| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,044 |
1,855 |
$57K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,180 |
1,096 |
$48K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
288 |
253 |
$19K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
327 |
310 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,324 |
2,237 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,900 |
2,996 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
642 |
571 |
$14K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
314 |
296 |
$12K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
160 |
150 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
389 |
375 |
$7K |
| 70496 |
|
104 |
95 |
$6K |
| 70498 |
|
157 |
141 |
$6K |
| 73610 |
|
675 |
577 |
$5K |
| 74018 |
|
937 |
758 |
$4K |
| 73630 |
|
552 |
479 |
$4K |
| 76770 |
|
154 |
142 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
125 |
119 |
$3K |
| 73130 |
|
405 |
360 |
$3K |
| 73562 |
|
390 |
336 |
$2K |
| 73110 |
|
272 |
230 |
$2K |
| 73030 |
|
203 |
174 |
$1K |
| 73090 |
|
158 |
140 |
$839.39 |
| 73080 |
|
104 |
86 |
$597.87 |
| 73590 |
|
114 |
85 |
$562.77 |
| 74019 |
|
55 |
53 |
$459.68 |
| 73502 |
|
85 |
76 |
$399.67 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$389.27 |
| 74230 |
|
22 |
21 |
$362.24 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$330.91 |
| 71250 |
|
13 |
12 |
$289.90 |
| 73560 |
|
42 |
37 |
$282.46 |
| 74022 |
|
12 |
12 |
$190.17 |
| 72170 |
|
40 |
38 |
$187.59 |
| 77077 |
|
13 |
13 |
$141.04 |
| 73140 |
|
26 |
25 |
$134.55 |
| 73060 |
|
14 |
12 |
$69.15 |
| 73552 |
|
14 |
13 |
$65.79 |