| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76770 |
|
2,551 |
2,496 |
$107K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,147 |
1,084 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
2,435 |
2,008 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,635 |
1,534 |
$12K |
| 74018 |
|
1,138 |
993 |
$7K |
| 72082 |
|
263 |
235 |
$3K |
| 73610 |
|
150 |
145 |
$2K |
| 76506 |
|
32 |
25 |
$1K |
| 72170 |
|
66 |
55 |
$924.86 |
| 76536 |
|
25 |
25 |
$890.80 |
| 73090 |
|
83 |
71 |
$866.77 |
| 73630 |
|
58 |
54 |
$837.94 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$714.67 |
| 73080 |
|
58 |
56 |
$668.48 |
| 73110 |
|
44 |
37 |
$563.32 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$474.02 |
| 72081 |
|
52 |
51 |
$415.90 |
| 93975 |
|
13 |
13 |
$403.80 |
| 77072 |
|
39 |
37 |
$383.66 |
| 77080 |
|
28 |
26 |
$278.33 |
| 73140 |
|
13 |
13 |
$166.02 |
| 74019 |
|
15 |
14 |
$98.26 |
| 73521 |
|
14 |
13 |
$83.26 |