| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
910 |
878 |
$64K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,082 |
1,047 |
$52K |
| 71045 |
Radiologic examination, chest; single view |
3,688 |
2,681 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,497 |
2,408 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
132 |
127 |
$14K |
| 73610 |
|
832 |
796 |
$13K |
| 73630 |
|
820 |
783 |
$10K |
| 74018 |
|
1,687 |
1,464 |
$9K |
| 76770 |
|
227 |
224 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
336 |
328 |
$7K |
| 73130 |
|
551 |
518 |
$5K |
| 73564 |
|
395 |
386 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
145 |
135 |
$5K |
| 73110 |
|
397 |
392 |
$4K |
| 73140 |
|
167 |
164 |
$2K |
| 73590 |
|
166 |
152 |
$2K |
| 73090 |
|
148 |
138 |
$1K |
| 93971 |
|
109 |
107 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
39 |
$1K |
| 73080 |
|
115 |
113 |
$1K |
| 73030 |
|
107 |
106 |
$1K |
| 72170 |
|
76 |
74 |
$841.33 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
25 |
25 |
$826.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
20 |
19 |
$808.64 |
| 70486 |
|
16 |
12 |
$585.49 |
| 76506 |
|
14 |
12 |
$461.72 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$442.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$363.59 |
| 76857 |
|
13 |
13 |
$297.17 |
| 73070 |
|
26 |
26 |
$254.80 |
| 77072 |
|
25 |
25 |
$210.41 |
| 73100 |
|
19 |
15 |
$204.25 |
| 72100 |
|
12 |
12 |
$160.12 |
| 70360 |
|
13 |
12 |
$113.75 |
| 72081 |
|
14 |
14 |
$104.91 |
| 74019 |
|
12 |
12 |
$84.36 |