| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
622 |
535 |
$35K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
433 |
372 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
2,996 |
1,809 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
238 |
205 |
$6K |
| 70496 |
|
49 |
43 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
100 |
90 |
$3K |
| 70498 |
|
48 |
43 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
434 |
398 |
$3K |
| 73560 |
|
210 |
169 |
$1K |
| 71250 |
|
58 |
54 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
20 |
12 |
$780.36 |
| 73130 |
|
126 |
102 |
$726.82 |
| 73590 |
|
116 |
92 |
$661.46 |
| 73552 |
|
71 |
58 |
$525.73 |
| 72170 |
|
71 |
59 |
$419.48 |
| 73630 |
|
48 |
44 |
$320.49 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$301.37 |
| 73610 |
|
48 |
39 |
$292.23 |
| 74018 |
|
60 |
36 |
$259.36 |
| 73090 |
|
38 |
28 |
$217.35 |
| 73060 |
|
18 |
14 |
$110.30 |
| 73030 |
|
18 |
15 |
$96.86 |
| 73562 |
|
16 |
15 |
$88.55 |
| 73070 |
|
18 |
14 |
$88.11 |
| 73502 |
|
15 |
14 |
$84.08 |