 73610 |
|
95 |
78 |
$1K |
| 70486 |
|
37 |
28 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
52 |
44 |
$1K |
| 73562 |
|
105 |
87 |
$1K |
| 73030 |
|
88 |
69 |
$979.93 |
| 73110 |
|
55 |
41 |
$736.16 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
19 |
13 |
$542.85 |
| 76506 |
|
12 |
12 |
$395.76 |
| 73090 |
|
20 |
15 |
$259.60 |
| 73590 |
|
27 |
25 |
$228.36 |
| 73080 |
|
15 |
13 |
$173.78 |
| 72100 |
|
13 |
12 |
$133.79 |