| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
582 |
551 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
395 |
378 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,319 |
2,012 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,920 |
2,455 |
$14K |
| 93975 |
|
274 |
221 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
441 |
429 |
$9K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
66 |
61 |
$7K |
| 49083 |
|
68 |
40 |
$4K |
| 74018 |
|
517 |
415 |
$3K |
| 72100 |
|
207 |
198 |
$3K |
| 73564 |
|
204 |
151 |
$3K |
| 73610 |
|
144 |
137 |
$2K |
| 73630 |
|
200 |
183 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
62 |
46 |
$2K |
| 99152 |
|
299 |
241 |
$2K |
| 76830 |
Ultrasound, transvaginal |
41 |
29 |
$1K |
| 73030 |
|
128 |
118 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$924.79 |
| 73130 |
|
66 |
56 |
$596.71 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
14 |
14 |
$311.27 |
| 93976 |
|
12 |
12 |
$290.04 |
| 72040 |
|
18 |
18 |
$183.32 |
| 93971 |
|
12 |
12 |
$158.36 |
| 73110 |
|
14 |
12 |
$149.72 |
| 73140 |
|
13 |
12 |
$137.16 |