| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,636 |
2,448 |
$176K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,713 |
1,634 |
$85K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
376 |
355 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
687 |
655 |
$30K |
| 93975 |
|
145 |
138 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
386 |
347 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
151 |
151 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
593 |
551 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$754.16 |
| 71046 |
Radiologic examination, chest; 2 views |
114 |
103 |
$634.44 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$556.06 |