| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
382 |
361 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
284 |
274 |
$13K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
223 |
215 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,754 |
1,593 |
$7K |
| 73630 |
|
368 |
340 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
458 |
444 |
$3K |
| 72100 |
|
193 |
189 |
$2K |
| 73610 |
|
176 |
174 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
68 |
66 |
$2K |
| 71250 |
|
58 |
56 |
$2K |
| 76536 |
|
72 |
64 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 73130 |
|
147 |
134 |
$1K |
| 73562 |
|
128 |
115 |
$1K |
| 74018 |
|
231 |
211 |
$1K |
| 73030 |
|
106 |
102 |
$948.68 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
42 |
$748.30 |
| 73110 |
|
55 |
51 |
$647.14 |
| 73502 |
|
40 |
39 |
$179.64 |
| 73560 |
|
13 |
12 |
$112.00 |