| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,776 |
1,650 |
$111K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
906 |
847 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
3,602 |
3,219 |
$16K |
| 93975 |
|
289 |
256 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,173 |
1,127 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
51 |
49 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
56 |
52 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
84 |
82 |
$2K |
| 76830 |
Ultrasound, transvaginal |
43 |
37 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
33 |
30 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
25 |
$861.02 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
35 |
31 |
$821.71 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$434.07 |
| 73610 |
|
29 |
26 |
$428.96 |
| 74018 |
|
67 |
65 |
$322.79 |
| 73562 |
|
16 |
12 |
$199.98 |
| 93971 |
|
14 |
13 |
$182.69 |
| 73630 |
|
13 |
13 |
$123.80 |
| 73130 |
|
12 |
12 |
$103.05 |