| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,953 |
2,895 |
$268K |
| 71045 |
Radiologic examination, chest; single view |
29,611 |
20,198 |
$256K |
| 71046 |
Radiologic examination, chest; 2 views |
10,712 |
10,491 |
$122K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,264 |
3,025 |
$122K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
345 |
330 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
463 |
449 |
$12K |
| 74018 |
|
809 |
422 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
77 |
$6K |
| 93970 |
|
94 |
82 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
69 |
68 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
31 |
30 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
14 |
$2K |
| 70496 |
|
12 |
12 |
$1K |
| 76770 |
|
24 |
24 |
$1K |
| 70498 |
|
12 |
12 |
$956.89 |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$834.60 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
13 |
$559.57 |
| 73562 |
|
67 |
64 |
$513.23 |
| 70486 |
|
14 |
14 |
$476.56 |
| 73630 |
|
55 |
51 |
$389.32 |
| 73610 |
|
56 |
53 |
$366.26 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$322.97 |
| 73130 |
|
46 |
44 |
$269.25 |
| 99152 |
|
17 |
16 |
$185.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
226 |
153 |
$111.05 |
| 99080 |
|
305 |
82 |
$0.00 |