| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,204 |
2,098 |
$97K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,163 |
1,074 |
$77K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
908 |
873 |
$33K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
297 |
277 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
4,896 |
4,032 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
1,903 |
1,778 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
458 |
433 |
$8K |
| 76770 |
|
183 |
173 |
$6K |
| 73630 |
|
431 |
357 |
$5K |
| 74018 |
|
666 |
531 |
$3K |
| 73610 |
|
219 |
180 |
$3K |
| 93976 |
|
143 |
130 |
$3K |
| 74183 |
|
24 |
24 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
56 |
52 |
$2K |
| 73130 |
|
160 |
136 |
$2K |
| 73110 |
|
129 |
112 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
40 |
39 |
$1K |
| 73090 |
|
106 |
98 |
$973.06 |
| 71250 |
|
28 |
28 |
$783.03 |
| 76506 |
|
25 |
13 |
$780.96 |
| 73562 |
|
72 |
68 |
$744.36 |
| 73030 |
|
48 |
41 |
$548.37 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$527.26 |
| 73080 |
|
43 |
41 |
$442.24 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
12 |
$413.44 |
| 76536 |
|
12 |
12 |
$288.32 |
| 72100 |
|
16 |
12 |
$217.52 |
| 73560 |
|
17 |
12 |
$115.38 |