| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,523 |
2,374 |
$160K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,474 |
2,387 |
$112K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
457 |
427 |
$45K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
932 |
901 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
5,537 |
5,089 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
2,532 |
2,379 |
$14K |
| 73630 |
|
717 |
662 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
146 |
140 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
29 |
$4K |
| 73610 |
|
283 |
270 |
$4K |
| 73130 |
|
342 |
302 |
$3K |
| 73221 |
|
15 |
15 |
$2K |
| 73562 |
|
132 |
115 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
39 |
38 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
12 |
$919.50 |
| 74018 |
|
143 |
130 |
$682.55 |
| 73030 |
|
70 |
68 |
$676.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$524.56 |
| 76642 |
|
20 |
17 |
$330.43 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$330.15 |
| 73110 |
|
28 |
28 |
$312.56 |
| 71250 |
|
15 |
14 |
$219.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$190.81 |
| 72100 |
|
12 |
12 |
$160.12 |
| 73090 |
|
13 |
13 |
$111.43 |