| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,872 |
1,738 |
$119K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
791 |
717 |
$37K |
| 93975 |
|
854 |
674 |
$27K |
| 76830 |
Ultrasound, transvaginal |
574 |
470 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,986 |
3,564 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,238 |
2,102 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
372 |
316 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
82 |
74 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
225 |
196 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
192 |
187 |
$4K |
| 73610 |
|
216 |
190 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
108 |
84 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
62 |
61 |
$2K |
| 73630 |
|
192 |
174 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
37 |
37 |
$2K |
| 73030 |
|
127 |
120 |
$1K |
| 73110 |
|
103 |
86 |
$1K |
| 74018 |
|
224 |
186 |
$1K |
| 73562 |
|
70 |
67 |
$758.55 |
| 76857 |
|
20 |
15 |
$709.73 |
| 73564 |
|
38 |
33 |
$485.04 |
| 73130 |
|
41 |
36 |
$382.59 |
| 72170 |
|
25 |
14 |
$173.23 |