| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
9,729 |
7,785 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
679 |
636 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
3,381 |
3,135 |
$17K |
| 73562 |
|
1,223 |
1,035 |
$12K |
| 74018 |
|
2,249 |
1,820 |
$10K |
| 73630 |
|
987 |
880 |
$9K |
| 73130 |
|
797 |
669 |
$8K |
| 73030 |
|
837 |
748 |
$8K |
| 73610 |
|
581 |
526 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
119 |
112 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
27 |
$3K |
| 73502 |
|
399 |
359 |
$2K |
| 73590 |
|
196 |
164 |
$2K |
| 73110 |
|
113 |
96 |
$1K |
| 73560 |
|
95 |
82 |
$711.68 |
| 93970 |
|
33 |
25 |
$570.73 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$500.22 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$493.33 |
| 71250 |
|
14 |
14 |
$421.87 |
| 76857 |
|
13 |
13 |
$368.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
12 |
$309.16 |
| 73090 |
|
32 |
27 |
$257.35 |
| 71101 |
|
15 |
14 |
$153.97 |
| 73080 |
|
16 |
14 |
$115.94 |
| 73060 |
|
14 |
12 |
$83.16 |
| 93971 |
|
12 |
12 |
$64.62 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
24 |
24 |
$32.64 |