| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
711 |
652 |
$53K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
575 |
536 |
$30K |
| 76801 |
|
417 |
397 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
175 |
165 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
304 |
295 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,524 |
1,292 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
177 |
157 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
784 |
741 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
159 |
143 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
119 |
114 |
$3K |
| 73610 |
|
202 |
186 |
$3K |
| 76830 |
Ultrasound, transvaginal |
82 |
80 |
$3K |
| 73630 |
|
238 |
227 |
$2K |
| 73130 |
|
237 |
212 |
$2K |
| 73562 |
|
187 |
179 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
43 |
43 |
$2K |
| 73030 |
|
131 |
123 |
$1K |
| 72100 |
|
91 |
89 |
$1K |
| 74018 |
|
193 |
182 |
$972.98 |
| 73110 |
|
82 |
79 |
$880.71 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
15 |
$575.20 |
| 93970 |
|
28 |
26 |
$512.36 |
| 76818 |
|
16 |
15 |
$501.81 |
| 72170 |
|
63 |
55 |
$486.78 |
| 93971 |
|
40 |
40 |
$436.23 |
| 73080 |
|
30 |
29 |
$314.79 |
| 99152 |
|
18 |
18 |
$115.24 |
| 99153 |
Mod sedat endo service >5yrs |
13 |
13 |
$96.39 |