| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,162 |
1,076 |
$72K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
921 |
896 |
$41K |
| 71045 |
Radiologic examination, chest; single view |
2,166 |
2,030 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,665 |
1,627 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
92 |
89 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
55 |
55 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
38 |
38 |
$3K |
| 76830 |
Ultrasound, transvaginal |
75 |
75 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
44 |
$2K |
| 72100 |
|
105 |
100 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
54 |
$1K |
| 73562 |
|
75 |
73 |
$863.57 |
| 93975 |
|
28 |
28 |
$843.30 |
| 73630 |
|
79 |
73 |
$785.42 |
| 73610 |
|
55 |
55 |
$757.20 |
| 74018 |
|
123 |
121 |
$632.13 |
| 70491 |
|
12 |
12 |
$529.66 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$395.48 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$383.24 |
| 93971 |
|
15 |
14 |
$195.24 |
| 73030 |
|
12 |
12 |
$133.20 |