| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
551 |
522 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,001 |
917 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,248 |
2,130 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,993 |
2,467 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
274 |
260 |
$10K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
293 |
286 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
225 |
220 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
96 |
53 |
$3K |
| 72100 |
|
398 |
381 |
$3K |
| 73630 |
|
390 |
358 |
$2K |
| 73562 |
|
280 |
243 |
$2K |
| 74018 |
|
281 |
257 |
$2K |
| 73130 |
|
204 |
182 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
39 |
$995.07 |
| 73610 |
|
169 |
159 |
$965.62 |
| 73030 |
|
164 |
144 |
$843.00 |
| 76536 |
|
45 |
40 |
$834.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$334.20 |
| 73502 |
|
57 |
53 |
$312.16 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$310.80 |
| 73560 |
|
33 |
25 |
$212.52 |
| 76770 |
|
14 |
13 |
$195.09 |
| 74022 |
|
14 |
14 |
$146.16 |
| 72040 |
|
15 |
13 |
$91.85 |
| 73110 |
|
15 |
13 |
$77.28 |
| 71101 |
|
14 |
13 |
$50.10 |