| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,736 |
5,582 |
$427K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,720 |
10,186 |
$316K |
| 71045 |
Radiologic examination, chest; single view |
45,801 |
37,908 |
$304K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,172 |
4,036 |
$274K |
| 71046 |
Radiologic examination, chest; 2 views |
14,680 |
14,464 |
$134K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,054 |
1,037 |
$70K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,516 |
1,494 |
$41K |
| 93971 |
|
2,845 |
2,806 |
$34K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
944 |
915 |
$32K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,290 |
1,268 |
$22K |
| 76813 |
|
365 |
358 |
$21K |
| 74018 |
|
3,060 |
2,639 |
$19K |
| 49083 |
|
253 |
214 |
$18K |
| 93970 |
|
498 |
489 |
$14K |
| 99233 |
Prolong inpt eval add15 m |
322 |
173 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
193 |
183 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
267 |
258 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
73 |
72 |
$3K |
| 73610 |
|
277 |
270 |
$2K |
| 73630 |
|
245 |
237 |
$2K |
| 71250 |
|
204 |
191 |
$1K |
| 76770 |
|
79 |
76 |
$1K |
| 99152 |
|
174 |
164 |
$1K |
| 70486 |
|
25 |
24 |
$958.96 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
40 |
$948.59 |
| 73130 |
|
134 |
131 |
$945.44 |
| 73030 |
|
220 |
205 |
$839.90 |
| 73502 |
|
214 |
184 |
$838.07 |
| 70498 |
|
24 |
24 |
$726.05 |
| 73110 |
|
138 |
124 |
$669.56 |
| 74230 |
|
110 |
103 |
$652.02 |
| 78454 |
|
13 |
13 |
$379.10 |
| 71020 |
|
46 |
29 |
$378.87 |
| 71010 |
|
29 |
19 |
$235.64 |
| 73564 |
|
42 |
40 |
$227.39 |
| 72020 |
|
46 |
42 |
$215.01 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$194.82 |
| 73560 |
|
71 |
68 |
$162.82 |
| 72131 |
|
24 |
24 |
$159.28 |
| 72100 |
|
30 |
27 |
$133.69 |
| 77001 |
|
39 |
38 |
$133.45 |
| 73590 |
|
28 |
25 |
$120.31 |
| 93880 |
|
12 |
12 |
$96.96 |
| 76937 |
|
15 |
14 |
$32.06 |
| 76376 |
|
15 |
15 |
$30.75 |
| 73501 |
|
15 |
14 |
$29.22 |
| 70496 |
|
12 |
12 |
$0.00 |
| 36558 |
|
12 |
12 |
$0.00 |